Infusion Coder

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Valerion Health

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2023

🏥 Saúde

📦 Logística

💼 Consultoria

Healthcare • Logistics • Consulting

A Valerion Health é um fornecedor abrangente de soluções de saúde, especializado em gestão do ciclo de receita (RCM), codificação médica, faturamento, auditoria e gestão eletrônica de dados. Com foco em conformidade e eficiência, a empresa oferece serviços projetados para ajudar os prestadores de saúde a reduzir custos, melhorar o desempenho operacional e garantir prontidão para auditorias. Sua equipe combina expertise local com eficiência global, oferecendo soluções de alta qualidade e baseadas em dados, adaptadas para atender às necessidades únicas de várias organizações de saúde.

Descrição

• Assign accurate CPT, HCPCS, ICD-10-CM, and modifiers for chemotherapy, immunotherapy, hydration, and therapeutic infusion services • Code chemotherapy drug administration services, including initial, subsequent, and concurrent infusions, IV push versus infusion services, hydration services, and sequential and combination therapy • Apply correct chemotherapy hierarchy rules and time-based coding requirements • Code and validate oncology drugs, including wastage and JW/JZ modifiers when applicable • Review provider documentation for completeness and query when clarification is needed • Ensure compliance with CMS, NCCI, AMA, and payer-specific guidelines • Identify and resolve coding edits, denials, and underpayment trends related to infusion services • Collaborate with billing, auditing, and clinical teams to support clean claim submission • Maintain productivity and accuracy standards in a high-volume environment • Stay current on annual CPT/HCPCS updates and oncology coding changes

🎯 Requisitos

• CPC, CCS, or COC certification (required) • Minimum 3-4 years of infusion or oncology coding experience • Strong knowledge of chemotherapy and therapeutic infusion coding • Strong knowledge of drug administration hierarchy • Strong knowledge of time-based infusion coding • Strong knowledge of HCPCS J-codes and drug units • Experience coding for hospital outpatient, infusion centers, or oncology practices • Familiarity with Epic, Cerner, Athena, or other EHR systems • Excellent attention to detail and strong analytical skills • Oncology-specific coding experience preferred • Experience with audits, charge review, or denial management preferred

🏖️ Benefícios

• Medical/dental/vision effective Day 1! • 401k with employer match • Generous PTO and Holiday time • Excellent culture and amazing perks!