18 часов назад
Medical Billing Coding Analyst
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Medical Billing Coding Analyst (Oncology Revenue Cycle): Reviewing clinical documentation, assigning ICD-10 and CPT/HCPCS codes, and correcting claims for the Research Billing Department with an accent on payer denials, reimbursement guidelines, and coding accuracy. Focus on applying LCD/NCD policies, using Optum Encoder and CMS guidelines, and maintaining at least 95% coding accuracy.
Location: Hybrid position based at 3001 E. President George Bush Hwy, Suite 100, Richardson, Texas, United States. Monday–Friday, 8:30 a.m.–5:00 p.m.; regular presence at the employee site is required during scheduled business hours.
Company
, supported by McKesson Corporation, is a network of community-based oncology providers delivering evidence-based cancer care and research through Texas Oncology.
What you will do
- Review coding-change requests involving CPT/HCPCS, diagnoses, modifiers, place of service, authorizations, units of measure, MUE, and NDC.
- Abstract clinical information from medical records and provider documentation to assign ICD-10 and CPT/HCPCS codes.
- Correct coding errors after claim processing or payer denials and refile corrected claims.
- Apply LCD/NCD policies, CMS guidelines, reimbursement rules, and the appropriate CMS regional requirements.
- Use Optum Encoder and other coding tools while maintaining at least 95% accuracy in internal quality reviews.
- Support the Research Billing Department and report to the Business Office Director.
Requirements
- High school diploma or equivalent.
- Successful completion of the AAPC Certified Professional Coder exam is required.
- At least three years of medical coding experience is required.
- Proficiency with computer systems and Microsoft Outlook, Word, PowerPoint, and Excel.
- Ability to work in person at the Richardson site during regularly scheduled business hours.
- Level 1 position based on relevant candidate experience.
Nice to have
- Prior oncology experience.
- Prior medical billing experience.
Culture & Benefits
- Collaborative, patient-focused oncology care environment.
- Supportive workplace with opportunities for professional growth and ongoing development.
- In-person collaboration with coworkers, management, and clients.
- Work may involve minimal travel by automobile to office sites.
- Physical duties may include extended standing and walking, handling and lifting patients, and occasionally carrying items weighing up to 40 pounds.
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