Sr. RCM Coding Audit Specialist

OneOncology; United States; Remote; USD 80,000 - 110,000; Full time

Job summary

OneOncology is seeking a Sr. RCM Coding Audit Specialist to provide coding expertise and education to partner practices and internal teams. Responsibilities include physician audits, coding guidance, data analysis, and staying current with billing regulations across radiation and medical oncology specialties.

The role emphasizes collaboration with leadership, continuous process improvement, and training to improve coding accuracy and compliance in a remote, patient-centric environment.

Qualifications

• CPC or equivalent coding certification required.
• Bachelor’s Degree or equivalent experience.
• Minimum 2 years of coding experience.
• Experience in Medical and Radiation Oncology coding preferred.

Responsibilities

• Perform physician audits, including specialty-focused audits, compile dashboard results, and provide documentation feedback with coding and billing education to providers.
• Advise practices and the RCM team on best practice coding and provide coding support to practices as needed with hands-on coding and billing, in addition to coding education and training.
• Analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues, along with leadership.
• Research billing and coding guidelines for any OneOncology practice specialties and advise of coding and guideline updates and changes.
• Apply and disseminate current billing and coding regulations, auditing, and professional standards.
• Identify process improvement opportunities that enhance the performance of the department and/or practice.
• Partner with the leadership team to ensure compliance with all federal, state and local regulations.
• Review medical documentation for accuracy related to payer medical record requests as needed.
• Effectively abstract and code multi-specialty services including radiation oncology services among other sub-specialties such as imaging, medical oncology, pathology and E/M.
• Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer.

Skills

CPC Certification

2+ Years Coding

Medical Oncology Coding

Radiation Oncology Coding

Data-driven Decisions

Bachelor’s Degree

Education

Bachelor’s Degree or equivalent experience

Job description

OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.

Job Description:

The Sr. RCM Coding Audit Specialist is responsible forproviding general codingexpertise, including radiation oncology coding, and advice toOneOncologypartnerspractices including physicians as wellas tointernal team members. This roleis responsible forsupporting practices in coding as well aseducation.

Responsibilities :

• Perform physician audits, including specialty-focused audits, compile dashboard results, and provide documentation feedback with coding and billing education to providers.
• Advise practices and the RCM team on best practice coding and provide coding support to practices as needed with hands on coding and billing, in addition to coding education and training.
• Analyze data,identifyissues, reach conclusions, and propose strategies for resolution of complex coding issues, along with leadership.
• Research billing and coding guidelines for anyOneOncologypractice specialties andadvise ofcoding and guideline updates and changes.
• Apply anddisseminatecurrent billing and coding regulations, auditing, and professional standards.
• Identifyprocess improvement opportunities that enhance the performance of the department and/or practice.
• Partner with the leadership team to ensure compliance with all federal,stateand local regulations.
• Review medical documentation for accuracy related to payer medical record requests as needed.
• Effectivelyabstract andcode multi-specialty services including radiation oncology services among other sub-specialties such as imaging, medical oncology,pathologyand E/M.
• Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer.

Qualifications

• CPC or other coding certificationrequired
• Bachelor’s Degree or equivalent experiencerequired
• 2+ years of coding experiencerequired
• Medical Oncology and Radiation Oncology coding experience preferred
• Demonstrated success in using data to make decisions and drive behavior change in support organizations

This job description does notcontaina full listing of activities,dutiesor responsibilities requiredofthis role. Duties,responsibilitiesand activities may change, or new ones may be assigned at any time with or without notice.

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