Medical Coding Specialist

Overview

Overview Join Affiliated Oncologists as a Medical Coding Specialist!

AO specializes in treating a variety of cancers including lymphoma, lung, breast, prostate, gynecologic, colorectal and head and neck cancers. Our physicians and staff are a multi-disciplinary team of highly experienced caregivers focused on helping patients and their families receive the best care and support possible.

SCOPE
:
Under direct supervision, performs all medical record coding activities. Assigns appropriate diagnostic codes to patient charts and reports as assigned. Supports and adheres to the US Oncology Compliance Program, including the Code of Ethics and Business Standards. The Coding Specialist is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for services rendered across a multispecialty oncology practice, including Medical Oncology, Gynecologic Oncology, Radiation Oncology, and Imaging.

This role ensures compliance with all regulatory guidelines, supports revenue integrity, and contributes to optimal reimbursement through precise coding and documentation review. The specialist partners closely with clinical teams, billing staff, and revenue cycle leadership within the Central Business Office.

ESSENTIAL DUTIES AND RESPONSIBILITIES
:

• Clinical Coding & Documentation Review
  • Review provider documentation to assign accurate and compliant ICD-10-CM diagnosis codes, CPT/HCPCS procedure codes, and modifiers for:
  • Medical Oncology services (E&M, in-office procedures and infusion)
  • Gynecologic Oncology (E&M, in-office procedures, infusion and complex surgeries)
  • Radiation Oncology services (External and internal beam radiation therapy)
  • Imaging studies (CT, PET, PET/CT, etc.)
• Validate medical necessity criteria based on payer guidelines and national/local coverage determinations.
• Ensure documentation supports all coded services and communicate deficiencies to providers as needed.

• Revenue Cycle Support
  • Work assigned PMS work queues and collaborate with billing teams to resolve coding-related claim denials, edits, and appeals.
  • Analyze coding trends and identify opportunities to reduce recurring errors and improve clean-claim rates.
  • Assist with charge capture reconciliation to ensure all billable services are accurately recorded.

• Compliance & Quality Assurance
  • Adhere to all federal, state, and payer-specific regulations for oncology and imaging services.
  • Participate in internal audits and quality improvement initiatives to maintain high coding accuracy standards.
  • Maintain current knowledge of NCCI edits, LCD/NCD updates, and oncology-specific coding guidelines.

• Provider & Staff Education
  • Provide feedback and education to physicians and clinical staff on documentation requirements.
  • Communicate coding changes, regulatory updates, and best practices to CBO management team

MINIMUM QUALIFICATIONS
:

• High school diploma or equivalent.
• Current coding certification such as CPC, COC, CCS, or CCS-P, or equivalent work experience.
• Minimum 2–3 years of coding experience, preferably in specialty-based practices.
• Experience coding within at least one oncology discipline.

Preferred

• Oncology-specific coding experience across multiple subspecialties.
• Familiarity with PMS, EHRs and oncology-focused systems (e.g., iKnowMed, Athena
  
  IDX, Centricity, ARIA, MOSAIQ, Epic, Cerner).
• Knowledge of revenue cycle processes within a Central Business Office structure.

• Strong understanding of oncology clinical terminology, treatment pathways, and imaging protocols.
• Excellent attention to detail and analytical skills.
• Ability to interpret complex medical documentation.
• Strong communication skills for provider education and collaboration.
• Ability to work independently and manage multiple priorities in a fast-paced environment.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel.

The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment.

• $22.00 - $36.00

• Medical
• Healthcare Reimbursement Accounts (HRCA)
• Health Savings Accounts (HAS)
• Dental
• Vision
• Life Insurance
• Short-Term Disability (STD)
• Long-Term Disability (LTD)
• Employee Assistance Program (EAP)
• Commuter Benefits
• 401(k)
• Wellness Program

Applicants…