Responsibilities
Create, maintain, and update provider and practice risk-monitoring tools and reports, including bell curve analyses and other coding performance trend reports.
Assist with the development, review, maintenance, and implementation of coding department policies, procedures, workflows, educational materials, presentations, and Standard Operating Procedures (SOPs).
Assist with onboarding activities to facilitate coding system, application access, and coding resource requests for coding team members.
Conduct coding, billing, payer policy, and regulatory research and communicate findings to Coding Leadership.
Support Coding Roundtable meetings by coordinating agendas, tracking discussion topics, documenting action items, and facilitating follow-up activities.
Review, maintain, and update the Coding Department SharePoint site to ensure content remains current, accurate, and accessible.
Collaborate and maintain open communication with Coding Leadership and necessary stakeholders, to identify trends, operational challenges, and opportunities for process improvement.
Support organizational initiatives and projects related to coding operations, compliance, education, and process improvement.
Other duties as assigned to support the mission of improving the lives of everyone living with cancer.
Key Competencies
Demonstrates professionalism, accountability, and a customer-service-oriented approach in all interactions.
Advanced organizational skills with the ability to manage multiple projects, priorities, and deadlines simultaneously.
Strong written and verbal communication skills, including the ability to prepare professional reports, SOPs, departmental communications, and presentations.
Strong analytical and critical-thinking skills with the ability to identify trends, risks, and opportunities for process improvement.
Ability to work collaboratively, build and maintain trusting relationships across departments and with offshore teams.
Proficient in the use of end-user computer applications (e.g., MS Word, Excel, Outlook, PowerPoint, SharePoint).
Ability to independently prioritize workload and exercise sound judgment in a fast-paced, matrixed environment.
Strong attention to detail and commitment to accuracy when managing departmental data, reports, and communications.
Qualifications
CPC-A, CPC, CCS-P or other coding certification required.
Extensive knowledge of insurance payer guidelines and medical policies.
Knowledge of ICD10, CPT and HCPCS codes required.
Strong technical skills in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint).
Associates degree or equivalent experience required.
2+ years of coding experience required.
Medical Oncology coding experience preferred.
This job description does not contain a comprehensive listing of activities, duties or responsibilities that are required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.
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