Radiation Oncology Coder
Location: Remote (U.S.) — we are not currently hiring in Hawaii, Alaska, California, or New York. Employment Type: Full-Time
About the role
TRIARQ Health is a visionary company that partners with doctors and healthcare professionals to transform their businesses into modern patient‑centered independent practices. Practices that partner with TRIARQ put the patient first and deliver high‑value care with less effort, resulting in better patient outcomes and successful private practices. TRIARQ Health is hiring a full‑time Radiation Oncology Coder. We seek experienced, certified professional coders with at least four years in the field who are team players and eager to work closely with the TRIARQ team and our Radiation Oncology physicians. Our core values guide everything we do: Patient First, Accountability, Commitment & Care, and Team.
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.
- Maintain coding roadmaps on all patients as outlined by coding manager.
- Perform other duties and projects as assigned, including additional tasks as needed to support the team.
Requirements
Education / Certifications & Licenses: High School diploma or GED required. Coding certification required: CPC (AAPC) or CCS (AHIMA). ROCC (Radiation Oncology Certified Coder, AMAC) certification also required.
Experience: Proficient knowledge of medical terminology, ICD‑10, and CPT coding required. Minimum of 4 years of radiation oncology coding experience required.
Qualifications
Analysis and critical thinking skills, including solid problem solving, analysis, decision making, planning, time management, and organizational skills. Must be detail‑oriented with the ability to exercise independent judgment. Strong interpersonal skills, including 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 working through problems and exploring solutions with the physician population. Self‑management: effectively manages own time, conflicting priorities, self, stress, and professional development. Self‑motivated and self‑starter with the ability to work independently with limited supervision. 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.