Referral/Billing/Reimbursement Coordinator - Oncology
Company: University of Virginia
Posted on: June 6, 2021
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
Position Compensation Range: $17.31 - $26.83 Hourly
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.
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
Keywords: University of Virginia, Charlottesville , Referral/Billing/Reimbursement Coordinator - Oncology, Other , Charlottesville, Virginia
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