Radiation Oncology Coder

Florida Cancer Specialists

12d•Remote

About The Position

The Radiation Oncology Coder is responsible for ensuring all services rendered are captured timely, coded accurately, and meet documentation requirements when processed through the EMR and Billing Systems. Demonstrates working knowledge of all facets of role, relevant regulations, and organizational and departmental policies and procedures for Radiation Oncology services. This individual works independently while also collaborating work with the denials team to resolve coding-related denials and work closely with the authorizations team to ensure proper authorizations are requested to meet and exceed customer expectations and needs.

Requirements

High School diploma or GED required
Coding certification required. ROCC coding certification strongly preferred, or AAPC/AHIMA coding certification.
Proficient knowledge of medical terminology, ICD-10, and CPT Coding required.
Minimum of 2 years of radiation coding experience required.
Analysis & Critical Thinking skills including solid problem solving, analysis, decision making, planning, time management and organizational skills.
Must be detailed oriented with the ability to exercise independent judgment.
Strong interpersonal skills to include effective verbal and written communication
Solid time management with the ability to prioritize multiple tasks
Ability to collaborate across various levels of management, departments and teams
Comfortable negotiating problems and exploring solutions with physician population
Self-Management: Effectively manages own time, conflicting priorities, self, stress, and professional development.
Self-motivated and self-starter with ability to work independently with limited supervision.
Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.

Responsibilities

Assign appropriate charge levels and highest level of ICD specificity.
Review Medicare Local Coverage Articles, bulletin updates, and quarterly NCCI.
Perform review of held charges (pre-claim) in the billing system and process tickets within three business days.
Meet company metrics set in place for charge capture accuracy, mid-month and end-of-month charge close, reduced lag, and QA (Quality Assured sign off).
Verify all required documentation and dictations are complete and meet requirements of the code being billed.
Escalate to Coding Manager any trends seen within a clinic.
Work with denials team to respond to all inquiries on denials and open account receivables to ensure all information is accurate.
Ensure that all appropriate authorizations are obtained as per the physician’s orders and amendments during therapy.
Report to financial navigator any authorizations that are missed or needed.
As delegated, review and respond to compliance or internal department audit findings as performed.
Assist in training new employees and vacation coverage as outlined by coding manager.
Respond to Revenue Integrity report findings and make applicable coding additions or corrections.
Maintain coding roadmaps on all patients as outlined by coding manager.
Performs other duties and projects as assigned.
Additional tasks as needed to support team.

Benefits

Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.
Medical and Prescription Drug Coverage
Vision & Dental Insurance
Employee Assistance Program (EAP)
Health Savings Account (HSA) & Flexible Spending Accounts
Paid Time Off (PTO)
401(k) Retirement Plan
Life Insurance
Tuition Reimbursement
Disability Insurance
Accident Insurance
Critical Illness
Hospital Indemnity
Pet Insurance
Identity Theft
Legal Insurance