What are the responsibilities and job description for the Coding Analyst/CPC-REMOTE position at Regional Business Office (NE)?
Employment Type: Full Time
REMOTE
Benefits: M/D/V, Life Ins., 401(k), PTO, Paid Holidays
Clifton Park, New York
Pay Range: $30-$35 Hourly
JOB SCOPE: 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 Networks Compliance Program, to include the Code of Ethics and Business Standards.
The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer!
About US Oncology
The US Oncology Network is one of the nation’s largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit www.usoncology.com. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.
Responsibilities:
ESSENTIAL DUTIES AND 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
MINIMUM QUALIFICATIONS:
- High school diploma or equivalent required.
- CPC 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.
Salary : $30 - $35