Certified Coding Specialist (Remote)

Organization: Carolina Oncology Specialists
Location: Fully Remote (U.S.-based candidates only, preference for NC residents)
Department: Revenue Cycle Management
Reports To: Director of Revenue Cycle Management
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 ensure appropriate 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 accurate ICD-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-solving skills, 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.