Certified Coder
About this role
Carolina Oncology Specialists has been providing compassionate, patient-centered care since 1983, delivering high-quality oncology and hematology services tailored to each individual's needs. Patients benefit from the convenience of receiving chemotherapy treatments in our clinics, along with expert diagnosis, treatment, and management of a wide range of blood disorders.
Why Join Us?
We are seeking talented, compassionate, and highly motivated individuals who are passionate about making a difference. At Carolina Oncology Specialists, you'll have the opportunity to support the meaningful work of community oncology while helping provide exceptional care and hope to the patients and families we serve. Join a team dedicated to clinical excellence, collaboration, and improving lives every day.
Job Description:
Certified Coding Specialist (Remote)
Organization: Carolina Oncology Specialists
Location: Fully Remote (U.S.-based candidates only, preference for NC residents)
Department: Billing
Reports To: Billing Manager
FLSA Status: Non-Exempt
Position Summary
This position is responsible for auditing physician documentation for appropriate coding compliance and reporting this information back to management. Assist with medical record review to ensureappropriate compliance. Excellent verbal and written communication skills required for reporting findings to management and physician leadership.
Essential Functions:
Keeps informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of oncology and effectively applies this knowledge
Review and analyze patient medical records, provider documentation, and treatment regimens
Assign accurateICD-10-CM, CPT, and HCPCS Level II codes for oncology-related services (including chemotherapy, infusions, and supportive care)
Ensure compliance with CMS, OIG, and payer-specific guidelines
Routinely performs E&M and CPT coding audits and other projects related to physician coding compliance in fulfillment of the practice’s compliance program.
Identify documentation deficiencies and collaborate with providers for clarification
Assists practice leadership to analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues
Support denial resolution and appeals through coding review and correction
Participate in internal coding audits and quality assurance initiatives
Maintain productivity and accuracy standards as defined by leadership
Stay current on coding updates, payer policies, and industry best practices
Assists in developing and executing department educational plans related to coding matters, working in conjunction with the Charge Entry/Coding Manager
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 with a can-do spirit and team attitude.
Assist with EMR implementation as requested by management.
May assist with audit and entry of charges into EMR system.
Maintain compliance with HIPAA and patient confidentiality standards.
Minimum Qualifications
Education & Certification
High school diploma or equivalent required
One of the following certifications required:
CPC (Certified Professional Coder)
CCS (Certified Coding Specialist)
RHIT or RHIA (with coding focus)
Experience
Minimum 1-2 years of professional medical coding experience
Oncology, hematology, infusion, or specialty practice experience required
Experience with EHR/EMR systems and encoder software required
Required Skills
Strong knowledge of ICD-10, CPT, and HCPCS coding systems
Familiarity with Medicare, Medicaid, and commercial payer rules
Excellent attention to detail and accuracy
Knowledge of anatomy and medical terminology.
Ability to work independently in a remote environment
Effective communication skills at all levels within organization and excellent customer service skills.
Effective time management and ability to meet deadlines
Creative thinking skills, hands-on problem-solvingskills, and ability to analyze and respond to data.
Physical Requirements
Must be willing and able to lift to 25 pounds
Must be willing and able to travel to onsite clinics when necessary
Work Environment & Requirements
Fully remote position requiring a secure home office setup
Reliable high-speed internet required
Ability to work standard business hours in Eastern Time Zone
Prolonged periods of sitting and computer use
Occasional virtual meetings and provider collaboration
Compliance & Legal Statements
Equal Employment Opportunity (EEO)
Carolina Oncology Specialists is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination or harassment based on race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, genetic information, veteran status, or any other protected status under applicable law.
Americans with Disabilities Act (ADA)
Carolina Oncology Specialists is committed to providing reasonable accommodations for qualified individuals with disabilities. If you require accommodation during the application or employment process, please notify Human Resources.
Background Check & Eligibility
Employment is contingent upon successful completion of a background check and verification of credentials, as permitted by law. Candidates must be authorized to work in the United States without sponsorship.
HIPAA & Confidentiality
This position requires strict adherence to HIPAA regulations and the protection of patient health information (PHI).
At-Will Employment Disclaimer
Employment with Carolina Oncology Specialists is at-will, meaning either the employee or employer may terminate the employment relationship at any time, with or without cause or notice, in accordance with applicable laws.
Job Description Disclaimer
This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications. Duties may be adjusted based on organizational needs.
Originally posted on Himalayas
