Specialty Medical Coder (ICD-10/CPT) — Hospital-based

MemorialCare

Fountain Valley (CA)

On-site

USD 70,000 - 100,000

Full time

2 days ago

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Job summary

MemorialCare is a nonprofit integrated health system focused on delivering accessible, high-quality care across multiple hospitals and clinics. The Specialty Physician Coder will review and code office, hospital, and surgical procedures for reimbursement, working with the Coding Compliance Manager to identify coding trends and ensure compliance.

The role requires 3 years of hospital/physician coding experience and CPC/CCS or equivalent certification; Epic EMR experience is highly desired.

Qualifications

3 years' experience as a medical coder in a hospital or physician's office.
1 year' experience as a specialty coder in Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, or Radiation Oncology.
Expert knowledge of ICD-10-CM, CPT, and HCPCS.
Epic software experience is highly desired.
Proficient Microsoft skills.

Responsibilities

Review and accurately code office, hospital, and surgical procedures for reimbursement.
Analyze and interpret medical information to assign correctly ICD-10-CM, CPT, and HCPCS codes.
Follow up on denials and identify opportunities for billing/coding improvements.
Provide ongoing communication/education to providers to maximize coding compliance and reimbursement.
Prepare presentation materials for specialty provider meetings and document meeting minutes.
Take on projects as assigned and perform additional duties as needed.