Sr Coding Analyst-Regional

The US Oncology Network•Richardson, TX

4d•Hybrid

About The Position

The US Oncology Network is looking for a Coding Analyst to join their team at Texas Oncology. This full-time hybrid position will support the Research Billing Department. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas. Our mission is to use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve “More breakthroughs. More victories.” ® in their fight against cancer. The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care.

Requirements

High school diploma or equivalent required.
Successful completion of AAPC Certified Professional Coder Exam required.
Minimum three years medical coding experience required.
Proficiency with computer systems and Microsoft (Office Outlook, Word, Power Point, and Excel) required.
4-year degree in related field OR equivalent experience desired.
Associate's Degree + Four (4) years of related work experience
Eight (8) years of related work experience
Five years experience in coding, medical records and reimbursement
Must be available for travel up to but not limited to 25-30% of the time.

Nice To Haves

Prior oncology experience preferred.
Prior medical billing experience preferred.

Responsibilities

Reviews, verifies and records accurate ICD and CPT codes in accordance with coding and reimbursement guidelines.
Works with Manager of Quality Assurance (QA Manager) and charge entry staff to ensure correct charge and/or quantity amounts.
Run Admix Report every daily (am) and send to sites.
Run Missing Ticket Report weekly and at Month End- send to QA Manager.
Force Extract Gyn Onc claims following QA Manager approval.
Code Hospital tickets and ensure all required ticket information is complete and accurate.
Work through Billing Specialist Work File (ensure completeness for 99211 claims, review for missing modifiers on claims, review /force out 96521 and 96416 claims, ensure complete and accurate ordering/render MD info on claims, review/correct duplicate claims and bundled charges).
Work through CBO Review work file (ensure complete and accurate information for assigned visit, referring MD, NDC#s for any NOC drug, matching ordering MD vs MD1).
Communicate with site clinical staff as needed to complete any of the tasks above.
Other duties as assigned by Business Office Director.