Texas Oncology ยท 2 months ago
Coding Analyst
Texas Oncology, part of The US Oncology Network, is seeking a Coding Analyst to support their Research Billing Department. The role involves performing billing and coding activities, ensuring the accuracy and completeness of claims, and adhering to compliance programs.
AssociationBiotechnologyHealth CareOncology
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
Qualification
Required
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
Preferred
Prior oncology experience preferred
Prior medical billing experience preferred
Education/Training: 4-year degree in related field OR equivalent experience desired
Associate's Degree + Four (4) years of related work experience
Eight (8) years of related work experience
Five years experience in coding, medical records and reimbursement
Must be available for travel up to but not limited to 25-30% of the time
Company
Texas Oncology
Founded in 1986, Texas Oncology is a pioneer in high quality community-based cancer care.
Funding
Current Stage
Late StageRecent News
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