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Referral/Billing/Reimbursement Coordinator - Oncology

Company: University of Virginia
Location: Charlottesville
Posted on: June 6, 2021

Job Description:

Provide billing and compliance support within the Division of Radiation Oncology to include; compliance and charge capture, referral/medical necessity, denial management/data collection and follow up, and project management. This position provides business support to clinic and administrative personnel within the Division of Radiation Oncology.

  • Assures that all referrals are managed effectively and efficiently for Radiation Therapy Services. Provides high-level customer service to both referring physicians as well as referred patients. Verifies medical necessity for all radiation treatments based on patient's diagnosis and medical insurance. This job requires the application and interpretation of policies and procedures and the use of independent judgment in a medical setting. The individual must possess the ability to maintain a working knowledge of carrier contracts/changes and departmental policies and procedures.
  • Review patient documentation to abstract clinical data information and assess appropriate level and assign the appropriate codes for radiation treatment and procedures prior to exporting to claim. Evaluation and Management - Consults.
  • Review documentation for Radiation Plans
  • Be actively involved in the development, implementation and management of an XRT-specific compliance program Brachytherapy and other Procedures and possess a strong clinical and technical understanding of Radiation Oncology.
  • Export all Radiation Oncology charges
  • Perform compliance QA on all Radiation Dosimetry Plan charges to ensure accurate billing.
  • In addition to the above job responsibilities, other duties may be assigned.

Position Compensation Range: $17.31 - $26.83 Hourly

MINIMUM REQUIREMENTS

Education: High School Diploma

Experience: 2 years relevant experience

License/Certification: Relevant coding certification, such as Radiation Oncology Certified Coder (ROCC), from an accredited organization strongly preferred.

PHYSICAL DEMANDS

This is primarily a sedentary job involving extensive use of desktop computers. The job does occasionally require walking some distance to attend meetings, and programs.

The University of Virginia, including the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician's Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.

Keywords: University of Virginia, Charlottesville , Referral/Billing/Reimbursement Coordinator - Oncology, Other , Charlottesville, Virginia

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