Oncology Claims Analyst 1

at  Franciscan Missionaries of Our Lady Health System

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

Please refer the Job description for details