Compliance Educator – Medical and Surgical Oncology

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Title: Compliance Educator Medical and Surgical Oncology

Hub Locations: Alpharetta GA; Columbus OH; Dallas TX

Remote/Onsite/Hybrid: Remote position

Position Summary

The Compliance Educator Medical and Surgical Oncology is primarily responsible for delivering targeted compliance coding and billing education and executing coding and billing audits across the US Oncology Network with a specific focus on medical oncology and surgical oncology services. This role applies advanced knowledge of oncology reimbursement federal and state payer requirements and documentation standards across professional and facility settings to assess compliance risk validate billing accuracy and drive sustainable improvement through education.

The position balances education delivery and audit execution (approximately 70% education / 30% audit) and partners closely with medical and surgical oncology providers coding professionals billing operations and Compliance leadership. The role supports and operates in alignment with the US Oncology Compliance Program the McKesson Code of Ethics and Business Standards.

Key Responsibilities

• Deliver targeted audit-driven education to providers clinical staff and billing teams through one-on-one sessions group education and collaborative calls.
• Conduct comprehensive coding and billing audits in accordance with Compliance & Ethics standard operating procedures and federal payer guidance.
• Prepare reports of findings and recommendations as well as education summaries for improvement for internal review and distribution to business leaders.
• Translate complex coding and billing requirements into clear practical guidance for operational and clinical audiences.
• Develop and maintain coding tools job aids and reference materials to support compliant documentation and billing practices.
• Respond to billing and coding inquiries submitted through the Ask the Expert (Salesforce) platform within established service-level expectations.
• Review medical record documentation to assess compliance with E/M CPT HCPCS and ICD-10-CM coding requirements and reimbursement rules.
• Validate provider-selected codes for Medicare Medicaid and other government and commercial payers.
• Clearly document audit results required corrections and supporting evidence citing medical record documentation and regulatory or payer authority.
• Prepare audit reports executive summaries and trend analyses for Compliance leadership and business stakeholders.

Monitoring & Program Support

• Maintain current knowledge of federal and state regulations CMS guidance payer policies and oncology-specific billing requirements.
• Monitor regulatory changes and emerging risk areas and provide timely education and guidance to the Network.
• Support Compliance leadership with data insights and recommendations related to audit outcomes education effectiveness and risk mitigation.
• Perform additional duties as assigned in support of Compliance & Ethics program objectives.

Minimum Qualifications

• Experience:
  • 7 years of cumulative healthcare coding and billing education and audit experience.
  • 4 years of oncology direct coding experience using CPT HCPCS ICD-10-CM and E/M guidelines.
• Certifications (Required):
  • Active CPC COC or ROCC certification.
• Certifications (Preferred):
  • CPMA CCS-P or CRC.
• Bachelors degree in HIM healthcare administration or related field preferred

Critical Skills & Competencies

• Strong understanding of federal payer regulations reimbursement methodologies and oncology documentation standards.
• Proficiency with Microsoft Office tools (Excel PowerPoint) Smartsheet and emerging AI tools (e.g. Copilot)
• Proven ability to communicate complex regulatory and coding concepts clearly and effectively to diverse audiences.
• Ability to manage multiple priorities meet deadlines and work effectively in a matrixed environment.

Minimum Experience

• Degree or equivalent and typically requires 7 years of relevant experience.

Work Environment & Other Requirements

• General office environment: flexible working hours may be required to support business needs.
• Ability to work independently with minimal supervision while maintaining strong collaboration with cross-functional partners.

• Up to 10% of travel may be required.

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

We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors including performance experience and skills equity regular job market evaluations and geographical markets. The pay range shown below is aligned with McKessons pay philosophy and pay will always be compliant with any applicable regulations. In addition to base pay other compensation such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson pleaseclick here.

Our Base Pay Range for this position

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