• Assign appropriate charge levels and highest level of ICD specificity. 

• Review Medicare Local Coverage Articles, bulletin updates, and quarterly NCCI.  

• Perform review of held charges (pre-claim) in the billing system and process tickets within three business days.  

• Meet company metrics set in place for charge capture accuracy, mid-month and end-of-month charge close, reduced lag, and QA (Quality Assured sign off). 

• Verify all required documentation and dictations are complete and meet requirements of the code being billed. Escalate to Coding Manager any trends seen within a clinic.  

• Work with denials team to respond to all inquiries on denials and open account receivables to ensure all information is accurate.  

• Ensure that all appropriate authorizations are obtained as per the physician’s orders and amendments during therapy. Report to financial navigator any authorizations that are missed or needed. 

• As delegated, review and respond to compliance or internal department audit findings as performed. 

• Assist in training new employees and vacation coverage as outlined by coding manager.  

• Respond to Revenue Integrity report findings and make applicable coding additions or corrections. 

• Maintain coding roadmaps on all patients as outlined by coding manager.   

• Performs other duties and projects as assigned.  

• Additional tasks as needed to support team. 

EDUCATION/CERTIFICATIONS & LICENSES: 

• High School diploma or GED required 

• Coding certification required.  ROCC coding certification strongly preferred, or AAPC/AHIMA coding certification. 

EXPERIENCE:  

• Proficient knowledge of medical terminology, ICD-10, and CPT Coding required. Minimum of 2 years of radiation coding experience required. 

CORE COMPETENCIES, KNOWLEDGE/SKILLS/ABILITIES:  

Essential competencies and KSAs targeted to successfully performing in role: 

• Analysis & Critical Thinking skills including solid problem solving, analysis, decision making, planning, time management and organizational skills. Must be detailed oriented with the ability to exercise independent judgment. 

• Strong interpersonal skills to include effective verbal and written communication 

• Solid time management with the ability to prioritize multiple tasks 

• Ability to collaborate across various levels of management, departments and teams 

• Comfortable negotiating problems and exploring solutions with physician population 

• Self-Management: Effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with ability to work independently with limited supervision. • Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites. 

VALUES: 

• Patient First – Keeping the patient at the center of everything we do 

• Accountability – Taking responsibility for our actions 

• Commitment & Care – Upholding FCS vision through every action 

• Team – Working together, one team, one mission 

Expectations for all Employees 

Every FCS employee is expected to regularly conduct themselves in a professional and respectful manner, to comply with all labor laws, workplace policy and workplace practices.  Employees are expected to bring issues of any forms of workplace harassment, discrimination or other potential improprieties to the attention of their management or the human resources department. This is a hybrid role and traveling may be required based on business needs.