Infusion Coder- REMOTE
Category: Health Care
Location:
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
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Assign accurate CPT, HCPCS, ICD-10-CM, and modifiers for chemotherapy, immunotherapy, hydration, and therapeutic infusion services
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Code chemotherapy drug administration services, including:
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Initial, subsequent, and concurrent infusions
- IV push vs. infusion services
- Hydration services
- Sequential and combination therapy
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Apply correct chemotherapy hierarchy rules and time-based coding requirements
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Code and validate oncology drugs, including wastage and JW/JZ modifiers when applicable
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Review provider documentation for completeness and query when clarification is needed
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Ensure compliance with CMS, NCCI, AMA, and payer-specific guidelines
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Identify and resolve coding edits, denials, and underpayment trends related to infusion services
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Collaborate with billing, auditing, and clinical teams to support clean claim submission
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Maintain productivity and accuracy standards in a high-volume environment
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Stay current on annual CPT/HCPCS updates and oncology coding changes
Requirements
Required Qualifications
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CPC, CCS, or COC certification (required)
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Minimum 3-4 years of infusion or oncology coding experience
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Strong knowledge of:
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Chemotherapy and therapeutic infusion coding
- Drug administration hierarchy
- Time-based infusion coding
- HCPCS J-codes and drug units
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Experience coding for hospital outpatient, infusion centers, or oncology practices
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Familiarity with Epic, Cerner, Athena, or other EHR systems
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Excellent attention to detail and strong analytical skills
Preferred Qualifications
- Oncology-specific coding experience
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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
Details
Originally posted on Himalayas