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Coder/Auditor

Company: Regional Business Office
Location: Norfolk
Posted on: November 19, 2022

Job Description:

Overview:
- - -Employment Type: Full TimeIn-Office M-FBenefits: M/D/V, Life Ins., 401(k)Norfolk, VirginiaJOB SCOPE: -With general supervision of the State Reimbursement Manager, performs complete medical record chart and coding audits for medical and radiation oncology physicians, per the USON established guidelines. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. -The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer!About US OncologyThe US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit -www.usoncology.com. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs. -

Responsibilities:
-ESSENTIAL DUTIES AND RESPONSIBILITIES:Performs paper and EMR chart audits for medical or radiation oncology physicians/providers in accordance with USON requirements to ensure medical records are commensurate with captured charges and billing. May use a variety of reports to accomplish tasks, such as AMA guidelines, Medicare LCD's, commercial payor billing guidelines, coding manuals and ASTRO/ACR guidelines.All new providers will have an E & M audit within 90 days.Prepares a spreadsheet of findings that details discrepancies and summarizes metrics. Identifies trends that could be perceived as non-compliance with local and federal regulatory guidelines. Recommends procedural improvements and training opportunities to management. Provides written audit report to supervisor for review and approval.Reviews approved audit findings with physicians and mid-level providers to discuss recommendations and improvement opportunities; radiation audit technical findings will be forwarded to appropriate hospital contact.Recommends and documents audit procedures, standard reports, and metrics in order to provide the appropriate information.Maintains the confidentiality of medical information contained in each record.Assists with other audits such as hospital visits, consultations, and others as assigned.Assists with USON audit and compliance or Reimbursement audits such as providing records, audit reports, and standard operating procedure manuals.

Qualifications:
- -QUALIFICATIONS:CPC certification with at least (3) years of billing, coding, and medical records experience required.Must possess a broad knowledge of managed care and HMO policies and procedures and Medicare benefits. Must possess a strong knowledge of current versions of ICD10, CPT and HCPCSAccurate math skills and attention to detail.Good oral and written communication skills.Good organizational and follow-up skills.Self-starter who can working independently, prioritize work, and meet deadlines.Ability to research issues, apply laws & standards, and recommend resolutions.

Keywords: Regional Business Office, Norfolk , Coder/Auditor, Other , Norfolk, Virginia

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