Medical Coding Specialist

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, 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 community oncologists and the patients they serve.

Job Description:

The Surgery Coding Specialist (Medical Coding Specialist) is under general supervision, performs daily charge review of visits, diagnosis, radiation oncology or surgeries for accurate level and coding. Responsible for input charges into practice management system or EMR. The Medical Coding Specialist may also be assigned to audit physician, nurse practitioner and clinical oncology staff documentation for correct coding of CPT, ICD-10, HCPCs, and modifiers.

Responsibilities:

• Keeps informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of oncology and effectively applies this knowledge.

• Assists with third party payor and other audit requests by compiling, organizing and reviewing chart documentation as needed.

• Works with other coders in the department to assist with difficult cases.

• Performs E&M and CPT coding review and other projects related to physician coding compliance in fulfillment of the practice’s compliance program.

• Assists practice leadership to analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues.

• Communicates effectively with practice leadership regarding coding and documentation issues by assisting in the preparation of reports and memoranda regarding audit results and coding compliance matters.

• Assists in developing and executing department educational plans related to coding matters, working in conjunction with the Charge Entry/Coding Manager.

• Assists in the development of procedure manuals related to coding and billing compliance.

• Demonstrates outstanding work ethic and works cooperatively with all team members and management with a can-do spirit and team attitude.

• Assist with audit and entry of charges into EMR system and/or Practice Management System

• Review charges/claims for accurate coding of ICD10, CPT and HCPCS codes.

• Review operative reports and other supporting documentation to assign appropriate CPT and ICD10 codes.

• Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer

Competencies:

• Attendance is an essential job function

• Knowledge of government, legal and regulatory provisions related to collection activities.

• Knowledge of government programs, i.e., Medicare and Medicaid.

• Knowledge of insurance company’s policies and procedures.

• Knowledge of CPT, ICD-9, HCPCS coding.

• Knowledge of anatomy and medical terminology.

• Ability to prioritize work and manage time efficiently.

• Creative thinking skills, hands on problem solving skills and ability to analyze and respond to data.

• Effective communication skills at all levels within organization and excellent customer service skills.

Qualifications:

• Must have a Professional coding certification

• Minimum of 4 years coding experience preferred

• CPC Certification through the AAPC preferred

• Knowledge of Medical Oncology/Radiation/Surgery coding and leveling highly preferred

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