Medical Coder II

The Certified Coder II is crucial to the Revenue Cycle at Oregon Oncology Specialists and supports our patients’ ability to pay for care.  The position’s objective is to maximize system efficiencies, reduce operational costs, increase accuracy, and improve reimbursement outcomes.

This is a full-time position. The first two weeks require in-office training, after which the role is remote, except for monthly office meetings. The hours will be Monday-Friday 8:30am-5pm with a 30 minute lunch.

Essential Job Functions

·         Review, analyze, and input clinic claim codes (ICD-9/ICD-10, HCPCS, CPT) based on EMR records, ensuring proper modifiers and documentation

·         Educate and consult with physicians and nursing staff on coding practices, ensuring accurate and thorough clinical documentation

·         Stay current with updates on medical treatments, procedures, diagnosis classifications, payer updates, and coverage changes, and communicate relevant information to providers, supervisors, and the billing team

·         Use coding manuals and software to ensure proper code selection and compliance with industry standards, including HIPAA, AHIMA, and AAPC ethical guidelines

·         Enter coded data into EHR or practice management systems for billing accuracy and maintain organized, accurate coding files

·         Collaborate with the billing department to ensure accurate insurance claims submission, address discrepancies, and resolve coding errors or denials

·         Resubmit denied claims after adjustments, assisting with audits and maintaining strong knowledge of medical terminology and disease processes

·         Maintain NDC updates, NCCN guidelines, and work with A/R and billing teams to resolve claim rejections, troubleshoot billing issues, and ensure claims are processed correctly

·         Assist with interdepartmental workflows (A/R, Coding, PA, Insurance Verification, Scheduling, Med Recs, Clinical) and generate reports for the Revenue Cycle team

Required Qualifications

·         Certified Coding Specialist (CCS) or Certified Professional Coder (CPC)

·         Associate’s degree in medical record technology or one-year coding diploma

·         Minimum two (2) years of progressive and in-depth multispecialty professional services coding experience in the diagnostic and procedural coding assignment

·         Extensive computer experience and ability to learn new computer applications quickly and independently, including EMR(s), Microsoft Office Suite, and other software programs

Preferred Qualifications

·         Bachelor’s degree in health care or related field or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)

·         Minimum two (2) years of progressive and in-depth oncology professional services coding experience in a diagnostic and procedural coding assignments in a Medical Oncology setting

·         Understanding of Unlimited Systems Revenue Cycle Software

A successful Medical Coder II will…

·         Enjoy learning and maintaining current knowledge to ensure that OOS coding and documentation meet regulatory guidelines and audit standards

·         Have knowledge and appreciation for Anatomy and Physiology

·         Have effective written and verbal communication skills

·         Collaborate with team members when code assignment is unclear, ambiguous, or inadequate

·         Possess extraordinary critical thinking and organizational skills

·         Influence positive change

·         Thrive in team environments