Radiation Oncology Coder

Job Description

Reviews accounts for accuracy using the charge capture audit system in compliance with local, federal, and state guidelines, as well as managed care reimbursement practices. Uses clinical knowledge and billing experience to compare medical records documentation to patient account charge details. Ensures adherence to corporate compliance plans and regulations of applicable agencies and accrediting bodies. Identifies charging opportunities and revenue improvements with Clinical Liaisons. Suggests improvements with revenue cycle leadership to prioritize audits related to charge capture and revenue flow. Audits and enters charges at or above the minimum accuracy and productivity rate set by department leadership. Monitors reports of accounts via charge capture audit system on a routine basis. Collaborates with the revenue cycle department to understand how clinical changes impact net revenue. Develops the annual pricing update and maintains the Chargemaster with minimal errors. Works as part of a team to cover peak periods and assists with workloads as needed.

Knowledge, Skills, and Abilities

• Ability to work and meet deadlines in a fast-paced, dynamic, project-oriented environment
• Ability to relate operational performance in the healthcare environment and to present information to all levels of management
• Comprehensive end user computer skills; MS Office including Word, PowerPoint, Excel and Outlook; Windows operating system and Internet
• Understanding of CCI edits, CPT, HCPCS, ICD-10-CM, and modifiers
• Knowledge of Registration, Medical Records Coding, Government, and Managed Care billing rules, coverage, payment, and compliance
• Ability to read medical charts or dictation, understand services performed, and correlate those services to charges on the claim
• Self-motivation, detail oriented focus, and outstanding customer service skills
• In-depth knowledge and ability to navigate hospital’s information systems; ARIA and Epic
• Navigate in DDE (online Medicare billing)

Education

• High School Grad or Equiv
• Field Of Study N/A

Work Experience

• 3+ years of experience in healthcare or related field, with specific emphasis on coding
• 5+ years of experience in healthcare or related field, with specific emphasis on coding (Preferred)

Additional Information

N/A

Licenses And Certifications

• Registered Health Information Administrator (RHIA) (Required)
• OR Registered Health Information Technician (RHIT) (Required)
• OR Certified Professional Coder (CPC) (Required)
• OR Certified Professional Coder Apprentice (CPC-A) (Required)
• OR Certified Coding Specialist (CCS) (Required)
• OR Certified Coding Specialist – Physician-based (CCS-P) (Required)
• OR Certified Billing and Coding Specialist (CBCS) (Required)
• OR Certified Coding Associate (CCA) (Required)
• OR Radiation Oncology Certified Coder (ROCC) (Required)

Physical Requirements

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Pay Range

$21.73 - $40.42