Coder - Radiation Oncology

Job Purpose:

The Coder is responsible for charge entry, patient visit reconciliation, and coding patient accounts using diagnosis codes, ICD-10 codes, and HCPCS specific to Radiation Oncology. This position is a department-specific extension of the A/R Collection/Coding team and reports directly to the Chief Therapist in Radiation Oncology. This position requires a commitment “…to deliver superior coding to the patients, physicians, and staff members that we serve.” 

Job Duties & Responsibilities:

· Data Entry: Enter CPT & Procedure Codes as specified on charge sheets and electronic billing

· Resolve pre/post billed coding denials; analyze and complete scrubber edits

· Resolve un-reconciled visits by obtaining necessary information for charge entry and coding

· Stay current on coding education and regulations to ensure accurate coding work is performed

· Identify trends and root causes and suggest process changes to prevent continued problems

Performance Measures:

Qualitative:

· Demonstrate values of integrity, teamwork, dedication, quality, decision making, communication, and creative thinking (see performance review sheet for definitions)

· Demonstrate initiative, respect, competency, financial responsibility, accountability, quality improvement, cooperation, problem solving, decision making, planning & organizing, and communication.

Quantitative:

· Assists in coding services within department defined time frames

· Code all other types of charges within 2 days of receipt

· Resolve all missed billings

· Analyzes and completes scrubber edits within 2 days of charge entry

· Resolves bundling denials and medical necessity edits within 1 week

Qualifications:

Required:

· High School Diploma/GED

· 3+ years of Radiation Oncology coding experience.

· Critical thinking skills, problems solving skills, follow-through skills, and the ability to see “the big picture”

· Ability to work well on a team and as an individual

· Understand coding terminology and uses; CPT, ICD-10, basic modifiers, etc.

Preferred:

· Coding certification

· Intermediate level experience using MS Office, particularly Excel

· Understand of Medicare, Medicaid and patient privacy laws