Billing Specialist Radiation Oncology
About The Position
The Radiation Oncology Therapeutic Finance & Business Services department plays a critical role in ensuring accurate charge capture, coding integrity, billing compliance, and revenue cycle performance for complex radiation therapy services. UT MD Anderson is a leading institution focused on cancer care, research, education, and prevention. The Billing Specialist Radiation Oncology position supports the organization's mission by ensuring precise reimbursement practices, maintaining regulatory compliance, and contributing to the financial integrity of Radiation Oncology services. The Billing Specialist Radiation Oncology collaborates with clinical and operational teams to optimize coding accuracy and revenue integrity. The Billing Specialist Radiation Oncology serves as a key resource for charge reconciliation, denial management, and billing compliance.
Requirements
- Bachelor's Degree Business Administration, Hospital Administration or related field.
- 3 years Billing, coding or cost accounting experience to include two years in a medical service environment, insurance or related field.
- May substitute required education degree with additional years of equivalent experience on a one to one basis.
Nice To Haves
- Certified Professional Coder (CPC) from an accredited organization.
Responsibilities
- Perform complex reviews and advanced clinical abstraction of Radiation Oncology services, including simulation, dose distribution treatment planning, and treatment delivery modality and complexity
- Assign CPT, HCPCS, and ICD-10 codes across radiation therapy modalities including 3D CRT, IMRT, Proton Therapy, Brachytherapy, and SRS (Gamma Knife)
- Validate treatment parameters, including monitor units, gantry angles, and control points, to ensure coding accuracy
- Reconcile physician prescriptions with delivered treatments to ensure alignment of technical and professional charges
- Review and validate KV imaging, CBCT imaging, and supporting documentation for compliant billing
- Complete end-of-course chart audits to ensure full charge capture and documentation completeness
- Resolve charge review, claim edit, and denial work queues within Epic
- Analyze denial trends related to CCI edits, MUE limitations, medical necessity requirements, and bundling issues
- Implement corrective actions to reduce denials and improve reimbursement outcomes
- Prepare appeal documentation and collaborate with payer teams to support claim resolution
- Identify systemic revenue cycle issues and recommend workflow or documentation improvements
- Ensure billing practices align with annual industry updates, including ASTRO billing standards
- Educate clinical teams regarding documentation requirements needed to support all submitted charges
- Maintain current knowledge of regulatory updates, including ASTRO and CMS rule changes
- Communicate effectively with physicians and clinical staff to provide education and feedback regarding coding and documentation issues
- Ensure compliance with CMS, NCCI, MUE, and payer-specific billing guidelines
- Identify compliance risks and escalate issues appropriately
Benefits
- Employer-paid medical coverage starting day one for employees working 30+ hours/week
- Optional group dental, vision, life, AD&D, and disability insurance.
- Accruals for PTO and Extended Illness Bank
- Paid holidays
- Wellness, childcare, and other leave options.
- Tuition Assistance Program after six months of service
- Access to extensive wellness, fitness, and employee resource groups.
- Defined-benefit pension through the Teachers Retirement System
- Voluntary retirement plans
- Employer-paid life and reduced salary protection programs.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
