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Oncology Claims Analyst 1 at FMOLHS

Baton Rouge, Louisiana, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Oct, 26

Salary

0.0

Posted On

06 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Coding Audits, Drug Authorizations, Medical Billing, CPT/HCPCS Coding, ICD-10-CM-PCS Coding, Reimbursement Analysis, Revenue Cycle Management, Clinical Documentation Review, Oncology Drug Regimens, Provider Education

Industry

Hospitals and Health Care

Description

The Oncology Claims Analyst 1 will coordinate coding audits and educational functions for FMOLHS and the Oncology Service Line. This individual will be responsible for drug authorizations, managing and working the edit and denial coding work queues for inpatient, outpatient clinic, and hospital based infusion departments and will provide coding and reimbursement feedback for education opportunities identified to the Service Line and FMOLHS. Prepares and presents coding education to providers and works in collaboration with various hospital and FMOLHS departments as a liaison related to NCCN, ASCO, and FDA guidelines. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes, understand current professional coder workflows, reviews principal, secondary diagnoses and procedures for hospital and physician (professional) services for inpatient, outpatient, and infusion records based on knowledge of coding systems. Additionally serves as business/reimbursement specialist for oncology drug regimens for both the Service Line and FMOLHS.

Responsibilities

Coordinate coding audits and educational functions for the Oncology Service Line and FMOLHS. Manage drug authorizations and coding work queues for inpatient, outpatient, and infusion departments while providing reimbursement feedback.