Compliance Educator – Medical and Surgical Oncology

McKesson•Alpharetta, GA

25d•Remote

About The Position

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care. What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you. The Compliance Educator – Medical and Surgical Oncology is primarily responsible for delivering targeted compliance, coding, and billing education and executing coding and billing audits across the US Oncology Network, with a specific focus on medical oncology and surgical oncology services. This role applies advanced knowledge of oncology reimbursement, federal and state payer requirements, and documentation standards across professional and facility settings to assess compliance risk, validate billing accuracy, and drive sustainable improvement through education. The position balances education delivery and audit execution (approximately 70% education / 30% audit) and partners closely with medical and surgical oncology providers, coding professionals, billing operations, and Compliance leadership. The role supports and operates in alignment with the US Oncology Compliance Program, the McKesson Code of Ethics, and Business Standards.

Requirements

Experience: 7+ years of cumulative healthcare coding and billing education and audit experience.
4+ years of oncology direct coding experience using CPT, HCPCS, ICD-10-CM, and E/M guidelines.
Certifications (Required): Active CPC, COC, or ROCC certification.
Strong understanding of federal payer regulations, reimbursement methodologies, and oncology documentation standards.
Proficiency with Microsoft Office tools (Excel, PowerPoint), Smartsheet, and emerging AI tools (e.g., Copilot)
Proven ability to communicate complex regulatory and coding concepts clearly and effectively to diverse audiences.
Ability to manage multiple priorities, meet deadlines, and work effectively in a matrixed environment.
Minimum Experience Degree or equivalent and typically requires 7+ years of relevant experience.
General office environment: flexible working hours may be required to support business needs.
Ability to work independently with minimal supervision while maintaining strong collaboration with cross-functional partners.
Up to 10% of travel may be required.
Must be authorized to work in the US.
Sponsorship is not available for this position.

Nice To Haves

Certifications (Preferred): CPMA, CCS-P, or CRC.
Bachelor’s degree in HIM, healthcare administration, or related field preferred

Responsibilities

Deliver targeted, audit-driven education to providers, clinical staff, and billing teams through one-on-one sessions, group education, and collaborative calls.
Conduct comprehensive coding and billing audits in accordance with Compliance & Ethics standard operating procedures and federal payer guidance.
Prepare reports of findings and recommendations as well as education summaries for improvement for internal review and distribution to business leaders.
Translate complex coding and billing requirements into clear, practical guidance for operational and clinical audiences.
Develop and maintain coding tools, job aids, and reference materials to support compliant documentation and billing practices.
Respond to billing and coding inquiries submitted through the Ask the Expert (Salesforce) platform within established service-level expectations.
Review medical record documentation to assess compliance with E/M, CPT, HCPCS, and ICD-10-CM coding requirements and reimbursement rules.
Validate provider-selected codes for Medicare, Medicaid, and other government and commercial payers.
Clearly document audit results, required corrections, and supporting evidence, citing medical record documentation and regulatory or payer authority.
Prepare audit reports, executive summaries, and trend analyses for Compliance leadership and business stakeholders.
Maintain current knowledge of federal and state regulations, CMS guidance, payer policies, and oncology-specific billing requirements.
Monitor regulatory changes and emerging risk areas and provide timely education and guidance to the Network.
Support Compliance leadership with data, insights, and recommendations related to audit outcomes, education effectiveness, and risk mitigation.
Perform additional duties as assigned in support of Compliance & Ethics program objectives.