McKesson · 1 day ago
Compliance Auditor& Billing Analyst - Oncology
United States
Full-time
Remote
Mid Level
4+ years expMcKesson is a healthcare company seeking a Compliance Auditor & Billing Analyst specializing in Oncology. This remote position involves conducting coding and billing reviews, ensuring compliance with regulatory requirements, and collaborating with clinical and operational teams to maintain revenue integrity.
BiopharmaBiotechnologyHealth CareInformation TechnologyPharmaceutical
No H1B
Responsibilities
Conduct coding and billing reviews, audits, and quality assurance procedures in accordance with compliance department standard operating procedures
Comprehend and adhere to department procedures related to billing and coding audits and reviews
Prepare reports of findings and recommendations for improvement for internal review and distribution to business leaders and compliance leadership
Collaborate with the education group to ensure that audit findings are accurate and accessible for training purposes
Maintain up-to-date knowledge of E&M, CPT, HCPCS and ICD-10-CM coding and coding guidelines
Perform reviews, audits, and quality assurance of final audit product using medical records to assess the documentation against base code sets impacting payment, ensuring compliance with Medicare, Medicaid, and other federal payor guidelines
Validate E&M, CPT, HCPCS and ICD-10-CM codes assigned for Medicare, Medicaid, and other government payors based on provider selection
Document results and necessary corrections clearly, providing supporting evidence from medical records and authoritative guidance
Conduct auditing quality checks (QC) reviews to ensure billing and coding audits are performed in alignment with departmental procedures and Federal Payer guidelines, and that resulting reports are accurate and consistent with authoritative guidelines and department standards
Occasionally delivers targeted education to providers based on audit findings, including one-on-one sessions and collaborative calls, to support compliance with documentation and coding standards
Perform other job duties as assigned
Meet or exceed production, quality, and department goals as established for the department
Data analysis, reporting, and interpretation
Supporting audits, quality reviews, or process monitoring (as applicable)
Identifying trends, variances, or operational issues
Ability to compare datasets to specifications, identify gaps, ensure data integrity (e.g., DV Analyst responsibilities)
Use of analytical tools and multiple data sources; sense-checking and validating insights before delivery
Understanding data governance, data quality, and documentation standards
Following structured processes for analysis, validation, and implementation
Workstream ownership—organizing tasks, updating leadership, and driving deliverables forward
Cross‑functional collaboration with business, operations, or IT
Qualification
Required
Active CPC/COC/or ROCC certification
Healthcare background
4+ years healthcare coding experience using CPT, ICD‑10‑CM, HCPCS, and E/M
4+ years of healthcare coding, billing, auditing, or revenue integrity experience
1–2+ years analytical or reporting experience
Strong understanding of federal payor regulations, reimbursement rules, coding guidelines, medical terminology, documentation requirements, and ability to analyze datasets to identify billing/coding risks
Must be authorized to work in the US. Sponsorship is not available for this position
Preferred
CPMA/CCS‑P/CRC certification
Bachelor's degree in HIM, healthcare administration, data analytics, or related field
Proficiency with Excel, SQL, or reporting tools
Company
McKesson
McKesson distributes medical supplies, information technology, and care management products and services.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
unknown1994-11-18IPO
Leadership Team
Brian Tyler
CEO
Jim McAuliffe
CFO
Recent News
2026-01-23
2026-01-12
Company data provided by crunchbase