Medical Coder - Hematology/Oncology Clinic

Title: Medical Coder - Hematology/Oncology Clinic

Duration: 12 Weeks

Location: 100% Remote

Job Description

• Review documentation of professional services in EPIC, obtain copies of chart notes, reports (i.e., admission/discharge records, patient medical records) and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services’ (CMS) documentation of professional services and assign correct CPT, ICD-9-CM, and HCPCS codes. Utilizes ICD-9-CM, ICD-10, CPT codebook and Coding Clinic references to verify code specificity and follow ICD-9-CM Official Guidelines for Coding and Reporting and AMA Official Guidelines for CPT.
  
• Enter billing information into EPIC Resolute.
  
• Establish and maintain procedures and other controls necessary in carrying out all insurance billing activity.
  
• Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
  
• Coordinate all billing information and ensure that all information is complete and accurate.
  
• Resolve with providers, any issues or questions which are found prior to submission to UMG for processing.
  
• Coordinate with the Revenue Cycle staff for audit of problem areas.
  
• Perform audits for levels of service and diagnosis coding and provide feedback to Practice Manager and/or Revenue Cycle staff.
  

Requirements

Requirements

• Two years of hospital or professional services experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding;
  
• Preferred: Medical oncology office setting
  

Certification in one of the following:

• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
  
• Active AHIMA membership may be required for some positions. Certified Professional Coder (CPC) through the American Academy of Professional Coders