[Hiring] RCM Coding Education Specialist @OneOncology

Role Description

The RCM Coding Education Specialist will report to the Manager, Coding. This role is responsible for developing, delivering, and evaluating provider-focused coding and documentation education programs that promote accurate clinical documentation, compliant coding practices, and optimal charge capture. This position serves as a subject matter expert in professional fee coding, documentation guidelines, regulatory compliance, and industry best practices while fostering a culture of continuous learning and documentation excellence across the organization.

Responsibilities

• Develop and deliver provider coding and documentation education for physicians and advanced practice providers.
• Interpret and communicate coding guideline changes, payer updates, and regulatory requirements.
• Conduct coding and documentation reviews to identify education opportunities and performance improvement initiatives.
• Collaborate with coding, compliance, revenue cycle, and operational leaders to address coding and documentation trends.
• Provide one-on-one provider coaching and specialty-specific education.
• Analyze audit results, denial patterns, coding accuracy metrics, and charge capture opportunities.
• Create educational materials, reference tools, and training programs to support coding compliance and documentation excellence.
• Support compliance efforts through coding audits, corrective action plans, and ongoing provider education.
• Serve as a trusted resource for coding, documentation, and reimbursement-related questions.
• Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.

Qualifications

• High school diploma or equivalent required; Associate's degree in Health Information Management, Healthcare Administration, or related field preferred.
• Minimum of 2-3 years of healthcare coding, charge capture, compliance, auditing, or provider education experience.
• Working knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
• Basic understanding of provider documentation requirements, medical necessity, and regulatory compliance standards.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent credential.
• Previous experience supporting physician coding education, clinical documentation improvement (CDI), or provider engagement initiatives.
• Familiarity with professional fee coding, E/M coding guidelines, and Urology/Oncology-specific coding requirements.
• Experience assisting with coding audits, monitoring, and education program development.
• Knowledge of payer policies, reimbursement methodologies, and compliance regulations.
• Experience developing educational materials, tip sheets, presentations, or provider communications.
• Experience with electronic health records (EHR) and coding/billing software.
• Proficiency in Microsoft Office applications, including Excel, Word, PowerPoint, and Outlook.
• Ability to maintain confidentiality and handle protected health information (PHI) in accordance with HIPAA regulations.

Essential Competencies

• Strong written and verbal communication skills with the ability to explain coding concepts to providers and clinical staff.
• Excellent organizational skills and attention to detail.
• Ability to analyze documentation and identify coding or documentation improvement opportunities.
• Professional fee coding expertise.
• Provider education and coaching.
• Clinical documentation improvement.
• Compliance and regulatory knowledge.
• Data analysis and reporting.
• Revenue cycle and charge capture optimization.
• Communication and presentation skills.
• Relationship building and stakeholder engagement.

Attendance is an essential job function. This job description does not contain a full listing of activities, duties or responsibilities required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.