Coding Analyst
The US Oncology Network · Richardson, TX · 2 days ago
On-siteAnalystFull-time
Responsibilities
- Review requests for coding changes (including but not limited to CPT/HCPCS, diagnosis, modifiers, place of service, authorizations, UOM, MUE, NDC) based on payer denials to ensure accurate coding and billing.
- Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
- Review and correct coding errors post–claim processing/denial, ensuring accurate refiling of corrected claims to payers.
- Utilize coding tools such as Optum Encoder and CMS guidelines.
- Code with an accuracy of 95% or higher based on QA internal reviews.
Qualifications
- Level 1 High school diploma or equivalent required.
- Successful completion of AAPC Certified Professional Coder Exam required.
- Minimum three years medical coding experience required.
- Proficiency with computer systems and Microsoft (Office Outlook, Word, Power Point, and Excel) required.
- Prior oncology experience preferred.
- Prior medical billing experience preferred.