Specialty Medical Coder — ICD-10/CPT Expert (Epic)

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

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.