Clinic Coding Specialist

The US Oncology Network•Richardson, TX

1d•Hybrid

About The Position

The US Oncology Network is looking for a Coding Specialist to join their team at Texas Oncology. This full-time, hybrid remote position will support the Central Business Office. The role involves performing all medical record coding activities, assigning appropriate diagnostic codes to patient charts and reports, and supporting the US Oncology Compliance Program. Texas Oncology is the largest community oncology provider in the country, delivering high-quality, evidence-based care to patients. The US Oncology Network is supported by McKesson Corporation, focusing on advancing cancer care in America.

Requirements

High school diploma or equivalent required.
Completion of a course in medical record technology.
Minimum one year of coding medical experience required.
Applicable certification preferred.
Knowledge of medical records coding procedures and knowledge of ICD-9 and CPT-4 Coding Systems highly desirable.
Completion of a course in Medical Terminology (for Sr. level).
Minimum five years medical coding experience (for Sr. level).
Must live in the state of Texas.

Nice To Haves

Three years experience medical coding preferred.
Prior oncology experience preferred (for Sr. level).
Certification as RHIT preferred (for Sr. level).

Responsibilities

Reviews provider documentation and abstracts relevant clinical and demographic information from the medical record to accurately assign ICD-10-CM, CPT, and HCPCS codes in accordance with official coding guidelines, payer requirements, and Texas Oncology policies.
Applies coding knowledge across surgical oncology specialties including, but not limited to, breast surgery, general surgery, colorectal surgery, gynecologic oncology, urologic oncology, thoracic surgery, and related clinic services.
Assigns diagnoses and procedures accurately and consistently while maintaining established productivity and quality standards.
Reviews documentation to determine code assignment, sequencing, medical necessity support, modifier application, and compliance with payer-specific reimbursement requirements.
Identifies documentation deficiencies and collaborates with providers and leadership to obtain clarification when documentation is incomplete, conflicting, or insufficient to support code assignment.
Demonstrates knowledge of Evaluation and Management (E/M) coding guidelines and documentation requirements, while recognizing that providers are ultimately responsible for level selection when applicable.
Researches coding, reimbursement, and regulatory questions using coding references, payer policies, National Correct Coding Initiative (NCCI) edits, Medicare guidance, and other approved resources.
Assists with denial prevention and revenue integrity efforts by identifying coding trends, documentation opportunities, and reimbursement issues that may impact claim accuracy or payment.
Maintains current knowledge of coding changes, payer updates, compliance regulations, and specialty-specific documentation requirements through ongoing education and training.
Participates in coding audits, quality reviews, provider education, and process improvement initiatives to support coding accuracy, compliance, and operational efficiency.
Collaborates effectively with providers, clinical staff, revenue cycle teams, and other departments to ensure accurate charge capture, coding, and reimbursement.
Maintains the confidentiality, security, and integrity of protected health information in accordance with HIPAA, organizational policies, and applicable regulations.
Achieves and maintains established coding quality standards as measured through internal quality assurance reviews.
Meets productivity expectations for assigned specialty and work queue.
Demonstrates proficiency in specialty-specific coding, modifier usage, documentation requirements, and payer guidelines.
Works independently while escalating complex coding, compliance, or reimbursement issues as appropriate.