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Oncology Access Reimbursement / Coding Specialist buy in US, Free Classifieds Ads

Job Description Title
  • Oncology Access Reimbursement/Coding Specialist
FLSA Status
  • Non-exempt
Essential/Non-Essential
  • Non-essential
Job Summary
  • Develops, implements, and monitors CPT and ICD-9 coding documentation for Cancer Care and Infusion Services associates and licensed independent providers (LIP) to ensure compliance and maximize reimbursement. Trains licensed independent practitioners in proper coding and documentation procedures. Initiates and maintains LIP enrollment with 3rd party payors.
Minimum Qualifications
  • Minimum Qualifications
  • Associates degree OR 1-3 years formal training in medical billing, medical reimbursement, and coding is required.
  • 5-6 years of progressively more responsible job related experience in professional/medical/surgical billing and CPT and ICD-9 coding

Preferred Qualifications
  • Bachelors degree

Department Specific Qualifications
Primary Duties and Responsibilities
  1. Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
  2. Completes LIP billing sheets with appropriate ICD-9 and CPT codes and modifiers. Researches/reviews chart/LIP notes to ensure all applicable codes are entered.
  3. Enters charges/codes into charge entry system(s). Reviews medical record(s) LIP schedules to ensure correct billing and case numbers.
  4. Performs chart audits in conjunction with Compliance Department to ensure practitioner coding compliance. Makes recommendations based on findings for continued training and targeted rebilling projects to ensure timely and optional reimbursement.
  5. Conducts initial coding and documentation training for LIPs. Conducts subsequent training as needed.
  6. Develops and implements departmental policies regarding the prorper use of CPT codes, modifiers, and ICD-9 codes in order to maximize revenue and comply with payor specific regulations. Communicates these policies as appropriate.
  7. Analyze reimbursement trends, prepares monthly reports/graphs for management detailing reimbursement trends specific to third-party payors and coding issues, and identifies problem areas. Investigates causes and recommends solutions to management. Implements solutions and monitors corrective actions.
  8. Acts as a liason between front end associates and MOUs to include abstracting, charge entry, billing follow-up and collections. Reveiws Explanation of Benefits from third-party payors.
  9. Analyzes denial trends and makes recommendation to management for special re-bill projects or further education of LIP and front-end staff as appropriate. Works with departments in the design and implementation of super-bills to ensure that the correct procedure and diagnosis codes are incorporated.
  10. Performs fee discussions with patients
  11. Assists with access, registration and check-in
  12. Performs other duties as assigned.
About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation and research. Our 30,000 associates and 5,400 affiliated physicians work in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest visiting nurse association in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar is dedicated not only to teaching the next generation of doctors, but also to the continuing education and professional development of our whole team. MedStar Health offers diverse opportunities for career advancement and personal fulfillment.
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