Sr. RCM Coding Audit Specialist

OneOncology

10d•Remote

About The Position

The Sr. RCM Coding Audit Specialist provides general coding expertise, including radiation oncology coding, and advice to OneOncology partner practices, physicians, and internal team members. The role supports coding, education, and training across practices. It also works with leadership to analyze and resolve complex coding issues, maintain compliance, and identify process improvements. The position may perform other duties as assigned in support of OneOncology’s mission.

Requirements

CPC or other coding certification required.
Bachelor’s degree or equivalent experience required.
At least 2 years of coding experience required.
Demonstrated success using data to make decisions and drive behavior change in support organizations.

Nice To Haves

Medical oncology coding experience.
Radiation oncology coding experience.

Responsibilities

Perform physician and specialty-focused audits, compile dashboard results, and provide documentation feedback and coding and billing education to providers.
Advise practices and the RCM team on coding best practices and provide hands-on coding and billing support, education, and training as needed.
Analyze data, identify issues, reach conclusions, and propose strategies for resolving complex coding issues with leadership.
Research billing and coding guidelines for OneOncology practice specialties and advise on guideline updates and changes.
Apply and disseminate current billing and coding regulations, auditing practices, and professional standards.
Identify process improvement opportunities that enhance department or practice performance.
Partner with leadership to ensure compliance with federal, state, and local regulations.
Review medical documentation for accuracy in response to payer medical record requests as needed.
Abstract and code multispecialty services, including radiation oncology, imaging, medical oncology, pathology, and E/M.
Perform other duties as assigned.