Coding Analyst

The US Oncology Network • Richardson, TX

2d • Hybrid

About The Position

The US Oncology Network is seeking a Coding Analyst to support the Research Billing Department at Texas Oncology in Richardson, Texas. This is a full-time hybrid position with a typical Monday-through-Friday schedule of 8:00 a.m. to 4:30 p.m. The position is classified as Level 1 based on relevant candidate experience and works under limited supervision to perform billing and coding activities. The Coding Analyst assigns appropriate billing codes to patient accounts and helps ensure claims are accurate and complete. The role reports to the Business Office Director and supports and adheres to the US Oncology Compliance Program, including its Code of Ethics and Business Standards.

The Coding Analyst reviews payer-denial-related coding change requests, abstracts clinical information from medical records and provider documentation, and assigns ICD-10 and CPT/HCPCS codes according to coding and reimbursement guidelines. The role also corrects coding errors after claim processing or denial and refiles corrected claims. The analyst uses LCD/NCD policies for the applicable CMS region and tools such as Optum Encoder and CMS guidelines, maintaining at least 95% accuracy based on internal quality reviews.

Requirements

• High school diploma or equivalent.
• Successful completion of the AAPC Certified Professional Coder Exam.
• Minimum of three years of medical coding experience.
• Proficiency with computer systems and Microsoft Office Outlook, Word, PowerPoint, and Excel.

Nice To Haves

• Prior oncology experience.
• Prior medical billing experience.
• CPC, CPC-A, and Medical AR experience.
• For the senior level: a four-year degree in a related field or equivalent experience; an associate degree plus four years of related work experience; eight years of related work experience; or five years of experience in coding, medical records, and reimbursement.
• For the senior level, availability to travel up to approximately 25–30% of the time.

Responsibilities

• Review coding change requests related to payer denials, including CPT/HCPCS, diagnosis, modifiers, place of service, authorizations, UOM, MUE, and NDC, to ensure accurate coding and billing.
• Abstract relevant clinical information from medical records and provider documentation and assign ICD-10 and CPT/HCPCS codes in accordance with coding and reimbursement guidelines.
• Review and correct coding errors after claim processing or denial, and accurately refile corrected claims to payers.
• Use LCD/NCD policies to ensure accurate coding for the CMS region.
• Use coding tools such as Optum Encoder and CMS guidelines.
• Maintain coding accuracy of 95% or higher based on internal QA reviews.
• Support and adhere to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED