CODING SPECIALIST SR - BREAST & GEN SURGERY

The US Oncology Network•Richardson, TX
•Hybrid

About The Position

The US Oncology Network is seeking a Senior Coding Specialist to join Texas Oncology. This full-time hybrid remote position supports the Central Business Office in Richardson, Texas, and requires the candidate to live in Texas. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. Under direct supervision, the Coding Specialist performs medical record coding activities, assigns diagnostic codes to patient charts and reports, and supports the US Oncology Compliance Program, including its Code of Ethics and Business Standards. The role focuses on professional fee surgical coding for general and breast surgery, with responsibilities involving operative reports, physician documentation, and application of coding and reimbursement guidelines. Texas Oncology is part of The US Oncology Network, a community-based oncology network supported by McKesson Corporation. Texas Oncology delivers evidence-based cancer care across Texas using technology and research, with approximately 530 providers at more than 280 sites.

Requirements

  • High school diploma or equivalent.
  • Completion of a course in medical record technology.
  • Completion of a course in Medical Terminology.
  • At least five years of medical coding experience for the Senior level.
  • Active CPC, CCS-P, or equivalent coding certification.
  • At least two years of professional fee surgical coding experience.
  • General and breast surgery coding experience.
  • Experience reviewing operative reports and physician documentation and applying CPT, ICD-10-CM, HCPCS, and modifiers for surgical services.
  • Experience with coding compliance, documentation review, and regulatory guidelines.
  • Ability to work independently in a remote coding environment.
  • Must live in Texas.
  • Ability to meet the stated physical demands, including regularly sitting and using hands, occasionally standing, walking, reaching, and lifting or moving up to 30 pounds; vision and hearing must be corrected to normal ranges.

Nice To Haves

  • Three years of medical coding experience preferred at Level 1.
  • Applicable coding certification preferred at Level 1.
  • Knowledge of medical records coding procedures and ICD-9 and CPT-4 coding systems is highly desirable.
  • Prior oncology experience preferred.
  • RHIT certification preferred.
  • Surgical Oncology coding experience preferred.

Responsibilities

  • Abstract relevant clinical and demographic information from medical records to assign ICD-9 and CPT-4 codes in accordance with coding and reimbursement guidelines.
  • Identify principal and secondary diagnoses with minimal error, following national standards.
  • Maintain coding accuracy of 97% based on internal quality-assurance reviews.
  • Record diagnostic procedures and assign appropriate procedure codes.
  • Request diagnoses from physicians when information is not recorded.
  • Determine and record required medical information.
  • Update coding procedures and guidelines.
  • Coordinate medical information and patient charts with medical assistants and other staff.
  • Maintain the confidentiality of medical information in each record.
  • Review operative reports and physician documentation and apply CPT, ICD-10-CM, HCPCS, and modifiers for surgical services.
  • Support and adhere to the US Oncology Compliance Program, including the Code of Ethics and Business Standards.
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