Radiation Oncology Coder

Florida Cancer Specialists•Florida - Remote, FL

3d•Hybrid

About The Position

The Radiation Oncology Coder ensures services rendered are captured timely, coded accurately, and meet documentation requirements when processed through the EMR and billing systems. The role requires working knowledge of relevant regulations and organizational and departmental policies and procedures for Radiation Oncology services. The coder works independently, collaborates with the denials team to resolve coding-related denials, and works closely with the authorizations team to ensure proper authorizations are requested and customer needs are met. This is a hybrid role, and travel may be required based on business needs. Employment offers are contingent on background screening. New hires must receive specified vaccinations, including influenza, unless an exemption is approved, and are subject to drug testing.

Requirements

High school diploma or GED.
Coding certification.
Proficient knowledge of medical terminology, ICD-10, and CPT coding.
At least 2 years of radiation coding experience.
Strong analysis, critical thinking, problem-solving, decision-making, planning, time-management, and organizational skills.
Attention to detail and ability to exercise independent judgment.
Effective verbal and written communication and strong interpersonal skills.
Ability to prioritize multiple tasks and collaborate across management levels, departments, and teams.
Ability to work with physicians to negotiate problems and explore solutions.
Ability to manage time, conflicting priorities, stress, and professional development; work independently with limited supervision.
Ability to work effectively in a fast-paced, multi-site environment and manage competing priorities and stakeholder demands.
Professional and respectful conduct and compliance with labor laws, workplace policies, and practices.
Successful background screening and drug test; required vaccinations, including influenza, unless an exemption is approved.

Nice To Haves

ROCC coding certification is strongly preferred.
AAPC or AHIMA coding certification.

Responsibilities

Assign appropriate charge levels and the highest level of ICD specificity.
Review Medicare Local Coverage Articles, bulletin updates, and quarterly NCCI.
Review held charges before claims in the billing system and process tickets within three business days.
Meet company metrics for charge-capture accuracy, mid-month and end-of-month charge close, reduced lag, and quality-assured sign-off.
Verify required documentation and dictations are complete and meet the requirements of the billed code; escalate clinic trends to the Coding Manager.
Work with the denials team to respond to denial inquiries and open accounts receivable, ensuring information is accurate.
Ensure authorizations are obtained according to physician orders and amendments during therapy, and report missed or needed authorizations to the financial navigator.
As delegated, review and respond to compliance or internal department audit findings.
Assist with training new employees and provide vacation coverage as outlined by the Coding Manager.
Respond to Revenue Integrity report findings and make applicable coding additions or corrections.
Maintain coding roadmaps for patients as outlined by the Coding Manager.
Perform other assigned duties and projects and additional tasks needed to support the team.