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Maryland Oncology Hematology · 2 months ago

Coding Analyst

Richardson, TX

Full-time

Hybrid

Entry, Mid, Senior Level

3+ years exp

Maryland Oncology Hematology is part of The US Oncology Network, the largest community oncology provider in the country. The Coding Analyst will perform billing and coding activities, ensuring accuracy and completeness of claims while adhering to compliance standards.

Health CareHospitalMedicalOncology

Responsibilities

Reviews, verifies and records accurate ICD and CPT codes in accordance with coding and reimbursement guidelines

Works with Manager of Quality Assurance (QA Manager) and charge entry staff to ensure correct charge and/or quantity amounts

Run Admix Report every daily (am) and send to sites

Run Missing Ticket Report weekly and at Month End- send to QA Manager

Force Extract Gyn Onc claims following QA Manager approval

Code Hospital tickets and ensure all required ticket information is complete and accurate

Work through Billing Specialist Work File (ensure completeness for 99211 claims, review for missing modifiers on claims, review /force out 96521 and 96416 claims, ensure complete and accurate ordering/render MD info on claims, review/correct duplicate claims and bundled charges)

Work through CBO Review work file (ensure complete and accurate information for assigned visit, referring MD, NDC#s for any NOC drug, matching ordering MD vs MD1)

Communicate with site clinical staff as needed to complete any of the tasks above

Other duties as assigned by Business Office Director