Radiation Oncology Coder in Michigan, North Dakota at Triarq Practice Services

TRIARQ HEALTH

Radiation Oncology Coder

Location: Remote (U.S.) — we are not currently hiring in Hawaii, Alaska, California, or New York.

Employment Type: Full-Time

TRIARQ Health is a visionary company that partners with doctors and healthcare professionals to transform their businesses into modern patient centered independent practices. Practices that partner with TRIARQ put the patient first and deliver high-value care with less effort which results in better patient outcomes and private practices that succeed.

TRIARQ Health is hiring a full-time Radiation Oncology Coder. We are seeking experienced, certified professional coders who have been in the field at least 4 or more years. They must be a team player and open to working closely with the TRIARQ team and our Radiation Oncology physicians.

SUMMARY

The Radiation Oncology Coder is responsible for ensuring all services rendered are captured timely, coded accurately, and meet documentation requirements when processed through the EMR and Billing Systems. Demonstrates working knowledge of all facets of role, relevant regulations, and organizational and departmental policies and procedures for Radiation Oncology services.

This individual works independently while also collaborating with the denials team to resolve coding-related denials and works closely with the authorizations team to ensure proper authorizations are requested to meet and exceed customer expectations and needs.

PRIMARY TASKS AND RESPONSIBILITIES

• Assign appropriate charge levels and highest level of ICD specificity.

• Review Medicare Local Coverage Articles, bulletin updates, and quarterly NCCI.

• Perform review of held charges (pre-claim) in the billing system and process tickets within three business days.

• Meet company metrics set in place for charge capture accuracy, mid-month and end-of-month charge close, reduced lag, and QA (Quality Assured sign off).

• Verify all required documentation and dictations are complete and meet requirements of the code being billed. Escalate to Coding Manager any trends seen within a clinic.

• Work with denials team to respond to all inquiries on denials and open account receivables to ensure all information is accurate.

• Ensure that all appropriate authorizations are obtained as per the physician's orders and amendments during therapy. Report to financial navigator any authorizations that are missed or needed.

• As delegated, review and respond to compliance or internal department audit findings as performed.

• Assist in training new employees and vacation coverage as outlined by coding manager.

• Maintain coding roadmaps on all patients as outlined by coding manager.

• Perform other duties and projects as assigned, including additional tasks as needed to support the team.

VALUES

• Patient First – Keeping the patient at the center of everything we do.

• Accountability – Taking responsibility for our actions.

• Commitment & Care – Upholding TRIARQ's vision through every action.

• Team – Working together, one team, one mission.

EQUAL EMPLOYMENT OPPORTUNITY

TRIARQ Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.

EDUCATION / CERTIFICATIONS & LICENSES

• High School diploma or GED required.

• Coding certification required: CPC (AAPC) or CCS (AHIMA).

• ROCC (Radiation Oncology Certified Coder, AMAC) certification also required.

EXPERIENCE

Proficient knowledge of medical terminology, ICD-10, and CPT coding required. Minimum of 4 years of radiation oncology coding experience required.

CORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES

Essential competencies and KSAs targeted to successfully performing in role:

• Analysis and critical thinking skills, including solid problem solving, analysis, decision making, planning, time management, and organizational skills. Must be detail-oriented with the ability to exercise independent judgment.

• Strong interpersonal skills, including effective verbal and written communication.

• Solid time management with the ability to prioritize multiple tasks.

• Ability to collaborate across various levels of management, departments, and teams.

• Comfortable working through problems and exploring solutions with the physician population.

• Self-management: effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with the ability to work independently with limited supervision.

• Able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites.