[Hiring] Medical Billing Coding Analyst @The US Oncology Network

Role Description

The US Oncology Network is looking for a Coding Analyst to join our team at Texas Oncology. This full-time remote position will support the Research Billing Department at our 3001 E. President George Bush Hwy Suite 100 location in Richardson, Texas. Typical work week is Monday through Friday 8:30a - 5:00p.

Note from Hiring Manager: Great culture, opportunity for growth, and work with a dedicated team! This position will be a level 1.

As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas. Our mission is to use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve “More breakthroughs. More victories.”® in their fight against cancer.

What does the Coding Analyst do? (including but not limited to)

• Working under limited supervision, performs billing and coding activities.
• Assigns appropriate billing codes to patient accounts and ensures accurate and completeness of claims.
• This position reports to the Business Office Director.
• Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

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.

Qualifications

• Level 1
• 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.
• Prior oncology experience preferred.
• Prior medical billing experience preferred.

Physical Demands

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours.
• Regularly required to sit or stand and talk or hear.
• Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.
• Requires standing and walking for extensive periods of time.
• Occasionally lifts and carries items weighing up to 40 lbs.
• Requires corrected vision and hearing to normal range.

Work Environment

• The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment.
• Work will involve in-person interaction with co-workers and management and/or clients.
• Work may require minimal travel by automobile to office sites.