Oncology Claims Analyst, Level 2
Job Description:
• Coding/Program Management
• Reviews and audits codes (CPT, ICD 10, HCPC, Level II, and modifier coding, etc)
• Is consultant/expert for FMOLHS business office and external agencies in clarification of coding regarding reimbursement infusion issues
• Works closely and consistently with major pharmaceutical companies on new drug treatment guidelines/pathways
• Advises the executive team on best practices for drug purchase opportunities
• Quality and Performance Improvement
• Conducts high level audits for coding
• Assists Management with evaluation of processes
• Conducts and organizes provider peer reviews, physician queries
• Analysis and Collaboration
• Proactively researches and understands payer issues
• Troubleshoots and resolves issues that impact revenue
• Acts as a liaison for Professional Billing and FMOLHS Central Billing Office Management
Requirements:
• Experience: Three years of medical revenue cycle experience
• Education: Bachelor’s degree or 5 years medical revenue cycle work and/or Certified Hematology and Oncology Coder (CHONC)
Benefits:
Apply Now
Apply Now
• Coding/Program Management
• Reviews and audits codes (CPT, ICD 10, HCPC, Level II, and modifier coding, etc)
• Is consultant/expert for FMOLHS business office and external agencies in clarification of coding regarding reimbursement infusion issues
• Works closely and consistently with major pharmaceutical companies on new drug treatment guidelines/pathways
• Advises the executive team on best practices for drug purchase opportunities
• Quality and Performance Improvement
• Conducts high level audits for coding
• Assists Management with evaluation of processes
• Conducts and organizes provider peer reviews, physician queries
• Analysis and Collaboration
• Proactively researches and understands payer issues
• Troubleshoots and resolves issues that impact revenue
• Acts as a liaison for Professional Billing and FMOLHS Central Billing Office Management
Requirements:
• Experience: Three years of medical revenue cycle experience
• Education: Bachelor’s degree or 5 years medical revenue cycle work and/or Certified Hematology and Oncology Coder (CHONC)
Benefits:
Apply Now
Apply Now