Role Description Your future role at a glance: - Location: Austin, TX | Remote - Facility: Seton Family of Hospitals - Department/Specialty: Revenue Cycle Management - Schedule: Full time | Monday - Friday, 8:00 am - 5:00 pm - Salary: $24.87 - $33.64 per hour How you’ll make an impact in this role: - Advanced Medical Coding: Expertly assign ICD-10, CPT, and HCPCS codes for complex cases, ensuring accurate DRG/APC assignments and optimal reimbursement. - Quality & Integrity: Consistently exceed productivity and accuracy standards while maintaining strict compliance with AHIMA ethical guidelines. - Clinical Liaison: Partner with physicians to clarify documentation, resolving ambiguities to ensure clinical data integrity and seamless claim processing. - Auditing & Training: Lead chart audits and provide education to staff and providers on evolving coding guidelines and documentation requirements. Qualifications - Licensure / Certification / Registration: One or more of the following required: - Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. - Certified Outpatient Coding (COC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. - Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. - Medical Certified Professional Coder (CPC) credentialed from the Practice Management Institute (PMI) obtained prior to hire date or job transfer date. - Coder obtained prior to hire date or job transfer date. - Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. - Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. - Education: High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable. Requirements - OBGYN experience preferred - 3 years of coding experience preferred Benefits - Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options - Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance - Time to recharge: pro-rated paid time off (PTO) and holidays - Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning - Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources - Family support: parental leave, adoption assistance and family benefits - Other benefits: optional legal and pet insurance, transportation savings and more

Role Description Advanced outpatient coding position that reviews medical record documentation and accurately assigns ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association (AHIMA) Coding Ethics, as well as the American Hospital Association (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. Follows Mercy Policies and Procedures and maintains required quality and productivity standards. - Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types (Ancillary, ED Charge/Code, Same Day Surgery, and Observation). - The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. - When applicable, apply the appropriate charges such as the Evaluation & Management (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using third party software systems such as LYNX. - Correctly abstract required data per facility specifications. - Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines. - Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and premise as a team, ensure timely, compliant processing of outpatient claims in the billing system. - Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards. - Remain abreast of current requirements of the Centers for Medicare & Medicaid Services (CMS), to include National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. - Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding (CAC), Medical Necessity software, abstracting system, code books, and all reference materials. - Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy. - Follows all established Mercy Health policies and procedures to include abiding by paid time off (PTO) requirements. - Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth. - Training/Mentoring - SMART Responsibilities where applicable. Qualifications - Vocational/Technical Degree, Specialty/Major: HIM / Coding Certification - Preferred Education: 2 year/Associate's Degree, Specialty/Major: HIM / Coding Certification Requirements - Required: If RHIA or RHIT or CCA upon hire without COC or CCS, will be required to acquire COC or CCS and CRCR within 1 year of hire - Preferred: RHIA or RHIT or CCS or COC or CCA or CPC - Minimum Years and Type of Experience: Completion of Coding Curriculum with one year of previous coding experience. - Other Knowledge, Skills and Abilities Required: Satisfactory completion of Medical Terminology and Anatomy and Physiology. Completion of ICD-10 training. Previous use of Coding Software Tools. - Knowledge of medical record content to include electronic medical records (EMRs). - Ability to function independently, with minimal supervision, as well as part of a team. - Ability to function under continual deadlines. - Ability to maintain accuracy during frequent interruptions. - Proficiency in keyboarding skills and working knowledge of computers. - Excellent communication skills. - Other Knowledge, Skills and Abilities Preferred: Previous coding experience in an acute care setting and previous use of coding software tools. Previous use of CAC. Benefits - Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) - Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts - Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders - Tuition assistance, professional development and continuing education support - Benefits may vary based on the market and employment status.

