Kelsey-Seybold Clinic
Responsibilities
In coordination with the Senior Coder, this position reviews, interprets and verifies diagnostic, clinical, and infusion codes for all oncology providers and extenders based on clinical reports within the EMR system and according to correct coding principles, current NCCI rules and LCD coverage determinations ensures that the proper codes are on all claims prior to submission for all charges for the cancer center. The coder is responsible for a thorough review of auditing all charges in both the inpatient and outpatient setting to ensure that compliance and charge capture are clean prior to claim submission. The coder also acts as a liaison to the physicians and clinical teams and provides feedback to physicians and management staff regarding proper documentation and coding and works within company standards to maintain policy and procedures. Meets coding and abstracting deadlines to expedite the billing and charge entry process and ensures best practices for the center is met according to departmental policy and procedures. This position is an integral player in daily functions and month end processes for both campuses for Hematology Oncology/Infusion/Radiation Oncology and works as a team player; this team member will be proficient in all areas as to ensure cross coverage to include: eligibility, authorization, and financial assistance.
Coding Compliance – Identifies unbundled procedures according to CPT guidelines and current Medicare NCCI rules. Identifies other coding related denials including medical necessity and modifier usage. Provides feedback to physicians and management staff regarding denials. Works directly with the PAA team members and provides feedback for related coding, denial management and proper modifier usage. Stays abreast of the latest oncology and infusion/radiation oncology service line coding to ensure proper compliance according to local, state, federal and national associations.
Job Title: Coder Cancer Services – Cancer Services
Clinic Location: Springwoods Village
Department: Cancer Services
Job Type: Full Time
Salary Range: $49,730 – $61,442 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)
Qualifications
Education
Required: Associates degree or 2 years of experience in physician office setting
Preferred: N/A
Experience
Required: 2-4 years of billing experience in a clinic or Physician Office setting. 1-2 years of coding experience abstracting from clinical notes or dictations preferred. A Diversified understanding of CPT guidelines and Medicare rules and regulations.
Preferred: 5-6 years of experience in health care billing and collection. 2-3 years of Outpatient Facility coding and billing experience. Knowledge of secondary or supplemental insurance claim filing (COB) is a plus. Experience with EPIC
License(s)
Required: CPC required within 6 months from date of hire
Preferred: N/A
Special Skills
Required: Strong understanding of Medical Terminology, excellent written and verbal communication skills.
Preferred: N/A
Other
Required: Position will be remote with occasional mandatory on-site meetings
Preferred: N/A
Working Environment: Office / Clinic
About Us
Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston’s fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
Why Kelsey-Seybold Clinic?
- Medical, Vision, and Dental
- Tuition Reimbursement
- Company Matching 401K
- Employee Reward and Recognition Program
- Paid time off for vacation, sick, and holidays
- Employee Assistance Program
- Continuing Medical Education allowance
Coder Cancer Services – Cancer Services