Coding Analyst

Overview

The US Oncology Network is looking for a Coding Analyst  to join our team at Texas Oncology ! This full-time hybrid remote position will support Central Business Office location in Richardson, TX. This position will work 8 hours per day Monday - Friday. Texas residency is desired.

This position will be either a level 1 or Sr based on candidate experience.

As a part of The US Oncology Network , Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today—at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve “More breakthroughs. More victories.” ® in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis.

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.

What does the Coding Analyst do? (including but not limited to)

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 Compliance Program, to include the Code of Ethics and Business Standards.

Responsibilities

The essential duties and responsibilities (including but not limited to)

• 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.

Qualifications

The ideal candidate for the position will have the following background and experience :

Level 1

Level Sr (in addition to level 1 requirements)

Physical Demands :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

Work Environment :

The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology / hematology clinic environment. Work will involve in-person interaction with co-workers and management and / or clients. Work may require minimal travel by automobile to office sites.