Specialty Coder

Elevait Solutions; Fountain Valley (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

Elevait Solutions is seeking an experienced Specialty Coder to review and code physician charges across office visits, hospital care, and procedures. You’ll work within a coding compliance department of a large nonprofit health system in Fountain Valley, CA.

The role requires 3 years as a medical coder, 1 year in a specialty area, CPC/CCS credentials, and proficiency with Epic and ICD-10/CPT/HCPCS. Focus is on accurate coding, denial management, and collaboration with billing teams.

Qualifications

• 3 years of experience as a medical coder in a hospital or physician's office setting.
• 1 year of experience as a specialty coder in Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology.
• AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) certification.
• Proficient in Epic software.
• Expert knowledge of ICD-10, CPT, and HCPCS, and a strong understanding of the healthcare revenue cycle.

Responsibilities

• Analyze and interpret medical records to assign correct ICD-10-CM, CPT, and HCPCS codes
• Review and code surgical operative and procedure reports
• Work claim denials in follow up work queues and identify billing and coding improvement opportunities
• Support coding compliance monitoring and clinical documentation improvement programs
• Analyze denial trends in follow up and claim edit work queues for optimization opportunities
• Provide ongoing communication and education to providers on coding compliance and reimbursement
• Collaborate with billing, insurance, and customer service teams to resolve billing and coding issues
• Perform monthly coding change report analysis and communicate trends to providers
• Work weekly missing charge reports to identify missed billable charges
• Organize and participate in specialty provider meetings, including preparing materials and documenting minutes

Skills

Medical coding (ICD-10-CM, CPT, HCPCS)

Specialty coding certification

Tools

Epic

Job description

Job Title

Specialty Coder

Industry

Healthcare

Location

Fountain Valley, CA

Shift: 40 hours per week, 8 hours per day, 5 days per week. Note: this req is internally labeled Part Time despite this full time hour schedule, the same discrepancy seen on a prior MemorialCare req - worth confirming with the client.

Client Overview

You'd be working in the coding compliance department of a large nonprofit health system, reviewing and coding specialty physician charges for office visits, hospital care, and surgical procedures to support accurate billing and reimbursement.

Top 3 Skills

• Medical coding (ICD-10-CM, CPT, HCPCS)
• Specialty coding certification (Cardiology, GI, Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology)
• Electronic medical records and coding compliance software (Epic)

What You'll Do

• Analyze and interpret medical records to assign correct ICD-10-CM, CPT, and HCPCS codes
• Review and code surgical operative and procedure reports
• Work claim denials in follow up work queues and identify billing and coding improvement opportunities
• Support coding compliance monitoring and clinical documentation improvement programs
• Analyze denial trends in follow up and claim edit work queues for optimization opportunities
• Provide ongoing communication and education to providers on coding compliance and reimbursement
• Collaborate with billing, insurance, and customer service teams to resolve billing and coding issues
• Perform monthly coding change report analysis and communicate trends to providers
• Work weekly missing charge reports to identify missed billable charges
• Organize and participate in specialty provider meetings, including preparing materials and documenting minutes

What We Need From You

• 3 years of experience as a medical coder in a hospital or physician's office setting
• 1 year of experience as a specialty coder in Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology
• AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) certification
• Proficient in Epic software
• Expert knowledge of ICD-10, CPT, and HCPCS, and a strong understanding of the healthcare revenue cycle

Preferred / Bonus

• Specialty coding certification in a relevant area, such as Certified Cardiology Coder (CCC), Certified Gastroenterology Coder (CGIC), or Certified General Surgery Coder (CGSC)

About Elevait

Elevait Solutions was founded by veterans who believe that how you treat people is the only thing that actually matters in this industry. We're a team that stays in your corner before, during, and after placement. We show up for the communities we work in, we tell you the truth, and we work hard to make sure every placement is a good fit for both sides. If that sounds like the kind of team you want behind you, we'd like to talk.

Elevait is a certified Service Disabled Veteran Owned Small Business, has over 100,000 LinkedIn followers, and was named a top company for hiring veterans by U.S. Veterans Magazine. We'd encourage you to check us out directly on our website and LinkedIn rather than just taking a recruiter's word for it.