Medical Coding Specialist

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. 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, 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:

Under general supervision the

Medical Coding Specialist , performs daily charge audit of visits for accurate level and coding. Audit of physician, nurse practitioner and clinical oncology staff documentation in regard to correct coding of CPT, ICD-10, HCPCs, and modifiers and coding/charging based on the regulations and drug administration guidelines. Responsible for educating clinical and coding staff on documentation guidelines and correct coding; Acts as a coding and compliance resource to all Cancer Center clinical and business office staff members and coordinates.

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.
Routinely performs E&M and CPT coding audits 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 practice leadership in the development and review of detailed audit programs and reports to improve audit effectiveness and efficiency.
Assists in developing and executing department educational plans related to coding matters, working in conjunction with the Charge Entry/Coding Manager.
Monitors and reports to company leadership including the corporate compliance committee matters related to coding compliance.
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.
Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer

Qualifications :

Must have a Professional coding certification
Minimum of 4 years coding experience preferred
2 years’ experience performing chart audits and feedback/education in a physician practice environment preferred
Knowledge of Medical Oncology/Radiation regulations of coding and leveling highly preferred
Must be willing and able to lift up to 25 pounds.
Must be willing and able to travel to satellite clinics when necessary.

Essential Competencies:

Attendance is an essential job function
Ability to travel to various sites to conduct audits of records.
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.

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