PIEDMONT CANCER INSTITUTE
About PCI
PiEDMONT CANCER INSTITUTE (PCI) serves the Metro Atlanta community with comprehensive cancer care built on compassion, innovation, communication, and integrity.
Why Join PCI? We look for talent that shares our passion for hope and healing. If you value compassion, innovation, open communication, and integrity, you’ll thrive in this collaborative environment.
Job Description Medical Coding Specialist – risk auditing physician documentation for CPT E&M and ICD‑10‑CM coding compliance. Reporting findings to management and physician leadership.
Key Responsibilities
Keeps informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of hematology and oncology and effectively applies this knowledge.
Abstracts pertinent information from the medical records and analyzes for appropriate CPT® code and assigns appropriate ICD‑10‑CM® codes® as it pertains to Clinical Condition Categories based on CMS HCC categories.
Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
Assists with third party payors and other audit requests by compiling, organizing, and reviewing chart documentation as needed.
Assists practice leadership and has a CDEO, CRC, or CPC certification to analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues.
Communicates effectively with practice leadership regarding coding and documentation issues by assisting in the preparation of reports and memoranda regarding audit results and coding compliance matters.
Assists with monitoring and reporting to practice leadership matters related to coding compliance.
Assists in the development of procedure manuals related to coding and billing compliance.
Demonstrates outstanding work ethic and works cooperatively with all team members and management.
Job Requirements
Must have a Professional coding certification; CDEO, CRC or CPC certification preferred
Minimum of 3 years coding experience while holding certification is required, oncology experience a plus
Extensive knowledge of CPT® E&M coding and ICD‑10‑CM® outpatient diagnosis coding guidelines with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred
Knowledge, Skills, and Abilities
Must have transportation to possibly travel to various Piedmont Cancer Institute PC sites around the Atlanta area to conduct audits of records.
Knowledge of government, legal and regulatory provisions related to collection activities.
Knowledge of government programs, i.e., Medicare and Medicaid.
Knowledge of insurance company’s policies and procedures.
Knowledge of CPT, ICD‑10‑CM, and HCPCS coding.
Knowledge of anatomy and medical terminology.
Ability to prioritize work and manage time efficiently.
Creative thinking skills, hands‑on problem‑solving skills and ability to analyze and respond to data.
Effective communication skills at all levels within an organization and excellent customer service skills.
Benefits
401(k)
Dental insurance
Employee assistance program
Employee discount
Health insurance
Life insurance
Paid time off
Referral program
Vision insurance
Medical Specialty
Hematology
Oncology
Physical Setting
Clinic
Outpatient
Job Type: Full-time
Pay: From $26.00 per hour
Piedmont Cancer Institute is an Equal Opportunity Employer.
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Why Join PCI? We look for talent that shares our passion for hope and healing. If you value compassion, innovation, open communication, and integrity, you’ll thrive in this collaborative environment.
Job Description Medical Coding Specialist – risk auditing physician documentation for CPT E&M and ICD‑10‑CM coding compliance. Reporting findings to management and physician leadership.
Key Responsibilities
Keeps informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of hematology and oncology and effectively applies this knowledge.
Abstracts pertinent information from the medical records and analyzes for appropriate CPT® code and assigns appropriate ICD‑10‑CM® codes® as it pertains to Clinical Condition Categories based on CMS HCC categories.
Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered.
Assists with third party payors and other audit requests by compiling, organizing, and reviewing chart documentation as needed.
Assists practice leadership and has a CDEO, CRC, or CPC certification to analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues.
Communicates effectively with practice leadership regarding coding and documentation issues by assisting in the preparation of reports and memoranda regarding audit results and coding compliance matters.
Assists with monitoring and reporting to practice leadership matters related to coding compliance.
Assists in the development of procedure manuals related to coding and billing compliance.
Demonstrates outstanding work ethic and works cooperatively with all team members and management.
Job Requirements
Must have a Professional coding certification; CDEO, CRC or CPC certification preferred
Minimum of 3 years coding experience while holding certification is required, oncology experience a plus
Extensive knowledge of CPT® E&M coding and ICD‑10‑CM® outpatient diagnosis coding guidelines with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements is preferred
Knowledge, Skills, and Abilities
Must have transportation to possibly travel to various Piedmont Cancer Institute PC sites around the Atlanta area to conduct audits of records.
Knowledge of government, legal and regulatory provisions related to collection activities.
Knowledge of government programs, i.e., Medicare and Medicaid.
Knowledge of insurance company’s policies and procedures.
Knowledge of CPT, ICD‑10‑CM, and HCPCS coding.
Knowledge of anatomy and medical terminology.
Ability to prioritize work and manage time efficiently.
Creative thinking skills, hands‑on problem‑solving skills and ability to analyze and respond to data.
Effective communication skills at all levels within an organization and excellent customer service skills.
Benefits
401(k)
Dental insurance
Employee assistance program
Employee discount
Health insurance
Life insurance
Paid time off
Referral program
Vision insurance
Medical Specialty
Hematology
Oncology
Physical Setting
Clinic
Outpatient
Job Type: Full-time
Pay: From $26.00 per hour
Piedmont Cancer Institute is an Equal Opportunity Employer.
#J-18808-Ljbffr