Sr. RCM Coding Audit Specialist

The Sr. RCM Coding Audit Specialistis responsible forproviding general codingexpertise, including radiation oncology coding, and advice toOneOncologypartnerspractices including physicians as wellas tointernal team members. This roleis responsible forsupporting practices in coding as well aseducation.

Responsibilities:

• Perform physician audits, including specialty-focused audits, compile dashboard results, and provide documentation feedback with coding and billing education to providers.

• Advise practices and the RCM team on best practice coding and provide coding support to practices as needed with hands on coding and billing, in addition to coding education and training.

• Analyze data,identifyissues, reach conclusions, and propose strategies for resolution of complex coding issues, along with leadership.

• Research billing and coding guidelines for anyOneOncologypractice specialties andadvise ofcoding and guideline updates and changes.

• Apply anddisseminatecurrent billing and coding regulations, auditing, and professional standards.

• Identifyprocess improvement opportunities that enhance the performance of the department and/or practice.

• Partner with the leadership team to ensure compliance with all federal,stateand local regulations.

• Review medical documentation for accuracy related to payer medical record requests as needed.

• Effectivelyabstract andcode multi-specialty services including radiation oncology services among other sub-specialties such as imaging, medical oncology,pathologyand E/M.

• Other duties as assigned to help drive our mission of improving the lives of everyone living with cancer.

Qualifications

• CPC or other coding certificationrequired

• Bachelor’s Degree or equivalent experiencerequired

• 2+ years of coding experiencerequired

• Medical Oncology and Radiation Oncology coding experience preferred

• Demonstrated success in using data to make decisions and drive behavior change in support organizations

This job description does notcontaina full listing of activities,dutiesor responsibilities requiredofthis role. Duties,responsibilitiesand activities may change, or new ones may be assigned at any time with or without notice.

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