- Assign appropriate charge levels and highest level of ICD specificity.
- Review Medicare Local Coverage Articles, bulletin updates, and quarterly NCCI.
- Perform review of held charges (pre-claim) in the billing system and process tickets within three business days.
- Meet company metrics set in place for charge capture accuracy, mid-month and end-of-month charge close, reduced lag, and QA (Quality Assured sign off).
- Verify all required documentation and dictations are complete and meet requirements of the code being billed. Escalate to Coding Manager any trends seen within a clinic.
- Work with denials team to respond to all inquiries on denials and open account receivables to ensure all information is accurate.
- Ensure that all appropriate authorizations are obtained as per the physician's orders and amendments during therapy. Report to financial navigator any authorizations that are missed or needed.
- As delegated, review and respond to compliance or internal department audit findings as performed.
- Assist in training new employees and vacation coverage as outlined by coding manager.
- Respond to Revenue Integrity report findings and make applicable coding additions or corrections.
- Maintain coding roadmaps on all patients as outlined by coding manager.
- Performs other duties and projects as assigned.
- Additional tasks as needed to support team.
- High School diploma or GED required
- Coding certification required. ROCC coding certification strongly preferred, or AAPC/AHIMA coding certification.
- Proficient knowledge of medical terminology, ICD-10, and CPT Coding required. Minimum of 2 years of radiation coding experience required.
- Analysis & Critical Thinking skills including solid problem solving, analysis, decision making, planning, time management and organizational skills. Must be detailed oriented with the ability to exercise independent judgment.
- Strong interpersonal skills to include effective verbal and written communication
- Solid time management with the ability to prioritize multiple tasks
- Ability to collaborate across various levels of management, departments and teams
- Comfortable negotiating problems and exploring solutions with physician population
- Self-Management: Effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with ability to work independently with limited supervision.
- Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.
- Patient First - Keeping the patient at the center of everything we do
- Accountability - Taking responsibility for our actions
- Commitment & Care - Upholding FCS vision through every action
- Team - Working together, one team, one mission
radiation oncology coder - Hudson, FL, United States - Florida Cancer Specialists, P.L.
Description
Date Posted:
Country:
United States of America
Location:
Florida - Remote
WHY JOIN FCS
At Florida Cancer Specialists & Research Institute, we believe our people are our strength and we invest in them.
In addition to having a positive impact on the people and communities we serve, associates benefit from significant professional opportunities, career advancement, training and competitive wages.
Offering competitive salaries and comprehensive benefits packages to include tuition reimbursement, 401-K match, pet and legal insurance.A LITTLE BIT ABOUT FCS
Since 1984, Florida Cancer Specialists & Research Institute & Research Institute (FCS) has built a national reputation for excellence. With over 250 physicians, 220 nurse practitioners and physician assistants and nearly 100 locations in our network. Utilizing innovative clinical research, cutting-edge technologies, and advanced treatments, we are committed to providing world-class cancer care.
We are recognized by the American Society of Clinical Oncology (ASCO) with a national Clinical Trials Participation Award, FCS offers patients access to more clinical trials than any private oncology practice in Florida.
Our patients have access to ground-breaking therapies, in a community setting, and may participate in national clinical research studies of drugs and treatment protocols.
In the past five years, the majority of new cancer drugs approved for use in the U.S. were studied in clinical trials with FCS participation prior to approval.Through our partnership with Sarah Cannon, we are one of the largest clinical research organizations in the United States. Often, FCS leads the nation in initiating research studies and offering ground-breaking new therapies to patients.
Come join us today
SUMMARY:
The Radiation Oncology Coder is responsible for ensuring all services rendered are captured timely, coded accurately, and meet documentation requirements when processed through the EMR and Billing Systems.
Demonstrates working knowledge of all facets of role, relevant regulations, and organizational and departmental policies and procedures for Radiation Oncology services.
This individual works independently while also collaborating work with the denials team to resolve coding-related denials and work closely with the authorizations team to ensure proper authorizations are requested to meet and exceed customer expectations and needs.
PRIMARY TASKS AND RESPONSIBILITIES:
EDUCATION/CERTIFICATIONS & LICENSES:
EXPERIENCE:
CORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES:
Essential competencies and KSAs targeted to successfully performing in role:
VALUES:
Every FCS employee is expected to regularly conduct themselves in a professional and respectful manner, to comply with all labor laws, workplace policy and workplace practices.
Employees are expected to bring issues of any forms of workplace harassment, discrimination or other potential improprieties to the attention of their management or the human resources department.
This is a hybrid role and traveling may be required based on business needs.EEOC
Florida Cancer Specialists & Research Institute (FCS) is committed to helping individuals with disabilities to participate in the workforce and ensure equal opportunity to compete for jobs.
FCS is an EEO/Affirmative Action Employer and does not discriminate on the basis of age, race, color, religion, gender, sexual orientation, gender identity, gender expression, national origin, protected veteran status, disability or any other legally protected status.
Safeguarding our patients and each other is an important part of how we deliver the best care possible to the communities we serve.
All offers of employment at Florida Cancer Specialists & Research Institute are contingent upon clear results of a thorough background screening.
Additionally, as a condition of employment, FCS requires all new hires to receive various vaccinations, including the influenza vaccine, barring an approved exemption.
In addition, FCS is a drug-free workplace, and all new hires will be subject to drug/ nicotine testing.