, Texas

McKesson requires new employees to be fully vaccinated for COVID-19 as defined by the CDC, subject to applicable, verified accommodation requests.

McKesson Corporation is a global leader in healthcare supply chain management solutions, retail pharmacy, community oncology and specialty care, and healthcare information solutions. McKesson partners with pharmaceutical manufacturers, providers, pharmacies, governments and other organizations in healthcare to help provide the right medicines, medical products and healthcare services to the right patients at the right time, safely and cost-effectively. United by our ICARE shared principles, our employees work every day to innovate and deliver opportunities that make our customers and partners more successful - all for the better health of patients. McKesson has been named a "Most Admired Company" in the healthcare wholesaler category by FORTUNE, a "Best Place to Work" by the Human Rights Campaign Foundation, and a top military-friendly company by Military Friendly. For more information, visit www.mckesson.com.

We take pride in our culture of connection and believe in a workplace where everyone can be their full, authentic self. We welcome and encourage veterans, individuals with disabilities and others with diverse perspectives to join our growing team. Your unique perspective and experience are valuable assets that can translate into a rewarding career path with us. Apply to join our team and help shape the future of healthcare!

Position Summary

We are seeking a Compliance Medical Oncology Auditor to perform internal coding and billing audits and reviews. The audits and reviews provide a layer of protection and compliance of outpatient records to assure appropriateness and accuracy of code assignments in accordance with the Center of Medicare and Medicaid (CMS), Medicare Administrative Contractor (MAC) and various State Regulated guidelines. The ideal candidate will develop resolutions to complex problems that require the frequent use of creativity, uses judgment within broadly defined policies and practices, and anticipates change and directs or redirects efforts.

Key Responsibilities

  • Performs coding and billing reviews and audits to ensure that billing and coding audits and reviews are conducted in accordance with department standard operating procedures and reports are accurate and consistent with department standards.
  • Ability to understand and follow department standard operating procedures relating to billing and coding audits and reviews.
  • Maintains turnaround time expectations to minimize impact to audit or review results
  • Able to conceptualize results of billing and coding audits and reviews to identify patterns, trends and variations in coding, documentation practices, operational workflows and billing practices.
  • Prepare reports of findings and recommendations for improvement for internal review and appropriate distribution to business leaders and Compliance leadership.
  • Collaborates with the education group to ensure findings in reviews and audits are accurate and accessible for education to the network.
  • Maintains an up-to-date working knowledge of E&M, CPT, ICD-10 CM Coding Clinics
  • Identify, apply, and validate the use of current industry standard clinical indicators, risk factors and treatment protocols used in clinical validation of payment impacting code assignment
  • Abstracting and performing reviews and audits using medical records to assess the documentation present/absent as it compares to the base code set impacting payment, or a requested change in coding
  • Review scope includes validation of the E&M, CPT and ICD-10 CM assigned for Medicare, Medicaid, and other government payors based on provider selection.
  • Documenting the finding and the corrections to be made in a clear and compelling manner along with accurately and concisely providing the supporting evidence from the medical record and/or references, the knowledge and application of effective reconciliation and rebuttal strategies
  • Maintain a professional standard when providing feedback to managers and other members of leadership.
  • Must have experience and knowledge of Medical Oncology and Hematology coding and documentation.

Additional Skills
  • Ensures strict confidentiality of patient information
  • Accountable for meeting or exceeding both production and quality expectations
  • Meets or exceeds short-term and long-term goals as established for the department
  • Participates in staff meetings and attends other meetings and seminars as required
  • Experience working in a dynamic environment where plans will be adjusted based on environmental and business drivers
  • Ability to work independently and proactively with a sense of urgency and tact
  • Extremely detail-oriented with the ability to identify and track requirements to work plans
  • Knowledgeable of Microsoft Word, Excel, and PowerPoint
Minimum Requirements

Requires 3+ years of relevant experience.

Licenses/Certifications

The ideal candidate will have 3+yrs of auditing experience and at least 2yrs of coding experience Must possess an active CCS-P or CPC. Demonstrated knowledge of Medical Terminology and Anatomy & Physiology combined with expertise in third-party payer reimbursement, coding, and documentation requirements are essential to success. Knowledge of Medicare and Medicaid regulations is required.

Other Requirements

General office demands

Work may require flexible hours, including evenings

Must be authorized to work in the United States. Sponsorship is not available for this position.

May be asked to complete a coding assessment

McKesson is an Equal Opportunity/Affirmative Action employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status. Qualified applicants will not be disqualified from consideration for employment based upon criminal history.

McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to McKessonTalentAcquisition@mckesson.com. Resumes or CVs submitted to this email box will not be accepted.

Continue to grow your career with McKesson!

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McKesson is an Equal Opportunity/Affirmative Action employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.Qualified applicants will not be disqualified from consideration for employment based upon criminal history.

McKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to Disability_Accommodation@McKesson.com. Resumes or CVs submitted to this email box will not be accepted.

Current employees must apply through the internal career site.

Join us at McKesson!

, Texas

Who We Are

We’re a pioneer in supply, health and IT solutions. Join us, and spark a chain reaction of events that add up to something huge: helping millions of people get more from their healthcare.

Every single McKesson employee contributes to our mission—whatever your title, whatever your role, you act as a catalyst in a chain of events that helps millions of people all over the globe. By connecting and improving the business of healthcare, we’re helping to ensure that millions of patients get the treatment they need. And by choosing a career with McKesson, you’re part of a team of passionate people working together to improve lives and advance healthcare.

Our Employees – Our Future

McKesson believes that superior performance – individual and team - that helps us drive innovations and solutions that promote better health for all should be recognized and rewarded. We believe our competitive compensation program helps to attract, retain and motivate a high-performance workforce, gives employees the opportunity to share in ownership of the company, and remains flexible enough to meet the different needs of our diverse employee population.

Find out more about our comprehensive benefits offerings that provide employees with the resources and tools they need to thrive both in their jobs and their everyday lives:

  • Health and wellness
  • Retirement benefits
  • Continued learning
  • Diversity and Inclusion

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