Lead Charge Auditor & Oncology Coding

Why Join Us?

The START Center is growing! We are pioneering premier Cancer Care for our patients with leading doctors, advanced diagnostics and cutting-edge therapies. We offer competitive wages, benefits, and yearly bonus opportunities. The growth of our organization and our innovative environment to treat and care for patients that have cancer make us a great match for anyone looking to begin or further their career at a company with a mission that truly impacts lives.

Lead Charge Auditor / Oncology Coding Lead

The Lead Charge Auditor serves as a working team lead responsible for charge capture accuracy, coding compliance, and audit support across oncology and surgical services. This role performs hands-on auditing while also providing day-to-day guidance, support, and education to coding and audit staff. The position works closely with Revenue Cycle, Clinical teams, and Compliance to ensure accurate billing, reduce audit risk, and improve documentation quality, with oncology experience strongly preferred.

This role is ideal for an experienced auditor who enjoys mentoring others while remaining actively involved in daily audit work.

• Perform routine charge capture audits for professional services, including E/M, infusions, injections, drug administration, procedures, and ancillary services
• Compare clinical documentation to billed charges and coding; identify missed charges, under coding, over coding, and compliance issues
• Assist with payer audits, RAC requests, and internal compliance reviews by gathering records and validating charges and coding
• Track audit findings and trends; assist with reporting outcomes and identifying recurring issues
• Work with billing, HIM, and clinical teams to resolve audit findings and improve workflows

• Review oncology-specific services such as chemotherapy, biologics, immunotherapy, and supportive care
• Assist with audits related to clinical trial patients, including appropriate use of modifiers and payer billing rules
• Serve as a resource to staff on basic oncology and clinical trial billing questions
• Stay current on payer and CMS guidance impacting oncology services

• Conduct pre-bill and retrospective coding reviews for CPT, HCPCS, ICD-10-CM, and modifiers
• Ensure compliance with CMS guidelines, NCCI edits, LCDs/NCDs, and payer-specific rules
• Identify documentation gaps and escalate trends to leadership
• Support ongoing compliance monitoring and audit readiness

• Provide day-to-day guidance and support to auditors and coding staff
• Assist with onboarding and training of new team members
• Share audit feedback with staff and providers in a clear, supportive manner
• Help maintain audit tools, tracking logs, and standard workflows
• Escalate complex issues or recurring risks to management

• Current coding certification: CPC, CCS, or equivalent (AAPC or AHIMA)
• Minimum 3–5 years of coding and auditing experience, including charge capture review
• Experience auditing professional services, including E/M and procedural coding
• Working knowledge of payer audit processes and compliance requirements
• Ability to balance independent audit work with team support responsibilities

• Oncology coding or auditing experience
• Exposure to clinical trial billing or research-related audits
• Additional certifications such as CPMA, RHIA/RHIT, or CCS-P
• Experience working in an EHR environment and basic reporting tools
• Strong Excel skills for tracking audit results

• Strong attention to detail and analytical skills
• Clear, practical communication style when working with staff and clinicians
• Ability to coach peers and provide constructive feedback
• Organized and comfortable managing multiple audits at once
• Collaborative team-first mindset