Certified Coding Specialist - Hybrid

WHO WE ARE:

AC3 was founded by practicing oncologists along with data and practice analytics experts to support the business side of medicine. Our mission is to modernize and digitize the delivery of healthcare and improve countless lives along the way.

We combine the power of big data technology and people to enable easier frontline decisions about complex problems. AC3 offers its employees an exciting, fast-paced, and challenging work environment. To learn more about AC3, visit us at www.ac3health.com.

COMPANY MISSION: To simplify healthcare and reduce the cost of care, empowering care givers to focus on what matters most – fighting cancer.

POSITION SUMMARY: The Certified Medical Oncology Coder is responsible for ensuring all diagnoses and procedures are coded appropriately for all claims. This position will need to remain current on coding and billing regulations as well as any CPT, ICD10 or HCPCS updates. This role supports the department to design the capture of associated coding and billing for radiation and medical oncology. They will work cooperatively as a team with revenue cycle, client practices and management associates. He/she will provide courteous and professional assistance with coding questions from physicians, clinical team members and other departments. The successful candidate for this role must have exceptional computer, communication, and organizational skills.

ESSENTIAL FUNCTIONS AND JOB RESPONSIBILITIES

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Responsible for billing daily charges by designated site and matching insurance carriers to the specific billing requirements for Medicare, Medicaid, Blue Cross Blue Shield and Commercial carriers.
• Capable and knowledgeable on billing charges for chemotherapy and administration codes, E/M office and hospital charges in a timely manner.
• Accessing and reading operative and pathology reports from multiple hospital systems, coding the correct ICD-10, CPT, and modifiers, and billing the charges.
• Retrieves, reads, and applies updated LCD/NCD policies when necessary.
• Identifies and reports any fraud, waste, or abuse concerns.
• Reviews patients’ charts and applies appropriate medical codes.
• Works with the clients’ physician team to get any missing information or signatures to bill charges.
• Ensures timely filing of claims per SOP guides.
• Works together as a team with the whole department.
• Maintains the practices and principles set forth by AC3 leadership with a strong commitment to service, excellence and quality.
• Maintains professional behavior, confidentiality, and discretion at all times, along with the ability to work with all levels of staff with a confident and professional demeanor.
• Follows HIPPA rules and regulations.

POSITION REQUIREMENTS

• High school diploma or equivalent (GED). One or more of the following credentials is required: CPC (Certified Professional Coder); CHONC (Certified Hematology Oncology Coder, through AAPC); CCS (Certified Coding Specialist, through AHIMA); or CCS-P (Certified Coding Specialist – Physician based, through AHIMA).
• Demonstrates knowledge and competence in CPT, ICD-10, POS and modifiers.
• Accurately maintains and adheres to all safety rules and regulations.
• Accurately code/bill charges to the best of your ability without fraudulence.
• Knowledge of anatomy and medical terminology.
• Proficient in Microsoft Office preferred. Working knowledge/experience in electronic medical records and/ or other medical software if applicable.
• Excellent communication and organizational skills with the ability to work in a fast paced environment; prioritize tasks and workloads.
• Performs other duties as assigned.
• This is a remote position with the expectation of travel to meet the needs of the position. Work is completed in a general office environment, sedentary in nature but may require standing and walking for up to 10% of the time. The work environment is favorable with adequate lighting and temperature, and no hazardous or unpleasant conditions caused by noise, dust, etc. Must be able to operate standard office equipment and keyboards.

Why Work at AC3?

When you become an AC3 Team member, you can expect ongoing training, support, and a work culture like no other. We offer our Full-Time Team Members medical, dental and vision health and wellness benefits, along with employer paid life insurance, long and short-term disability policies. Because our team’s health and wellness are our priority, we start new hires off with an above average paid time out plan and offer a comprehensive wellness program, including onsite biometrics and ongoing mental and physical wellness support. We also provide all Team Members with access to company sponsored financial wellness counselors, employee assistance services and the opportunity to enroll in our company-matched, 401k plan.

Come join our Winning Team!