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Radiation Oncology Coder Outpatient Speciality

Role overview

Qualifications

  • ROCC certified: Radiation Oncology Certified Coder
  • CCS-Certified Coding Specialist Upon Hire
  • 1 year recent relevant experience
  • HS Diploma or equivalent education/experience

Responsibilities

  • Assigns diagnosis and procedure codes for outpatient surgical or specialty encounters
  • Abstracts required data elements for billing and reporting
  • Queries providers regarding incomplete or inconsistent documentation
  • Resolves claim edits or claim denials related to coding

About the company

Sutter Health logo

Sutter Health

Hospitals & Health Care

Sutter Health is one of the nation's leading not-for-profit healthcare networks, which includes award-winning physician organizations, acute care hospitals, surgery centers, medical research facilities and specialty services. Our team of 68,000 doctors, employees and volunteers proudly cares for Northern California. Our facilities and care centers are located in large, urban cities and small, rural communities, from the Pacific Coast to the San Joaquin Valley. You’ll find us in San Francisco, Oakland, Sacramento, the snowy mountains of the Sierra Nevada and Lake Tahoe, Napa Valley, Yosemite and the coastal redwoods. We even have an affiliate in Hawaii. Join us and be part of a dedicated group of professionals committed to putting patients’ needs first and achieving the highest levels of quality, access and affordability.

Company details

Company typeXLarge
IndustryHospitals & Health Care
Company size10001

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Job description

We are so glad you are interested in joining Sutter Health!

Organization:

SEBMF-East Bay Medical Foundation

Position Overview:

ROCC certified: Radiation Oncology Certified Coder.

Assigns diagnosis and procedure codes for outpatient surgical or specialty encounters in the hospital or physician office setting. Abstracts required data elements for billing, reimbursement and state reporting. Queries providers regarding incomplete or inconsistent documentation. Resolves claim edits or claim denials related to coding. Ensures all collected data is accurate, complete and compliant with state and federal regulations as well as Official Guidelines for Coding and Reporting.

Job Description:

DISCLAIMER 1

  • Applicants must be a resident of one of the following states to be eligible for consideration for this position: California, Nevada and Texas

Accurately assigns ICD-10 diagnosis and CPT procedure codes for outpatient specialty services in the hospital or office setting.

Abstracts data elements based on defined standards and regulatory requirements.

Recognizes incomplete or missing documentation necessary to support code assignment and escalates appropriately to ensure timely resolution.

Ensures assigned codes reflect the highest degree of specificity supported by the provider documentation.

Demonstrates an understanding of standard coding and billing edits, as well as local and national coverage determinations.

Supports timely resolution of billing edits and claim denials based on functional expertise.

Appropriately communicates problems or issues related to timely completion of claims.

Completes coding related duties as assigned to ensure smooth functioning of Coding Operations and compliance with Service Level Agreements.

Meets or exceeds all established productivity and quality standards.

Maintains credentials and memberships required for position.

EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.

HS Diploma or equivalent education/experience

CERTIFICATION & LICENSURE:

CCS-Certified Coding Specialist Upon Hire

ROCC certified: Radiation Oncology Certified Coder

TYPICAL EXPERIENCE:

1 year recent relevant experience.


SKILLS AND KNOWLEDGE:

Knowledge of medical terminology, disease processes, patient health record content and the medical record coding process.

Knowledge of computer-based encoder systems and accurate data entry skills.

Basic knowledge of anatomy, physiology and pharmacology.

Familiarity with billing functions and the components of a charge description master.

General knowledge of Revenue Cycle applications, including Electronic Health Record systems.

Familiarity with Coding functions in acute and non-acute settings.

Knowledge of Patient Management information system applications.

Ability to communicate ideas both verbally and in writing to interact with others using on-on-one contact and group discussions.

Ability to use spreadsheet, word processing, statistical, project management, and presentation software applications, preferably Microsoft Suite.

Job Shift:

Days

Schedule:

Full Time

Shift Hours:

8

Days of the Week:

Friday, Monday, Thursday, Tuesday, Wednesday

Weekend Requirements:

None

Benefits:

Yes

Unions:

No

Position Status:

Non-Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $47.58 to $66.60 / hour. Remote California Pay Range is $41.50 to $58.10 / hour. Remote Nevada, Remote Texas Pay Range is $37.73 to $52.82 / hour.

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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