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Astera Cancer Care

Medical Coding Specialist

Astera Cancer Care, Atlanta, Georgia, United States, 30383

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Medical Coding Specialist page is loaded## Medical Coding Specialistlocations:

Atlanta, GAtime type:

Full timeposted on:

Posted Yesterdayjob requisition id:

R-0000016801**Welcome to Piedmont Cancer Institute — where patient care is more than a mission; it's a partnership and our values lead the way.**

For more than 38 years, Piedmont Cancer Institute (PCI) has proudly served the Metro Atlanta community, delivering exceptional cancer care built on a foundation of **Compassion, Innovation, Communication, and Integrity**. Today, our team includes 17 dedicated physicians, 20 skilled Advanced Practice Providers, across 6 locations (and growing) —all united in our commitment to excellence. At PCI, we blend cutting-edge treatments with deep clinical expertise and genuine compassion to offer truly comprehensive care. Our dedication goes beyond medicine—it’s reflected in how we care for our patients, support their families, and collaborate with one another. No matter your position, a career at PCI offers more than a paycheck. It’s a place where purpose meets passion, where connection fuels collaboration, and where your work makes a lasting impact.We're looking for talented individuals who share our passion for making a difference. If you value **Compassion**, embrace **Innovation**, prioritize open **Communication**, and act with **Integrity**, you'll thrive at Piedmont Cancer Institute—where every role plays a part in advancing hope and healing in our community. Here, you'll find purpose in your work.**Job Description:**This position is responsible for risk auditing physician documentation for appropriate CPT E&M and ICD-10-CM coding compliance and reporting this information back to management. Assist with medical record review to assure appropriate compliance. Excellent verbal and written communication skills required for reporting findings to management and physician leadership.**KEY RESPONSIBILITIES AND DUTIES*** 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.Piedmont Cancer Institute is an Equal Opportunity Employer.Job Type: Full-timePay: From $26.00 per hourBenefits:* 401(k)* Dental insurance* Employee assistance program* Employee discount* Health insurance* Life insurance* Paid time off* Referral program* Vision insuranceMedical Specialty:* Hematology* OncologyPhysical Setting:* Clinic* Outpatient #J-18808-Ljbffr