Certified Coder

OneOncology•Costa Mesa, CA

1d•Remote

About The Position

Carolina Oncology Specialists has been providing compassionate, patient-centered care since 1983, delivering high-quality oncology and hematology services tailored to each individual's needs. Patients benefit from the convenience of receiving chemotherapy treatments in our clinics, along with expert diagnosis, treatment, and management of a wide range of blood disorders. Why Join Us? We are seeking talented, compassionate, and highly motivated individuals who are passionate about making a difference. At Carolina Oncology Specialists, you'll have the opportunity to support the meaningful work of community oncology while helping provide exceptional care and hope to the patients and families we serve. Join a team dedicated to clinical excellence, collaboration, and improving lives every day.

Requirements

High school diploma or equivalent required
One of the following certifications required: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), RHIT or RHIA (with coding focus)
Minimum 1-2 years of professional medical coding experience
Oncology, hematology, infusion, or specialty practice experience required
Experience with EHR/EMR systems and encoder software required
Strong knowledge of ICD-10, CPT, and HCPCS coding systems
Familiarity with Medicare, Medicaid, and commercial payer rules
Excellent attention to detail and accuracy
Knowledge of anatomy and medical terminology.
Ability to work independently in a remote environment
Effective communication skills at all levels within organization and excellent customer service skills.
Effective time management and ability to meet deadlines
Creative thinking skills, hands-on problem-solving skills, and ability to analyze and respond to data.
Must be willing and able to lift to 25 pounds
Must be willing and able to travel to onsite clinics when necessary
Fully remote position requiring a secure home office setup
Reliable high-speed internet required
Ability to work standard business hours in Eastern Time Zone
Prolonged periods of sitting and computer use
Occasional virtual meetings and provider collaboration
Candidates must be authorized to work in the United States without sponsorship.

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
Review and analyze patient medical records, provider documentation, and treatment regimens
Assign accurate ICD-10-CM, CPT, and HCPCS Level II codes for oncology-related services (including chemotherapy, infusions, and supportive care)
Ensure compliance with CMS, OIG, and payer-specific guidelines
Routinely performs E&M and CPT coding audits and other projects related to physician coding compliance in fulfillment of the practice’s compliance program.
Identify documentation deficiencies and collaborate with providers for clarification
Assists practice leadership to analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues
Support denial resolution and appeals through coding review and correction
Participate in internal coding audits and quality assurance initiatives
Maintain productivity and accuracy standards as defined by leadership
Stay current on coding updates, payer policies, and industry best practices
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 EMR implementation as requested by management.
May assist with audit and entry of charges into EMR system.
Maintain compliance with HIPAA and patient confidentiality standards.