Part Time Coder Cancer Services - Kelsey Seybold Clinic: Remote

UnitedHealth Group•Houston, TX

7d•$20 - $36•Remote

About The Position

In coordination with the Senior Coder, this position reviews, interprets and verifies diagnostic, clinical, and infusion codes for all oncology providers and extenders based on clinical reports within the EMR system and according to correct coding principles, current NCCI rules and LCD coverage determinations ensures that the proper codes are on all claims prior to submission for all charges for the cancer center. The coder is responsible for a thorough review of auditing all charges in both the inpatient and outpatient setting to ensure that compliance and charge capture are clean prior to claim submission. The coder also acts as a liaison to the physicians and clinical teams and provides feedback to physicians and management staff regarding proper documentation and coding and works within company standards to maintain policy and procedures. Meets coding and abstracting deadlines to expedite the billing and charge entry process and ensures best practices for the center is met according to departmental policy and procedures. This position is an integral player in daily functions and month end processes for both campuses for Hematology Oncology/Infusion/Radiation Oncology and works as a team player; this team member will be proficient in all areas as to ensure cross coverage to include: eligibility, authorization, and financial assistance. Coding Compliance - Identifies unbundled procedures according to CPT guidelines and current Medicare NCCI rules. Identifies other coding related denials including medical necessity and modifier usage. Provides feedback to physicians and management staff regarding denials. Works directly with the PAA team members and provides feedback for related coding, denial management and proper modifier usage. Stays abreast of the latest oncology and infusion/radiation oncology service line coding to ensure proper compliance according to local, state, federal and national associations.

Requirements

CPC required within 6 months from date of hire
2+ years of billing experience in a clinic or Physician Office setting
1+ years of coding experience abstracting from clinical notes or dictations
Diversified understanding of CPT guidelines and Medicare rules and regulations
Solid understanding of Medical Terminology
Excellent written and verbal communication skills
All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy
Candidates are required to pass a drug test before beginning employment.

Nice To Haves

5+ years of experience in health care billing and collection
2+ years of Outpatient Facility coding and billing experience
Experience with EPIC
Knowledge of secondary or supplemental insurance claim filing (COB)

Responsibilities

Reviews, interprets and verifies diagnostic, clinical, and infusion codes for all oncology providers and extenders based on clinical reports within the EMR system and according to correct coding principles, current NCCI rules and LCD coverage determinations.
Ensures that the proper codes are on all claims prior to submission for all charges for the cancer center.
Audits all charges in both the inpatient and outpatient setting to ensure that compliance and charge capture are clean prior to claim submission.
Acts as a liaison to the physicians and clinical teams and provides feedback to physicians and management staff regarding proper documentation and coding.
Works within company standards to maintain policy and procedures.
Meets coding and abstracting deadlines to expedite the billing and charge entry process.
Ensures best practices for the center is met according to departmental policy and procedures.
Proficient in all areas to ensure cross coverage to include: eligibility, authorization, and financial assistance.
Identifies unbundled procedures according to CPT guidelines and current Medicare NCCI rules.
Identifies other coding related denials including medical necessity and modifier usage.
Provides feedback to physicians and management staff regarding denials.
Works directly with the PAA team members and provides feedback for related coding, denial management and proper modifier usage.
Stays abreast of the latest oncology and infusion/radiation oncology service line coding to ensure proper compliance according to local, state, federal and national associations.