Job Description

OncoHealth is a leading digital health company dedicated to helping health plans, employers, providers, patients, and life science researchers navigate the physical, mental, and financial complexities of cancer through technology enabled services and real-world data analytics. Supporting more than 8 million people in the US and Puerto Rico, OncoHealth offers digital solutions for treatment review, real-world evidence, and virtual care across all cancer types.

About the Role

The Radiation Coder/Medical Assistant is responsible for assisting the UM Clinical team with radiation code support and other administrative duties. This role will fulfill the following job duties: (1) Radiation Oncology - to support the review of billing codes and determine if they are acceptable. (2) Medical Assistant - this aspect of the role supports specific tasks such as documentation maintenance, internal system maintenance/updates, etc.

• Process cases and request/maintain clinical documentation and transmit timely determinations via the company\'s internal system specifically around billing code requirements and concerns.
• Contact provider and request medical records and/or billing code clarifications as needed.
• Review and advise of the billing request associated with the primary therapy and/or boost of the requested treatment.
• Determine the appropriate billing codes quantity once medical necessity of regimen has been determined.
• Document rationales associated with billing code approvals and denials, as needed.
• Maintenance of radiation protocols and appropriate billing codes in the company\'s internal system
• Work in collaboration with the radiation nursing and medical team
• Scope document maintenance, ICD10 codes updates, linking of policies, Zen Desk tickets etc.

About You

• Associate Degree or higher
• ROCC certification (preferred) or extensive knowledge and experience with ASTRO radiation coding guidelines and revenue cycle radiation coding strategies.
• Minimum 2-4 years of experience in a radiation billing code role or relevant educational attainment required
• Education minded and ability to teach others at any level in a practical manner. Ability to demonstrate knowledge and skills needed to obtain clinical information for assessment required. Must be able to promote cost-effective medical outcomes.

About the Location

OncoHealth is committed to remote, hybrid or in office work options. The majority of the team will be remote or in hybrid work arrangements with offices in Atlanta, GA, Plantation, FL and Guaynabo, PR. We are open to employees nationwide, but work primarily in the Eastern and Central Time Zones.

Our Culture

Taking ownership of quick action, critically thinking through the needs, and working well with others are key competencies of team member success. Our leadership is dedicated to building a culture based on respect, clinical excellence, innovation - all with a focused mission of putting patients first!

We offer a full benefit package on your first day, along with a company bonus. You may visit or work from our very modern and engaging offices, and experience a fun, collaborative environment where social activities and community events matter. We enjoy being together!

The Opportunity

The cost of cancer related medical services and prescription drugs in the United States is expected to reach $246 billion by 2030. OncoHealth has enjoyed rapid growth over the past 3 years and seeks smart, collaborative people to join its team. We have just under 250 team members, so we can move swiftly but precisely to the market needs of our customers. Strongly backed financially by Arsenal Capital Partners & McKesson Corporation, we remain in an investment and growth mode. This means we are open-minded to how we get the work done - now is the perfect time to talk to us!

Our Current Solutions

Through the use of OncoHealth\'s utilization management system, OneUM, our customers can use a single e-Prior Authorization portal for all oncology drug request and treatments. Our system improves quality of care, reduces provider abrasion and gives health plans visibility into the total cost of oncology treatment.

OncoHealth offers Oncology Insights Pro, an analytic software solution that enables health plans to use data and analytics to improve oncology programs. Using real world data, our engineers normalize data to create analytic dashboards with drill down compatibilities. The data is the paired with expert guidance providing the strategies an insight needed to keep up with the continuing evolving cancer treatment landscape.

OncoHealth offers Pharmacy Consulting services to health plans and pharmaceutical companies. New cancer treatments are entering the market at an unrelenting pace. Since 2018, the FDA approved 121 new cancer applications including 49 novel cancer drug entities. Our Board-Certified Oncology Pharmacologists can help health plans update drug policies, offer utilization management and formulary advice, and development training for staff.

OncoHealth\'s latest offering is Iris, a digital telehealth platform that delivers personalized, oncology-specific support to navigate the physical symptoms and emotional challenges caused by cancer and cancer treatment. Powered by technology, staffed 24X7, and delivered with empathy, Iris allows patients to connect with trained oncology experts and receive personalized, oncology-specific telehealth support.

OncoHealth