Medical Billing - Radiation Oncology Coder

Summary

We are seeking an experienced Radiation Oncology Coder to work with our Revenue Cycle Management team supporting the Radiation Oncology/Imaging business.

Responsibilities

• Enter appropriate codes for the transfer of data to billing files for reimbursement based on Medicare and payer guidelines.
• Analyze medical records and abstract clinical data by assigning codes (CPT, HCPCS) from patient records in accordance with coding classification systems in collaboration with physicians.
• Review and evaluate patient medical records to accurately assign procedure codes and modifiers with a focus on specialized services. Specialized services must include areas such as diagnostic, interventional radiology, and radiation therapy.
• Analyzes documentation to identify any documentation deficiencies which may warrant clinician review and clarification according to AAPC guidelines.
• Monitors regulatory and payer changes as they apply to diagnostic and procedure coding.
• Researches and resolves coding related system edits, payer rejections and insurance denials.
• Identify system edits, payer rejection and insurance denial trends for policy and procedure improvement.
• Maintains knowledge of the current changes of coding practices by continuing education and reading resource material.
• Meet or exceed department production and accuracy standards.
• Demonstrate the ability to communicate clearly and effectively by phone, system notes, email, etc.
• Detail-oriented with a focus on quality in accomplishing tasks.
• Critical thinking/problem solving; ability to break down a situation into smaller pieces to identify key/underlying issues.
• Be receptive to feedback, willing to learn, embracing continuous improvement.
• Has personal and professional ethics and fosters a diverse and respectful workplace.
• Demonstrates ability to use technology to create efficient processes and organizational methods.
• Demonstrates basic understanding of billing system.
• Ability to work well in a team setting.
• Performs daily coding activities to ensure successful processing and payment of claims.
• Reviews patient medical charts and documentation for accuracy and reports missing or incomplete documentation to provider organization in a timely manner.
• Performs audits on previously coded claims batches and makes all necessary corrections to ensure accuracy.

Qualifications

• 3+ years Coder work experience
• 2+ years of Radiation Oncology coding experience
• Some college preferred
• Current nationally recognized coding credential including, but not limited to CPC, COC, CCS, CCS-P
• Additional certifications (CHOC, CEMC, etc.) preferred
• Understanding of ICD-10, CPT (including E/M leveling), HCPCS, modifiers, medical terminology, anatomy & physiology
• Microsoft Office (Outlook, Word, Excel, Teams and EMR applications (EPIC, CERNER, etc.) a plus
• Ensures accuracy of billing codes per AAPC/AMA guidelines as well as payer updates and ensures all billing codes are current and active
• Possess strong written and verbal communication skills to communicate effectively with stakeholders at all levels of the organization
• Ability to work under general supervision
• Ability to work in a fast-paced department and handle multiple tasks, work with interruptions, and deal effectively with confidential information
• Possess excellent telephone etiquette, presentation skills and problem resolution skills
• Must be highly organized and detail-oriented
• Understands fully the requirements to meet HIPAA regulations. Must treat all patient information and data with complete confidentiality and take all precautions to secure this information
• Preferred hybrid; office is based in Beverly Hills, CA. Must be based in California. No out of state applicants please.

Benefits

We offer a competitive salary, and a diverse blend of benefits and incentives. Benefits include:

• Health, dental, and vision insurance
• 401k
• Company-sponsored life insurance
• FSA
• Voluntary supplemental life insurance
• Voluntary short term / long term disability options
• Flex PTO paid holidays
• Employee recognition programs
• Team building events & employee appreciation lunches
• Referral bonus programs
• Job training, professional development, & continued education
  

About the Practice and Mission

At the Beverly Hills Cancer Center, our primary goal is to cure every patient's cancer. Since we know that in many cases advanced-stage cancers cannot be cured, our next goal is to make cancer a chronic disease, with which our patients can live and lead relatively normal lives. We accomplish our goals daily in our Los Angeles facility, which provides state-of-the-art, cutting-edge medical treatment, and caring attention to the mind, body and soul of each and every patient. With this fusion of science and caring, we aim to provide our patients with the best possible healing, and pride ourselves for being one of the best cancer treatment centers internationally.

As a private, comprehensive facility, Beverly Hills Cancer Center provides state-of-the-art cancer treatment under one roof. Our facilities include an innovative Radiation Oncology center, a soothing and spacious infusion center, a full-service diagnostic imaging center (with MRI, CT, PET/CT, and Bone Scan technology), and a complete, award-winning diagnostic laboratory. We also conduct some of the world’s leading clinical trials for cancer treatment right here in our facility — making ours one of the top cancer centers in Los Angeles and worldwide.

Driven by our unique model and goal to provide exceptional and personalized care, we have become the only private comprehensive cancer treatment facility in Southern California. By combining advanced treatment modalities and technologies, in a soothing environment with caring physicians and staff, we are able to provide maximum peace of mind for patients. While such things may seem like a luxury to some, here at the Beverly Hills Cancer Center we understand that a tranquil, stress-free environment is integral to the healing process.

Beverly Hills Cancer Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience (including specific industry), education, specialty and training. This pay scale is not a promise of a particular wage.