Radiation Oncology Certified Coder

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Solaris Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

🧬 Biotechnology

Healthcare Insurance • Healthcare • Biotechnology

Solaris Health is a leading national healthcare platform committed to enhancing access to specialty healthcare and continually improving patient outcomes. With over 1 million unique patients annually and 730+ providers across the country, Solaris Health operates 236+ patient offices in 14 states, focusing on innovative delivery of high-quality, value-driven care.

📋 Description

• The Radiation Oncology Coder Certified is responsible for successfully and efficiently coding all cases to the highest level of accuracy to ensure maximum reimbursement. • Ensure quality and productivity standards are met. • Ensure accurate coding of documentation to include diagnoses, procedures, and modifiers with adherence to established coding guidelines for both government and third-party payers. • Work with the Coding Supervisor to escalate coding issues and prevent untimely claim submission and denials. • Review chart documentation for accuracy and completeness, identify inconsistencies, and work with appropriate staff to resolve issues. • Communicate with Claims Resolution Specialists and Business Office staff to resolve errors and clarify issues. • Demonstrate in-depth knowledge of CPT, HCPCS, modifiers, diagnosis codes, insurance coverage plans, medical terminology, and anatomy and physiology. • Collaborate with providers to obtain complete documentation to support coding. • Stay accountable to quality and productivity standards and monitor compliance with policies and procedures. • Identify process opportunity trends and recommend ways to improve efficiencies. • Maintain current knowledge of coding guidelines and relevant state and federal regulations. • Ensure adherence to third party and governmental regulations relating to coding, documentation, compliance, and reimbursement. • Participate in special projects and personal development training as instructed. • Inform Coding Supervisor of trends, inconsistencies, discrepancies, or payer changes for immediate resolution. • Collaborate with peers and functional areas of the Coding and Revenue Integrity department for the betterment of tasks and the company overall.

🎯 Requirements

• Radiation Oncology Certified Coder (ROCC) required. • At least 3 years experience in Radiation Oncology Coding. • Entry level Medical Billing and Coding Terminology preferred. • Experience in Urology or physician practice environment preferred. • Knowledge of medical terminology, CPT and ICD coding, and the full revenue cycle process. • Familiarity with Electronic Health Record (EHR) systems and Microsoft Office applications. • Understanding of Medicare, Medicaid, managed care, and third-party payer guidelines. • Knowledge of governmental regulations and healthcare compliance requirements. • Strong analytical and problem-solving skills with the ability to draw conclusions and make recommendations. • Ability to handle multiple tasks and manage competing deadlines with a high level of accuracy and attention to detail. • Capable of developing reports and creating professional presentations. • Well-organized and able to maintain confidentiality in handling sensitive information. • Self-motivated with a focus on maintaining productivity and efficiency. • Ability to work independently and collaboratively across teams and departments. • Ability to recognize coding issues and prevent untimely claim submission and denials.

🏖️ Benefits

• Health insurance • Dental insurance • Vision insurance • Life Insurance • Pet Insurance • Health savings account • Paid sick time • Paid time off • Paid holidays • Profit sharing • Retirement plan