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Job Description
- Lead and manage a team of medical coders handling US Oncology coding denials and AR-related activities.
- Review, analyze, and resolve complex coding-related denials.
- Demonstrate strong knowledge of Oncology coding, including CPT, ICD-10-CM, HCPCS, and relevant coding guidelines.
- Handle coding denials involving modifiers, charge corrections, and claim rebilling.
- Identify coding errors, documentation gaps, and reimbursement-related discrepancies.
- Analyze denial trends and implement corrective actions to minimize recurring denials.
- Work on aged AR accounts, particularly accounts outstanding beyond 150 and 240 days.
- Provide hands-on coding support and assist the team in resolving complex denial cases.
- Train and mentor coders on Oncology coding, denial resolution, modifiers, and payer-specific requirements.
- Ensure accuracy, productivity, quality, and turnaround time across the team.
- Collaborate with US client stakeholders and internal operations teams.
- Prepare operational reports, productivity dashboards, denial analysis, and performance updates.
- Ensure compliance with HIPAA regulations and applicable US healthcare coding standards.
Required Skills & Qualifications
- 812+ years of experience in US Medical Coding.
- Strong experience in Coding Denial Management and AR Denial Resolution.
- Hands-on knowledge of Oncology coding is highly preferred.
- Strong understanding of CPT, ICD-10-CM, HCPCS, and modifier applications.
- Experience handling coding-related denials, charge corrections, and rebilling.
- Strong knowledge of US insurance and payer denial processes.
- Experience managing and mentoring coding teams.
- Excellent analytical, communication, and problem-solving skills.
- Ability to work independently in a hands-on operational leadership role.
Preferred Experience
- Oncology coding experience involving medical oncology, radiation oncology, or infusion services.
- Experience with aged AR and high-value denial accounts.
- Knowledge of US Oncology payer guidelines and reimbursement processes.
- Experience working with US healthcare clients.
Note: Candidates with strong US medical coding denial
Skills
RevenueMedicalMedical CodingOperations ManagementCodingManagementRevenue Cycle ManagementOncologyOperationsIf a job posting appears fraudulent, asks for payment, contains misleading information, or violates our guidelines, please report it immediately. Our team will review it promptly, Jobaaj does not charge any fee from the applicants.
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