Coding Analyst

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.