Coding & Documentation
• Accurately code radiation oncology diagnoses and procedures using ICD-10-CM, CPT, and HCPCS coding systems
• Code all radiation therapy modalities including IMRT, IGRT, 3D-CRT, brachytherapy, stereotactic radiosurgery, and other specialized treatments
• Review and analyze clinical documentation to ensure accuracy and completeness for coding purposes
• Assign appropriate evaluation and management (E/M) codes for physician services
• Code both professional and technical components for radiation oncology services
• Perform daily charge reconciliation for professional and technical charges
Compliance & Quality
• Ensure coding compliance with Medicare policies, LCD requirements, and payer-specific guidelines
• Stay current with changes to CPT, ICD-10, and HCPCS codes, particularly those affecting radiation oncology
• Review coding edits and resolve discrepancies in a timely manner
• Maintain coding accuracy rates in accordance with department standards
• Participate in internal and external coding audits as needed
• Identify and communicate documentation improvement opportunities to clinical staff
Collaboration & Communication
• Work closely with radiation oncologists, physicists, dosimetrists, and radiation therapists to clarify documentation when necessary
• Communicate with billing staff to resolve coding-related issues and claim denials
• Assist with training and education for clinical staff on documentation requirements
• Respond to payer inquiries regarding coding and billing questions
Education
• Associate degree in Health Information Management, Medical Coding, or related field preferred
• High school diploma or equivalent required
Experience
• 1-3 years of medical coding experience, with radiation oncology coding experience highly preferred
• Experience coding evaluation and management services
• Understanding of medical terminology, anatomy, and physiology
Certifications
• Active coding certification required: CPC (Certified Professional Coder), CCS (Certified Coding Specialist), COC (Certified Outpatient Coder), or RHIT (Registered Health Information Technician)
• ROCC (Radiation Oncology Certified Coder) certification strongly preferred
Skills & Competencies
• Proficiency with ICD-10-CM, CPT, and HCPCS coding manuals
• Knowledge of Medicare regulations and compliance requirements
• Familiarity with ASTRO/ACR Guide to Radiation Oncology Coding
• Strong analytical and critical thinking skills
• Excellent attention to detail and accuracy
• Ability to work independently and meet productivity standards
• Proficient in electronic health and medical records (HER/EMR) and practice management systems
• Strong communication skills, both written and verbal
Preferred Qualifications
• Current ROCC certification from AMAC
• Experience with radiation oncology-specific EMR systems
• Experience with coding for multiple radiation oncology physicians
• Understanding of radiation physics and treatment planning concepts
Working Conditions
• Remote work option available.
• Standard business hours to working within Eastern time zone.
• Minimal physical requirements; primarily sedentary work at computer workstation