Medical Coding Specialist

OneOncology

1d•Remote

About The Position

Under general supervision, the Medical Coding Specialist performs daily charge reviews of visits, diagnoses, radiation oncology, and surgeries to ensure accurate coding and service levels. The specialist enters charges into a practice management system or EMR and may audit physician, nurse practitioner, and clinical oncology staff documentation for accurate CPT, ICD-10, HCPCS, and modifier coding. The role supports coding audits, compliance, reporting, education, and process improvement while working with practice leadership and other coders.

Requirements

Professional coding certification.
At least 2 years of experience performing chart audits or assigning CPT and ICD-10 codes through documentation review in a physician practice or hospital environment.
Ability and willingness to lift up to 25 pounds.
Ability and willingness to travel to satellite clinics when necessary and to various sites throughout Middle Tennessee to conduct audits.
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 ability to analyze and respond to data.
Effective communication at all organizational levels and excellent customer service skills.
Reliable attendance.

Nice To Haves

Minimum of 4 years of coding experience is preferred.
CPC certification through the AAPC is preferred.
Knowledge of medical oncology, radiation oncology, or surgery coding is highly preferred.

Responsibilities

Stay informed about current coding regulations, auditing practices, professional standards, and company and department policies and procedures relevant to oncology, and apply that knowledge.
Review operative reports and supporting documentation to assign appropriate CPT and ICD-10 codes.
Audit and enter charges into an EMR and/or practice management system.
Work with other coders to assist with difficult cases.
Assist practice leadership with analyzing data, identifying issues, reaching conclusions, and proposing strategies to resolve complex coding issues.
Communicate coding and documentation issues to practice leadership and help prepare reports and memoranda concerning audit results and coding compliance.
Assist with developing and reviewing detailed audit programs and reports to improve audit effectiveness and efficiency as needed.
Help develop and execute department education plans related to coding, in conjunction with the Charge Entry/Coding Manager.
Assist in developing procedure manuals related to coding and billing compliance.
Work cooperatively with team members and management with a strong work ethic and team-oriented attitude.
Review charges and claims for accurate ICD-10, CPT, and HCPCS coding.
Travel to various sites throughout Middle Tennessee to conduct record audits when necessary.
Perform additional responsibilities that support the company's mission.