Compliance Educator, Medical Oncology

Job not on LinkedIn

November 26

🏈 Alabama – Remote

Although this job is listed in Alabama, this company may be open to hiring remote in other states.

🎰 Nevada – Remote

Although this job is listed in Nevada, this company may be open to hiring remote in other states.

+2 more states

🏈 Alabama – Remote 🎰 Nevada – Remote 🌶️ New Mexico – Remote 🚗 Michigan – Remote

💵 $93.5k - $155.9k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🚔 Compliance

🦅 H1B Visa Sponsor

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McKesson

WebsiteLinkedInAll Job Openings

Healthcare Insurance • Pharmaceuticals • Biotechnology

McKesson is a diversified healthcare leader specializing in pharmaceutical distribution, medical supplies, and healthcare services. Their solutions facilitate patients' access to life-changing therapies, support efficient operations for pharmacies, health systems, and clinics, and address critical issues such as drug shortages through a resilient supply chain. McKesson provides comprehensive services such as pharmacy management software, consulting, and technology solutions for specialty practices, focusing on improving health outcomes and advancing the pharmaceutical industry. They work closely with biopharma companies to enhance medication access, adherence, and commercialization while supporting oncology and biopharma practices through data-driven insights and real-world evidence.

10,000+ employees

Founded 1833

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🧬 Biotechnology

📋 Description

• Under minimal supervision, provide expert guidance on billing, coding, and reimbursement practices related to Medical Oncology, Hematology • Ensure compliance with federal and state regulations and support network practices through documentation reviews and education across a range of services • Serve as subject matter expert (SME) on coding and documentation for Care Management and Hematology initiatives providing guidance and support across departments • Research, develop and deliver training and coding tools for The Network practice physicians, APPs, clinical staff and billing and coding staff on various healthcare related topics • Perform regular and on-going reviews of medical record documentation, for coding and documentation compliance • Provide individualized education to physicians, APPs, and other clinical staff based on compliance audits, or third-party reviews • Collaborate with compliance, revenue cycle management, transformation and shared services, and clinical teams to align education with regulatory requirements and organizational goals • Assist with establishing a robust Coding/Training program across The Network • Review, research, and respond to practice billing and coding questions within a designated deadline • Manage educational projects, including scheduling and coordinating sessions with practices, billing offices, and clinical teams

🎯 Requirements

• Degree or equivalent and typically requires 7+ years of relevant experience • Four (4) + years of direct experience in CPT, ICD-10-CM, HCPCS, and HCC coding for Medical Oncology, Hematology Oncology, and CMS- Care Management Services • Three (3) Years Compliance Auditing and Physician Education • 2 years’ project management experience • Current CPC required, CPMA and/or CCS-P certification a plus • Bachelor’s degree in healthcare administration, health information management, or related field • Strong understanding in behavioral health, risk adjustment models and hierarchical condition categories, and clinical documentation improvement • Expertise in compliance and government regulations related to CMS Care Management, Value Base Care and Hematology/Medical Oncology in outpatient physician settings • Thorough understanding of CPT, ICD-10-CM, HCPCS, and HCC coding standards • Proficiency in Microsoft Office Suite (Outlook, Excel, Word, Teams, PowerPoint, CoPilot) • Experience with virtual meeting platforms (e.g., Webex, Microsoft Teams) • Proficiency in data analysis and reporting tools (e.g., SmartSheet)

🏖️ Benefits

• Competitive compensation package • Health insurance • Paid time off • Flexible work arrangements