Medical Coder II

The Certified Coder II is crucial to the Revenue Cycle at Oregon Oncology Specialists and supports our patients’ ability to pay for care. This mid-level coder position independently codes multiple provider charges over broader service lines and more complex work. They actively and independently resolve issues that impact claim quality and reimbursement.

• SCOPE:
  Independently demonstrates consistent and accurate application of coding principles, knowledge, quality assurance, and risk mitigation to multiple provider charges, over broad range of service lines; able to navigate complex specialty nuances.
• INDEPENDENCE:
  Works independently with spot- quality assurance reviews, and quarterly audits.
• PROBLEM SOLVING:
  Easily and independently resolves coding/documentation issues, documents rationale, and drives process improvements that reduce repeat errors.
• IMPACT OWNERSHIP:
  Produces accurate, compliant codes for multiple providers and service lines. Actively safeguards first-pass claim success by validating documentation support and medical necessity, applying modifiers/edits correctly, and proactively preventing avoidable denials, rework, and compliance risk.

• Codes complex and high-risk clinic charges independently by validating documentation support/medical necessity, selecting appropriate ICD-10/CPT/HCPCS, and applying advanced modifier/edit logic to protect first-pass claim quality.
• Improves documentation quality by educating and consulting providers/clinical staff, translating coding requirements into clear, non-leading documentation guidance that reduces queries and rework.
• Monitors and operationalizes change (payer policies, coverage updates, code set changes, treatment/procedure shifts) by communicating impacts, updating internal guidance, and aligning coding/billing workflows accordingly.
• Resolves discrepancies and denials end-to-end by determining root cause (coding vs documentation vs payer edit), coordinating corrections with billing/AR, documenting rationale, and preventing repeat issues.
• Supports audits and compliance readiness by assembling support, explaining coding rationale, identifying risk trends, and partnering with QA/leadership on corrective action.
• Owns specialty-specific maintenance and accuracy (e.g., NDC updates and validation, applicable NCCN alignment where relevant) and actively troubleshoots claim rejections with AR/billing to ensure clean processing.
• Leads cross-functional workflow improvements by identifying breakdown points between departments, proposing fixes, and producing actionable reports/insights for the Revenue Cycle team.
• Regular, predictable, and reliable attendance is required to perform the essential duties of this position and to meet operational deadlines, maintain team coverage, and complete time-sensitive work that depends on in-person coordination and access to on-site systems/resources. Employees must report to work as scheduled, be punctual, and remain at work for assigned hours. For roles requiring coordination with patients, providers, and/or teams, consistent availability during scheduled hours is necessary to maintain safe and effective operations, continuity of work, and timely completion of job responsibilities.
  
  Employees must follow established call-out and scheduling procedures and provide timely notice of unscheduled absences when feasible. OSG will comply with applicable federal and Oregon laws regarding protected leave and reasonable accommodations.
• When remote work is approved, the employee must be reliably accessible via agreed communication channels and able to perform duties effectively during the scheduled workday.
• Performs other related duties as assigned by management, for which appropriate training…