The Radiation Billing Specialist is responsible for a variety of office and clerical tasks relating to insurance billing, claims processing, insurance follow-up, insurance appeals, and patient payment arrangements. Perform complex reviews and advanced clinical abstraction of Radiation Oncology services, including simulation, dose distribution treatment planning, and treatment delivery modality and complexity Assign CPT, HCPCS, and ICD-10 codes across radiation therapy modalities including 3D CRT, IMRT, Proton Therapy, Brachytherapy, and SRS (Gamma Knife) Validate treatment parameters, including monitor units, gantry angles, and control points, to ensure coding accuracy Reconcile physician prescriptions with delivered treatments to ensure alignment of technical and professional charges Review and validate KV imaging, CBCT imaging, and supporting documentation for compliant billing Complete end-of-course chart audits to ensure full charge capture and documentation completeness Resolve charge review, claim edit, and denial work queues within Epic Analyze denial trends related to CCI edits, MUE limitations, medical necessity requirements, and bundling issues Implement corrective actions to reduce denials and improve reimbursement outcomes Prepare appeal documentation and collaborate with payer teams to support claim resolution Identify systemic revenue cycle issues and recommend workflow or documentation improvements Ensure billing practices align with annual industry updates, including ASTRO billing standards Educate clinical teams regarding documentation requirements needed to support all submitted charges Maintain current knowledge of regulatory updates, including ASTRO and CMS rule changes Communicate effectively with physicians and clinical staff to provide education and feedback regarding coding and documentation issues Ensure compliance with CMS, NCCI, MUE, and payer-specific billing guidelines Identify compliance risks and escalate issues appropriately Bachelor's Degree Business Administration, Hospital Administration or related field preferred or equivalent years of experience in Radiation Billing. 3 years billing, coding, or cost accounting experience to include two years in a medical service environment, insurance or related field. Strongly proficiency in medical billing software, electronic health records (EHR), payer guidelines, and detailed data analysis. Together, we serve our communities with professionalism, empathy, and purpose — making a real difference every day. At Central Care Cancer Center, every team member plays a part in supporting patients and families throughout some of life's most important moments. With approximately 125 employees across five locations in Kansas and Missouri, Central Care provides high-quality, community-based cancer care while maintaining a close-knit, team-oriented culture. We value teamwork, stability, and respect, and we strive to create a workplace where employees feel supported and proud of the work they do. Mission Central Care Cancer Center is committed to delivering individualized, precise, and cutting-edge cancer treatment to patients and communities close to home. Company Benefits Central Care offers a comprehensive benefits package to eligible employees, which includes: Medical, Dental, and Vision Insurance Flexible Spending Account (FSA) Employer paid Life and AD&D Insurance Voluntary Life Short Term and Long Term Disability Accident and Critical Illness Employee Assistance Plan Travel Assistance 401(k) with company match Paid Vacation Paid Holidays Educational Assistance Uniform Reimbursement Equal Employment Opportunity Central Care Cancer Center is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Pre-Employment Screening Following an offer of employment, candidates are required to complete background checks and other job-related screening prior to starting employment.