Coding Denials Specialist

About OneOncology

At OneOncology, we’re reimagining cancer care by empowering community oncologists through a patient-centric, physician-driven, and technology-powered model. Our mission is to improve the lives of everyone living with cancer by supporting physicians with the resources they need to provide the best possible care.

This is an exciting time to join our growing team. We combine startup energy with the expertise of industry leaders in oncology, technology, and finance. If you’re a motivated professional who thrives on problem-solving and building better processes, we want you on our team.

About the Role

The Coding Denials Specialist plays a key role in managing and resolving coding-related claim denials, ensuring accurate reimbursement, and supporting revenue cycle efficiency. You’ll also help develop appeal templates, process refunds, and provide feedback on coding trends to strengthen overall compliance and accuracy.

Key Responsibilities

• Research and resolve outstanding coding-related denials promptly.

• Follow up on accounts receivable (AR) within required timelines.

• Independently identify and correct coding errors.

• Review patient records and clinical documents to ensure accurate assignment of CPT, ICD-10, and HCPCS codes.

• Draft and submit appeals with supporting documentation for denied claims.

• Prepare documentation for patient and insurance refunds and overpayments.

• Identify coding trends and provide feedback to improve coding practices.

• Stay up to date on payer policies, NCCI guidelines, NCDs, LCDs, and other coding regulations.

• Answer inbound calls related to AR inquiries.

• Support the team with other duties as needed to advance our mission.

Qualifications

• High school diploma or equivalent required.

• CPC or CCS certification required.

• 2+ years of healthcare administration or revenue cycle management experience.

• Strong knowledge of insurance processes and medical terminology.

• Experience with EMR/practice management systems (eClinical Works preferred) and payer portals.

• Excellent organizational skills, attention to detail, and patient service skills.

• Reliable, punctual, and able to meet deadlines.

• Commitment to OneOncology’s mission of improving patient care.

Why Join Us?

• Be part of a mission-driven organization making a difference in cancer care.

• Work alongside a collaborative, values-driven team.

• Contribute to building and improving processes in a growing organization.

• Competitive compensation and benefits.