Oncology Claims Analyst 1
Franciscan Missionaries of Our Lady Health System
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- Location
- Baton Rouge, LA
- Posted
- Oct 21
- 1 day ago
Career path
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About the company
Franciscan Missionaries of Our Lady Health System
Hospital & health care · 10,001+ employees
What you'll do
- Coordinate coding audits and educational functions for FMOLHS and the Oncology Service Line
- Manage and work edit and denial coding work queues
- Provide coding and reimbursement feedback for education opportunities
- Prepare and present coding education to providers
- Collaborate with hospital and FMOLHS departments as a liaison
What you need
- Experience: 3 years of medical revenue cycle experienceEducation: High School Diploma
Key skills
CPT/HCPCSICD-10-CM-PCScoding auditsdrug authorizationscoding workflowscoding educationFDA guidelines
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Read the full posting here
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