Medical Coding Specialist

OneOncology

About The Position

The RCM Medical Coding Specialist (Surgery Coding Specialist) works under general supervision to review daily charges for visits, diagnoses, radiation oncology, and surgeries to ensure accurate coding and levels of service. The role enters charges into practice management systems or electronic medical records and may audit physician, nurse practitioner, and clinical oncology staff documentation for correct CPT, ICD-10, HCPCS, and modifier coding. The specialist supports coding compliance and audit activities, collaborates with other coders and practice leadership on complex coding matters, and helps ensure accurate coding and documentation in an oncology practice. Additional responsibilities may be assigned in support of OneOncology’s mission.

Requirements

CPC, CCS-P, or another professional coding certification.
At least 2 years of experience performing chart audits or assigning appropriate CPT and ICD-10 codes through documentation review in a physician practice or hospital environment.
Knowledge of government, legal, and regulatory provisions related to collection activities.
Knowledge of government programs, including Medicare and Medicaid.
Knowledge of insurance company policies and procedures.
Knowledge of CPT, ICD-9, and HCPCS coding.
Knowledge of anatomy and medical terminology.
Ability to prioritize work and manage time efficiently.
Creative thinking, hands-on problem-solving, and the ability to analyze and respond to data.
Effective communication at all organizational levels and excellent customer service skills.
Proficiency with end-user computer applications for productivity, including MS Word, Excel, Outlook, and payer sites, as well as databases, patient scheduling, and other medical information systems.
Regular attendance is an essential job function.

Nice To Haves

At least 4 years of coding experience is preferred.
Knowledge of medical oncology, radiation, and surgery coding and leveling is highly preferred.

Responsibilities

Stay informed about current coding regulations, auditing practices, professional standards, and applicable company and department policies and procedures, and apply this knowledge to oncology medical coding.
Assist with third-party payor and other audit requests by compiling, organizing, and reviewing chart documentation.
Work with other coders to assist with difficult cases.
Perform E&M and CPT coding reviews and other projects related to physician coding compliance as part of the practice’s compliance program.
Assist practice leadership in analyzing data, identifying issues, reaching conclusions, and proposing strategies for resolving complex coding issues.
Communicate coding and documentation issues to practice leadership and help prepare reports and memoranda about audit results and coding compliance matters.
Work cooperatively with team members and management, demonstrating strong work ethics and a team-oriented attitude.
Assist with auditing and entering charges into the EMR and/or practice management system.
Review charges and claims for accurate ICD-10, CPT, and HCPCS coding.
Abstract codes for surgical procedures, assign the appropriate place of service, and determine medical decision-making levels for E/M services.
Take on additional responsibilities as assigned in support of the company’s mission.