Coding Specialist II – Oncology Profee

This is a fully remote position, open to applicants in United States.

📋 Description

• The Pro Fee Coder is responsible for reviewing clinical documentation to assign and sequence diagnostic and procedural codes for specific patient categories, ensuring compliance with hospital data or physician data retrieval requirements for billing and reimbursement.

• The Coder I may validate APC calculations to accurately reflect the diagnoses/procedures recorded in the clinical documentation for hospitals.

• This role involves conducting documentation reviews and assessments to ensure precise abstracting of clinical data in alignment with regulatory and compliance standards.

• The Coder I may collaborate with client staff and healthcare providers.

• Select and sequence ICD-10, and/or CPT/HCPCS codes for specific patient types, which may include but are not limited to: Ancillary (Diagnostic)/Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, alongside any relevant chart capturing for any patient type.

• Analyze facility records to confirm that APC assignments and/or Evaluation and Management codes accurately represent the diagnoses/procedures documented in the clinical records.

• Extract clinical data from the records after documentation review to ensure it is sufficient and appropriate to support the selected diagnoses, procedures, and discharge dispositions.

• Complete assigned tasks utilizing the necessary resources effectively.

• May serve as a resource for client staff regarding data integrity, clarification, and guidance on appropriate and compliant coding practices, including provider queries.

• Uphold strict patient and provider confidentiality in accordance with all HIPAA guidelines.

• Engage in client and Savista staff meetings, training sessions, and conference calls as requested or required.

• Keep abreast of current ICD-10 and/or CPT/HCPCS coding guidelines, government regulations, protocols, and third-party requirements pertaining to coding and/or billing.

• Participate in continuing education activities to enhance knowledge, skills, and maintain up-to-date credentials.

⛳️ Requirements

• Candidates must successfully complete a pre-employment skills assessment.

• Required: An active AHIMA (American Health Information Association) credential, which includes but is not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credential such as COC (formerly CPC-H), CCS-P, CPC, or a related specialty credential.

• A minimum of two years of recent and relevant hands-on coding experience is required.

• Proficient knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS coding sets.

• Ability to consistently code at a 95% quality threshold while adhering to client-specific and/or Savista production and quality standards.

• Strong computer skills, including proficiency with MS Office applications, with the ability to enter data, sort, and filter Excel files (Outlook, Word, Excel).

🏝️ Benefits

• Comprehensive health insurance coverage.

• Opportunities for professional development and continuing education.

• Flexible working hours and a supportive work environment.