Certified Coding Specialist

OneOncologyHickory, NC
Remote

About The Position

Carolina Oncology Specialists has been caring for patients in Catawba County since 1983, offering patients high quality, personalized healthcare close to their own home so patients and caregivers don’t have to travel far for excellent care. Our patients experience the convenience of in-clinic chemotherapy treatments, as well as the treatment and management of blood disorders. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.

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.
  • This position requires strict adherence to HIPAA regulations and the protection of patient health information (PHI).

Nice To Haves

  • preference for NC residents

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.

Benefits

  • Equal Employment Opportunity (EEO)
  • commitment to providing reasonable accommodations for qualified individuals with disabilities
  • Background Check & Eligibility
  • HIPAA & Confidentiality
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