Memorial Healthcare System · 4 hours ago
Coder I - Radiation Oncology
United States
Full-time
Remote
Entry Level
1+ years expMemorial Healthcare System is seeking an experienced Medical Coder with a strong background in professional billing for Radiation Oncology services. The role involves reviewing medical record documentation, assigning codes, and ensuring proper billing and compliance with coding guidelines and payer-specific practices.
Health Care
Hiring Manager
Marlin Decembert, RACS
Responsibilities
Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding
Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and quality reviews. Communicates with various departments as needed to ensure accuracy of patient data
Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding
Submits daily productivity report to HIM manager by defined deadline. Meets and maintains HIM coding quality and productivity standards. Attends internal and external educational meetings and seminars to maintain certification and continuing education requirements
Conducts audits and/or coding reviews with various health care professionals to ensure all documentation is accurate (physician billing).Reviews and validates the accuracy of data in the Admission, Discharge Transfer (ADT) fields following HIM coding procedures and processes
May assign and sequence basic CPT (Current Procedural Terminology) procedure codes (non-complex), and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures
Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Researches medical record for any additional diagnoses documented to meet medical necessity
For physician billing, collaborates with billing department to ensure all bills are satisfied. For hospital, routes to billing charge entry errors and/or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections, when advised, and follows procedure to notify billing
Qualification
Required
High School Diploma or Equivalent
Certified Professional Coder (CPC)
Certified Professional Medical Auditor (CPMA)
Certified Risk Adjustment Coder (CRC) by AAPC
Certified Coding Specialist (CCS)
Certified Coding Specialist - Physician Based (CCSP) by AHIMA
one (1) year diagnostic/procedural office coding experience with surgical coding experience or six (6) months working within the Memorial Health System
in-depth knowledge of CPT, ICD-10, and HCPCS coding
proven expertise in radiation oncology coding guidelines, documentation requirements, and payer-specific billing practices
Company
Memorial Healthcare System
Be at the heart of exceptional care.
10001+ employees
H1B Sponsorship
Memorial Healthcare System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (7)
2024 (15)
2023 (4)
2022 (3)
2021 (4)
2020 (4)
Funding
Current Stage
Late StageLeadership Team
Paul Gaden
Chief Executive Officer, Memorial Regional Hospital
Rita Bunch
Chief Operating Officer, Memorial Regional Hospital
Recent News
2025-02-06
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