Radiation Oncology Coder

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.

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

• Code radiation oncology services across the full course of treatment: consultation, clinical treatment planning, simulation, dosimetry, physics, treatment delivery (IMRT, SBRT/SRS, IGRT, 3D conformal), brachytherapy, and weekly treatment management
• Assign accurate CPT, HCPCS, and ICD-10-CM codes to the highest level of specificity
• Review and release held charges before claims go out, typically within three business days
• Confirm that documentation, dictations, and physician orders support each code billed, and flag documentation trends to the Coding Manager
• Maintain a coding plan for each patient's course of treatment so charges are captured completely and on time
• Stay current on NCCI edits, Medicare LCDs and articles, and payer bulletins
• Partner with the denials team to resolve coding-related denials and AR questions
• Collaborate with the authorization team to confirm authorizations match physician orders and any mid-treatment changes, and flag gaps
• Support internal and compliance audits by reviewing findings and responding as delegated
• Help train new coders and provide coverage during team absences
• Meet team goals for charge accuracy, month-end close, charge lag, and quality review
• Understand the difference between Professional charges (Pro-fee/office setting) and Technical charges (facility-based) for hospital IP patients who are wheeled over. 

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.
• CPC (AAPC) or CCS (AHIMA) or ROCC certification (required) 

EXPERIENCE

• Proficient knowledge of medical terminology, ICD-10, CPT coding, NCCI, and Medicare coverage policy required. 
• Minimum of 3 years of radiation oncology coding experience required.
• Experience with oncology EMR or billing systems such as [ARIA / MOSAIQ / systems used] 

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.