Infusion Coder- REMOTE
Valerion Health
10d•Remote
About The Position
The Infusion Chemotherapy Coder is responsible for accurate and compliant coding of chemotherapy and therapeutic infusion services in outpatient, hospital-based, and physician office settings. This role requires strong knowledge of oncology infusion coding guidelines, CPT/HCPCS codes, drug administration hierarchies, and payer-specific rules to ensure optimal reimbursement and regulatory compliance.
Requirements
- CPC, CCS, or COC certification (required)
- Minimum 3-4 years of infusion or oncology coding experience
- Strong knowledge of:
- Chemotherapy and therapeutic infusion coding
- Drug administration hierarchy
- Time-based infusion coding
- HCPCS J-codes and drug units
- Experience coding for hospital outpatient, infusion centers, or oncology practices
- Familiarity with Epic, Cerner, Athena, or other EHR systems
- Excellent attention to detail and strong analytical skills
Nice To Haves
- Oncology-specific coding experience
- Experience with audits, charge review, or denial management
Responsibilities
- Assign accurate CPT, HCPCS, ICD-10-CM, and modifiers for chemotherapy, immunotherapy, hydration, and therapeutic infusion services
- Code chemotherapy drug administration services, including:
- Initial, subsequent, and concurrent infusions
- IV push vs. infusion services
- Hydration services
- Sequential and combination therapy
- Apply correct chemotherapy hierarchy rules and time-based coding requirements
- Code and validate oncology drugs, including wastage and JW/JZ modifiers when applicable
- Review provider documentation for completeness and query when clarification is needed
- Ensure compliance with CMS, NCCI, AMA, and payer-specific guidelines
- Identify and resolve coding edits, denials, and underpayment trends related to infusion services
- Collaborate with billing, auditing, and clinical teams to support clean claim submission
- Maintain productivity and accuracy standards in a high-volume environment
- Stay current on annual CPT/HCPCS updates and oncology coding changes
Benefits
- Excellent culture and amazing perks!
- Medical/dental/vision effective Day 1!
- 401k with employer match
- Generous PTO and Holiday time
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
