[Hiring] Radiation Coder @OncoHealth

Role Description

The Radiation Coder is responsible for supporting the UM Clinical team by reviewing radiation billing codes for accuracy and compliance, triaging radiation cases prior to clinical evaluation, and performing associated administrative tasks. This position is remote-based and will work from 12:00pm-8:30pm EST.

Primary Responsibilities

• Radiation Case Review
  • Process cases and request/maintain clinical documentation and transmit timely determinations via the company’s internal system specifically around billing code requirements and concerns.
  • Contact provider and request medical records and/or billing code clarifications as needed.
  • Review and advise of the billing request associated with the primary therapy and/or boost of the requested treatment.
  • Determine the appropriate billing codes quantity once medical necessity of regimen has been determined.
  • Document rationales associated with billing code approvals and denials, as needed.
  • Work in collaboration with the radiation nursing and medical team.
• Provide Administrative Support
  • Support radiation department initiatives such as but not limited to scope document maintenance, ICD10 codes updates, policy review and management, and internal ticketing system support.
  • Maintain radiation protocols and appropriate billing codes in the company’s internal system.

Qualifications

• Associate degree or higher.
• ROCC certification (preferred) or extensive knowledge and experience with ASTRO radiation coding guidelines and revenue cycle radiation coding strategies.
• Minimum 2-4 years of experience in radiation billing code role.
• Education minded and ability to teach others at any level in a practical manner.
• Ability to demonstrate knowledge and skills needed to obtain clinical information for assessment required.
• Must be able to promote cost-effective medical outcomes.

Location

OncoHealth is committed to remote, hybrid or in office work options. The majority of the team will be remote or in hybrid work arrangements with offices in Atlanta, GA and Guaynabo, PR. We are open to employees nationwide but work primarily in the Eastern and Central Time Zones.

Our Culture

Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation – all with a focused mission of putting patients first!

Benefits

• We offer a full benefit package on your first day, along with a company bonus.
• You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter.
• We enjoy being together!

Equal Employment Opportunity

OncoHealth is committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and team members without regard to race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. All employment decisions are based on qualifications, merit, and business need.