Infusion Coder- REMOTE

 Posted 5 months ago
     
⭐ 2-5 years experience
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AI Summary

The Infusion Chemotherapy Coder is responsible for accurate coding of chemotherapy and therapeutic infusion services. This includes assigning codes for various infusion services and ensuring compliance with relevant guidelines.

This is a remote position.

Position Summary

The Infusion Chemotherapy Coder is responsible for accurate and compliant coding of chemotherapy and therapeutic infusion services in outpatient, hospital-based, and physician office settings. This role requires strong knowledge of oncology infusion coding guidelines, CPT/HCPCS codes, drug administration hierarchies, and payer-specific rules to ensure optimal reimbursement and regulatory compliance.

Key Responsibilities

  • Assign accurate CPT, HCPCS, ICD-10-CM, and modifiers for chemotherapy, immunotherapy, hydration, and therapeutic infusion services

  • Code chemotherapy drug administration services, including:

    • Initial, subsequent, and concurrent infusions

    • IV push vs. infusion services

    • Hydration services

    • Sequential and combination therapy

  • Apply correct chemotherapy hierarchy rules and time-based coding requirements

  • Code and validate oncology drugs, including wastage and JW/JZ modifiers when applicable

  • Review provider documentation for completeness and query when clarification is needed

  • Ensure compliance with CMS, NCCI, AMA, and payer-specific guidelines

  • Identify and resolve coding edits, denials, and underpayment trends related to infusion services

  • Collaborate with billing, auditing, and clinical teams to support clean claim submission

  • Maintain productivity and accuracy standards in a high-volume environment

  • Stay current on annual CPT/HCPCS updates and oncology coding changes



Requirements

Required Qualifications

  • CPC, CCS, or COC certification (required)

  • Minimum 3-4 years of infusion or oncology coding experience

  • Strong knowledge of:

    • Chemotherapy and therapeutic infusion coding

    • Drug administration hierarchy

    • Time-based infusion coding

    • HCPCS J-codes and drug units

  • Experience coding for hospital outpatient, infusion centers, or oncology practices

  • Familiarity with Epic, Cerner, Athena, or other EHR systems

  • Excellent attention to detail and strong analytical skills

Preferred Qualifications

  • Oncology-specific coding experience

  • Experience with audits, charge review, or denial management



Benefits

Excellent culture and amazing perks!
  • Medical/dental/vision effective Day 1!
  • 401k with employer match
  • Generous PTO and Holiday time


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