Infusion Coder- REMOTE

Position Summary

The Infusion Chemotherapy Coder is responsible for accurate and compliant coding of chemotherapy and therapeutic infusion services in outpatient, hospital-based, and physician office settings. This role requires strong knowledge of oncology infusion coding guidelines, CPT/HCPCS codes, drug administration hierarchies, and payer-specific rules to ensure optimal reimbursement and regulatory compliance.

Key Responsibilities

• Assign accurate CPT, HCPCS, ICD-10-CM, and modifiers for chemotherapy, immunotherapy, hydration, and therapeutic infusion services

• Code chemotherapy drug administration services, including:

  • Initial, subsequent, and concurrent infusions

  • IV push vs. infusion services

  • Hydration services

  • Sequential and combination therapy

• Apply correct chemotherapy hierarchy rules and time-based coding requirements

• Code and validate oncology drugs, including wastage and JW/JZ modifiers when applicable

• Review provider documentation for completeness and query when clarification is needed

• Ensure compliance with CMS, NCCI, AMA, and payer-specific guidelines

• Identify and resolve coding edits, denials, and underpayment trends related to infusion services

• Collaborate with billing, auditing, and clinical teams to support clean claim submission

• Maintain productivity and accuracy standards in a high-volume environment

• Stay current on annual CPT/HCPCS updates and oncology coding changes

Requirements

Required Qualifications

• CPC, CCS, or COC certification (required)

• Minimum 3-4 years of infusion or oncology coding experience

• Strong knowledge of:

  • Chemotherapy and therapeutic infusion coding

  • Drug administration hierarchy

  • Time-based infusion coding

  • HCPCS J-codes and drug units

• Experience coding for hospital outpatient, infusion centers, or oncology practices

• Familiarity with Epic, Cerner, Athena, or other EHR systems

• Excellent attention to detail and strong analytical skills

Preferred Qualifications

• Oncology-specific coding experience

• Experience with audits, charge review, or denial management

Benefits

• Medical/dental/vision effective Day 1!
  
• 401k with employer match
  
• Generous PTO and Holiday time