Medical Coder II

Description

The Certified Coder II is crucial to the Revenue Cycle at Oregon Oncology Specialists and supports our patients’ ability to pay for care. This mid-level coder position independently codes multiple provider charges over broader service lines and more complex work. They actively and independently resolve issues that impact claim quality and reimbursement.

• SCOPE: Independently demonstrates consistent and accurate application of coding principles, knowledge, quality assurance, and risk mitigation to multiple provider charges, over broad range of service lines; able to navigate complex specialty nuances.
• INDEPENDENCE: Works independently with spot- quality assurance reviews, and quarterly audits.
• PROBLEM SOLVING: Easily and independently resolves coding/documentation issues, documents rationale, and drives process improvements that reduce repeat errors.
• IMPACT OWNERSHIP: Produces accurate, compliant codes for multiple providers and service lines. Actively safeguards first-pass claim success by validating documentation support and medical necessity, applying modifiers/edits correctly, and proactively preventing avoidable denials, rework, and compliance risk.

Essential Job Functions

• Codes complex and high-risk clinic charges independently by validating documentation support/medical necessity, selecting appropriate ICD-10/CPT/HCPCS, and applying advanced modifier/edit logic to protect first-pass claim quality.
• Improves documentation quality by educating and consulting providers/clinical staff, translating coding requirements into clear, non-leading documentation guidance that reduces queries and rework.
• Monitors and operationalizes change (payer policies, coverage updates, code set changes, treatment/procedure shifts) by communicating impacts, updating internal guidance, and aligning coding/billing workflows accordingly.
• Resolves discrepancies and denials end-to-end by determining root cause (coding vs documentation vs payer edit), coordinating corrections with billing/AR, documenting rationale, and preventing repeat issues.
• Supports audits and compliance readiness by assembling support, explaining coding rationale, identifying risk trends, and partnering with QA/leadership on corrective action.
• Owns specialty-specific maintenance and accuracy (e.g., NDC updates and validation, applicable NCCN alignment where relevant) and actively troubleshoots claim rejections with AR/billing to ensure clean processing.
• Leads cross-functional workflow improvements by identifying breakdown points between departments, proposing fixes, and producing actionable reports/insights for the Revenue Cycle team.
• Regular, predictable, and reliable attendance is required to perform the essential duties of this position and to meet operational deadlines, maintain team coverage, and complete time-sensitive work that depends on in-person coordination and access to on-site systems/resources. Employees must report to work as scheduled, be punctual, and remain at work for assigned hours. For roles requiring coordination with patients, providers, and/or teams, consistent availability during scheduled hours is necessary to maintain safe and effective operations, continuity of work, and timely completion of job responsibilities. Employees must follow established call-out and scheduling procedures and provide timely notice of unscheduled absences when feasible. OSG will comply with applicable federal and Oregon laws regarding protected leave and reasonable accommodations.
• When remote work is approved, the employee must be reliably accessible via agreed communication channels and able to perform duties effectively during the scheduled workday.
• Performs other related duties as assigned by management, for which appropriate training will be provided, to support departmental objectives and organizational success.

Required Qualifications

• Education: Associate degree or equivalent required (HIM/coding degree or equivalent training preferred).
• Certification: AAPC CPC required (or specialty-relevant AAPC credential such as COC/CIC depending on your environment) without apprentice designation; equivalent AHIMA credential acceptable.
• Experience: 2+ years professional (outside of intern designation) coding experience or demonstrated independent performance across complexity, edits, and denials.
• Knowledge/Skills: Proficient in multi-diagnosis/multi-procedure coding, modifier/edit logic, medical necessity, payer policy application; able to research and apply guideline changes; effective provider communication for documentation improvement.
• Independence: Demonstrated ability to code independently with minimal QA rework, resolve discrepancies/denials, and support audits/compliance.
• Extensive computer experience and ability to learn new computer applications quickly and independently, including EMR(s), Microsoft Office Suite, and other software programs

Preferred Qualifications

• Bachelor’s degree in health care or related field or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT)
• Minimum two (2) years of progressive and in-depth oncology professional services coding experience in a diagnostic and procedural coding assignments in a Medical Oncology setting
• Understanding of Unlimited Systems Revenue Cycle Software

A successful Medical Coder II will…

• Enjoy learning and maintaining current knowledge to ensure that OOS coding and documentation meet regulatory guidelines and audit standards
• Have knowledge and appreciation for Anatomy and Physiology
• Have effective written and verbal communication skills
• Collaborate with team members when code assignment is unclear, ambiguous, or inadequate
• Possess extraordinary critical thinking and organizational skills, and the ability to successfully apply them independently.
• Influence positive change
• Thrive in team environments

• Location 530 Center street,Salem, OR, 97301,United States
• Base Pay $31.31 - $36.71 / Hour
• Job Category Oregon Specialty Group