09 Aug
|
Experis
|
Hyderabad
Job Title: Charge Auditor Radiation Oncology
Employment Type: Full-Time
Location: Hyderabad
Shift: EST/CST/PST (US Shift)
Notice Period: Immediate Joiners Preferred
Experience: 4+ Years
Job Summary
We are looking for a Charge Auditor with a minimum of 3 years of experience in Radiation Oncology (RadOnc) coding and charge auditing. The candidate will be responsible for radiation charge entry, authorization management, financial assessment updates, and ensuring coding accuracy and compliance. The role requires strong expertise in Radiation Oncology coding guidelines, workflows, documentation review, and quality standards.
Key Responsibilities
- Perform radiation charge entry in Mosaiq, Transact, and Centricity.
- Complete daily radiation charge schedules and reconcile charges.
- Report charge discrepancies to the Manager, CFO, Site, or EMR team as appropriate.
- Monitor and complete unexported reports on a weekly basis.
- Prepare and process daily radiation add-on schedules.
- Resolve charge entry denials and make necessary corrections.
- Review radiation schedules to identify services requiring prior authorization.
- Obtain, document, and maintain radiation treatment authorizations.
- Respond to authorization-related requests from site teams, Physics, and Dosimetry.
- Record authorization approvals and relevant notes in Mosaiq.
- Communicate with insurance companies regarding authorization requirements.
- Respond to insurance requests for additional information.
- Load authorization codes and approval numbers into Reg Overlay.
- Verify medical guidelines and diagnosis compatibility.
- Coordinate Peer-to-Peer reviews when required.
- Scan and upload authorization documents into G4.
- Request and follow up on required documentation from site teams.
- Maintain confidentiality of patient and financial information.
- Verify provider credentialing prior to billing.
- Maintain process manuals and required documentation.
- Follow organizational policies and procedures for charge reporting.
- Support special projects and additional responsibilities as assigned.
Mandatory Skills
- Minimum 3 years of hands-on experience in Radiation Oncology (RadOnc) Coding.
- Strong expertise in Radiation Oncology coding guidelines, compliance requirements, workflows, and industry best practices.
- Practical experience in Radiation Oncology coding, not general medical coding alone.
- Experience in documentation review, coding accuracy, charge auditing, and quality standards.
- Experience in authorization management and charge entry.
- Working knowledge of Mosaiq, Transact, Centricity, and EMR systems.
- Knowledge of insurance authorization processes and medical necessity verification.
- Proficiency in Microsoft Word, Excel, Outlook, and database applications.
- Solid communication, analytical, and organizational skills.
- Ability to maintain strict confidentiality of patient information.
Education
- Graduate in any discipline.
Preferred Experience
- Experience in Radiation Oncology or Oncology healthcare settings.
- Exposure to charge auditing, authorization follow-up, and insurance coordination.
📌 Charge Auditor Radiation Oncology (Hyderabad)
🏢 Experis
📍 Hyderabad