Compliance Auditor& Billing Analyst - Oncology

McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.

What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow's health today, we want to hear from you.

Title: Compliance Auditor& Billing Analyst - Oncology

Hub Locations: Atlanta, GA; Columbus, OH; Dallas, TX (Preferred)

Onsite/Remote/Hybrid: REMOTE position

Certification: Active CPC/COC/or ROCC certification (REQUIRED)

Industry Experience: Healthcare background (REQUIRED)

Experience: 4+ years healthcare coding experience using CPT, ICD10CM, HCPCS, and E/M (REQUIRED)

Under minimal supervision, the Health Care Coding & Billing Analyst is responsible for performing datadriven coding and billing reviews, validating reimbursement accuracy, and assessing compliance with federal and state regulatory requirements. This role combines advanced analytical skills with knowledgeable application of CPT, HCPCS, ICD10CM, E/M guidelines, and payerspecific billing rules. The analyst will support Network practices through audit activities, data interpretation, coding validation, and identification of trends or areas needing improvement. The position requires close collaboration with clinical staff, coding teams, billing operations, and Compliance leadership to ensure revenue integrity and regulatory adherence. Strong communication skills are essential - the analyst must effectively communicate complex coding, billing, and data findings to providers and operational teams. This position supports and adheres to the US Oncology Compliance Program including the Code of Ethics and Business Standards.

• 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.
• conducts 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; sensechecking 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
• Crossfunctional collaboration with business, operations, or IT

Ability to work independently with urgency, high attention to detail, proficiency with Microsoft Office and analytic tools such as SQL, Visio, Project, Smartsheet, and AI tools like Copilot; strong communication and criticalthinking skills.

4+ years of healthcare coding, billing, auditing, or revenue integrity experience; 4+ years coding experience using CPT, ICD10CM, HCPCS, and E/M; active CPC/COC/or ROCC certification; 1-2+ years analytical or reporting experience.

Current CPC required; CPMA/CCSP/CRC preferred; bachelor's degree in HIM, healthcare administration, data analytics, or related field preferred; proficiency with Excel, SQL, or reporting tools.

Strong understanding of federal payor regulations, reimbursement rules, coding guidelines, medical terminology, documentation requirements, and ability to analyze datasets to identify billing/coding risks.

General office demands; flexible working hours may be required.

Must be available for up to 10% travel.

Minimum Education & Typical Experience or Equivalent Combination:

• Degree or equivalent and typically requires 4+ years of relevant experience.

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 McKesson's 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

McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson's (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:

McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.

McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.

McKesson job postings are posted on our career site: careers.mckesson.com.

McKesson is an Equal Opportunity Employer

McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson's full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.

Join us at McKesson!