Role Description Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, CPT IV codes, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes 3M 360 in accordance with established workflow. Follows Ensemble policies and procedures and maintains required quality and productivity standards. Essential Job Functions - Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes. - Responsible for verification of the patient's discharge disposition and ensuring appropriate present on admission (POA) indicators are assigned to each code. - Assigned codes must support the reason for the visit documented by the provider. - Correctly abstracts required data per facility specifications. - Assists with writing appeals for Diagnosis Related Group (DRG) denials. - Monitors and works on accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis. - Collaborates with Clinical Documentation Specialists (CDEs) and medical staff to ensure completeness of documentation. - Ensures accuracy and maintains established quality, productivity standards, and key performance indicators for 3M 360 CAC for CRS and Direct Code. - Remains abreast of current Centers for Medicare and Medicaid Services (CMS) requirements, Correct Coding Initiative (CCI) edits, Hospital Acquired Conditions (HAC's), National Coverage Determinations (NCDs), and Local Coverage Determinations (LCDs). - Maintains competency and accuracy while utilizing tools such as the 3M encoder, Computer Assisted Coding (CAC), Clinical Documentation Improvement System (CDIS), and abstracting systems. - Reports inaccuracies found in software applications to HIM Coding Manager/Supervisor. - Reports any potential unethical and/or fraudulent activity per compliance policy. Required Licensure - RHIA - RHIT - CCS - CIC - CCA Benefits - Competitive pay, incentives, referral bonuses, and 403(b) with employer contributions (when eligible). - Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources, and discounts. - Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders. - Tuition assistance, professional development, and continuing education support. - Benefits may vary based on the market and employment status.

Role Description The Medical Billing Specialist is responsible for all aspects of charge capture including accurate entry of charges, timely charge posting and charge audits. The individual will need to have expertise in medical coding and insurance billing as well as a strong understanding of insurance reimbursement processes and regulations. The successful candidate will work closely with RCM leadership, patients, physicians, and insurance companies to ensure that accurate and timely billing is completed. Responsibilities - Review, audit and manipulate charges from interfaced files to ensure timely and accurate charge capture for billing. - Audit/manually enter Pathology/Molecular, Psychology, Genetic Counseling and other charges into practice management system and communicate outstanding charges and/or questions with clinical staff. - Run and audit various reports to ensure all required billing information has been received and is accurately captured in practice management system. - Create daily charge file from lab application software to ensure proper charge capture. - Reconcile scheduled appointments to ensure charge capture and communicate outstanding billing issues with clinical staff and/or providers when applicable. - Communicate openly with Clinical staff and RCM teams in a collaborative manner to ensure timely and accurate charge posting. - Review medical records as needed to ensure coding accuracy which includes diagnosis, procedures, and modifiers. - Work assigned Unity tasks daily to resolve items identified by ACE claim edits, rejections, denials, collectors or other RCM teams. - Identify and work tickets to resolution in various statuses within the Practice Management system daily. - Ability to review, interpret and apply knowledge of billing guidelines and medical policies. - Train with team members or other employees to enhance personal knowledge and abilities, when assigned by management. - Ability to work autonomously and have a team-oriented, collaborative mindset to ensure charges are captured timely and accurately. - Maintains a complete understanding of HCPCS/ICD/CPT Oncology coding and specific carrier requirements/knowledge. - Follows policy and procedures outlined by management to ensure standardization of processes. - Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer. Essential Competencies - Attendance is an essential job function to maintain productivity and meet goals. - Possess detailed knowledge of billing, HCPCS, CPT and ICD codes. - Ability to work effectively with all levels of management and other colleagues, demonstrating initiative, mature judgment and customer service orientation. - Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations. - Exceptional multi-tasking, organizational skills and superb attention to detail. - Strong analytical skills and ability to meet assigned deadlines. - Strong knowledge of Windows-based applications (Word, Outlook, Excel, etc). - Must possess high degree of professionalism and adaptability. Qualifications - High School diploma or equivalent required. - Previous experience in Charge Entry, Billing or Coding required, preferably in an Oncology Healthcare setting. - Expertise in insurance policies and regulations related to medical billing, including Medicare, Medicaid and commercial plans. Company Description OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision. Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.