Radiation Oncology Coding Specialist

2 weeks ago

Beverly Hills, California, United States Beverly Hills Oncology Me Full time
Job Description

Overview

We are in search of a skilled Radiation Oncology Coding Specialist to join our esteemed Revenue Cycle Management team, dedicated to the Radiation Oncology and Imaging sectors.

Key Responsibilities

  • Accurately input codes to facilitate the transfer of data to billing files for reimbursement, adhering to Medicare and payer regulations.
  • Examine medical records and extract clinical data by assigning codes (CPT, HCPCS) from patient documentation in collaboration with healthcare providers.
  • Assess and interpret patient medical records to correctly assign procedure codes and modifiers, focusing on specialized services such as diagnostic and interventional radiology, as well as radiation therapy.
  • Evaluate documentation to identify any deficiencies that may require clinician review and clarification, in accordance with AAPC standards.
  • Stay informed on regulatory and payer updates that impact diagnostic and procedural coding.
  • Investigate and resolve coding-related system edits, payer rejections, and insurance denials.
  • Identify trends in system edits, payer rejections, and insurance denials to enhance policies and procedures.
  • Maintain up-to-date knowledge of coding practices through ongoing education and resource material review.
  • Achieve or surpass departmental production and accuracy benchmarks.
  • Exhibit effective communication skills through various channels including phone, system notes, and email.
  • Demonstrate attention to detail with a commitment to quality in task execution.
  • Utilize critical thinking and problem-solving skills to dissect situations and identify core issues.
  • Embrace feedback and show a willingness to learn and improve continuously.
  • Uphold personal and professional ethics while fostering a diverse and respectful workplace.
  • Leverage technology to streamline processes and enhance organizational methods.
  • Exhibit a foundational understanding of billing systems.
  • Collaborate effectively within a team environment.
  • Conduct daily coding tasks to ensure the successful processing and payment of claims.
  • Review patient medical charts and documentation for accuracy, promptly reporting any missing or incomplete information to the provider organization.
  • Perform audits on previously coded claims batches, making necessary corrections to ensure precision.

Qualifications

  • Minimum of 3 years of coding experience.
  • At least 2 years of specialized experience in Radiation Oncology coding.
  • Some college education is preferred.
  • Possession of a current nationally recognized coding credential, such as CPC, COC, CCS, or CCS-P.
  • Additional certifications (e.g., CHOC, CEMC) are advantageous.
  • Comprehensive understanding of ICD-10, CPT (including E/M leveling), HCPCS, modifiers, medical terminology, and anatomy & physiology.
  • Proficiency in Microsoft Office (Outlook, Word, Excel, Teams) and EMR applications (e.g., EPIC, CERNER) is a plus.
  • Ensure the accuracy of billing codes in accordance with AAPC/AMA guidelines and payer updates, confirming all billing codes are current and valid.
  • Possess strong written and verbal communication skills to effectively engage with stakeholders at all organizational levels.
  • Ability to work under general supervision.
  • Capability to thrive in a fast-paced environment, managing multiple tasks and handling confidential information effectively.
  • Exhibit excellent telephone etiquette, presentation skills, and problem resolution abilities.
  • Highly organized and detail-oriented.
  • Fully understand HIPAA regulations, treating all patient information with the utmost confidentiality and taking necessary precautions to secure this data.
  • Preferred hybrid work model; must be based in California.

Benefits

We offer a competitive salary along with a diverse array of benefits and incentives, including:

  • Health, dental, and vision insurance
  • 401k plan
  • Company-sponsored life insurance
  • Flexible Spending Account (FSA)
  • Voluntary supplemental life insurance
  • Short-term and long-term disability options
  • Flexible PTO and paid holidays
  • Employee recognition initiatives
  • Team-building activities and appreciation events
  • Referral bonus programs
  • Opportunities for job training, professional development, and continued education

About Us

At Beverly Hills Oncology Me, our mission is to provide exceptional care to every patient. We are committed to advancing cancer treatment and ensuring that our patients can lead fulfilling lives, even in the face of challenging diagnoses. Our state-of-the-art facility is equipped with the latest technology and staffed by compassionate professionals dedicated to patient well-being.

We pride ourselves on being a leader in cancer treatment, offering comprehensive services under one roof, including innovative radiation oncology, a soothing infusion center, and advanced diagnostic imaging capabilities. Our commitment to excellence and personalized care sets us apart as a premier cancer treatment center.

Beverly Hills Oncology Me is an equal opportunity employer, promoting diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind, ensuring a respectful environment for all employees and applicants.

The compensation for the selected candidate will be determined based on various factors, including internal equity, experience, education, specialty, and training.

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