Billing Specialist Jobs

About The Position

Requirements

• High School Diploma or equivalent
• 1-3 years of coding experience in the field or in a related area required, oncology preferred
• General Radiation Oncology experience
• Ability to lift/carry up to 25 pounds.
• Ability to sit/stand for long periods of time.
• Good manual dexterity with the ability to perform repetitive hand/wrist motions.
• Requires mastery of complex language, comprehension, reasoning, and analytical skills typically found in mid to high-level work.
• Proficient in Microsoft Office Suite or related software.
• Servant-minded approach to assisting patients, clients, colleagues, and management.
• Self-motivated with the ability to solve problems.
• Reliable and extremely trustworthy.
• Ability to maintain confidential and meticulous records.
• Excellent verbal and written communication skills.
• Exceptional organizational skills and attention to detail.
• Adaptability and willingness to remain flexible when changes occur.

Nice To Haves

• Coding Certification (CCS, CPC) preferred

Responsibilities

• Analyze, code, and abstract medical records of patients.
• Communicate with client/facility staff and physicians as needed to address deficiencies in billing and documentation.
• Handle multiple, simultaneous tasks effectively and efficiently.
• Proficiently apply CPT, ICD-10, and HCPCS coding with in-depth experience.
• Maintain a minimum coding productivity of 30 CPT units per hour.
• Ensure an average error rate of less than 2%.
• Stay updated on changes to CPT, HCPCS, and ICD-10 codes, as well as payer policy coding requirements.
• Apply working knowledge of oncology-specific codes and plan rules for commercial, Medicare, Medicare Advantage, and Medicaid plans.
• Utilize expertise in ICD-10, CPT, and HCPCS codes, including rules for Technical/Professional/Global and Freestanding/HOPPS coding.
• Review daily client activities, ensuring accuracy and validity of CPT and ICD-10 codes compared to chart documentation.
• Identify and report discrepancies or deficiencies, making corrections as per client protocols.
• Enter charges into the client’s billing system, if applicable.
• Communicate coding discrepancies and documentation deficiencies to the client daily or weekly, based on their preferred communication method.
• Participate in required client meetings and build collaborative relationships to integrate as part of the team.
• Encourage others’ success.
• Anticipate problems and generate new ideas.
• Pick up on problematic client trends quickly and address them efficiently, bringing in management as appropriate.
• Bring at least one idea for a process improvement to the team quarterly.
• Create financial value for our clients.
• Interact with client staff and team members to ensure coding is completed in a timely and efficient manner.
• Achieve coding goals in the same month 4 out of 6 rolling months.
• Maintain a monthly average of 30 CPT per hour.
• Maintain an average error rate of less than 2% from QA reviews.
• Obtain a 90% approval rating from client satisfaction surveys.
• Take ownership towards a solution.
• Engage in activities that promote work-life balance.
• Embody a positive approach.
• Communicate with clients and other RBS divisions.
• Actively engage in department meetings and group conversations.