Specialty Physician Coder - Cardiology/GI

MemorialCare; Colonia Juarez (CA); Hybrid; USD 46,549 - 67,502; Full time

Job summary

A leading healthcare organization is seeking a Specialty Physician Coder for a full-time position in California, primarily remote. The role involves reviewing and analyzing specialty coding and billing while ensuring accurate medical coding for various services. Qualified candidates should have significant coding experience and be familiar with ICD10, CPT, and HCPCS. The position offers a pay range of $33.79/hr to $49.00/hr, emphasizing analytical skills, problem-solving, and effective communication in a collaborative environment.

Qualifications

• 3 years experience in a hospital or physician's office as a medical coder.
• 1 year's experience as a specialty coder in relevant fields.
• Expert knowledge of ICD10, CPT, and HCPCS.

Responsibilities

• Review and analyze specialty coding for charge processing.
• Ensure accurate and compliant medical coding.
• Collaborate with the Coding Compliance Manager.

Skills

Microsoft Office proficiency

Epic software proficiency

Analytical skills

Critical thinking skills

Detail-oriented

Problem-solving skills

Communication skills

Interpersonal relationship management

Customer service

Team collaboration

Professional demeanor

Confidentiality maintenance

Time management skills

Education

High School diploma or GED

CPC, CCS or equivalent certification

Specialty coding certification

Tools

ICD10

CPT

HCPCS

Job description

Specialty Physician Coder – Cardiology

Location: Fountain Valley, CA (Predominately Remote / Must be located in California)

Department: Document Improvement

Status: Full-Time

Shift: Days (8 hr)

Pay Range: $33.79/hr - $49.00/hr

Position Summary

Under the direction of the Coding Compliance Manager, the Specialty Physician Coder reviews and analyzes specialty coding and billing for charge processing and ensures accurate, compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services. The coder will work with the Coding Compliance Manager on identified coding trends and irregularities and needed action items.

Essential Functions and Responsibilities

• Proficient in Microsoft Office suite.
• Proficient in Epic software.
• Strong analytical skills.
• Strong critical thinking skills.
• Detail oriented.
• Ability to research and resolve problems (strong problem‑solving skills).
• Strong understanding of the healthcare revenue cycle.
• Excellent communication skills, able to communicate information accurately and clearly.
• Ability to manage interpersonal relationships and effectively communicate with clinical partners and other teams.
• Provide excellent customer service and address a moderate amount of incoming email and phone calls.
• Collaborative team player adaptable to the ever‑changing healthcare environment.
• Professional demeanor at all times.
• Handle complex and confidential information with discretion.
• Maintain patient confidentiality.
• Maintain a safe and orderly work area.
• Strong work ethic, honest, dependable.
• Strong personal time management skills.
• Be on time and at work.
• Follow company policies, procedures, and directives.
• Interact in a positive and constructive manner.
• Prioritize tasks and multitask.

Placement in the pay range is based on multiple factors including relevant years of experience and qualifications. In addition to base pay, additional compensation may be available for this role, including shift differentials, extra shift incentives, and bonuses.

Minimum Requirements

Qualifications/Work Experience

• 3 years’ experience working in a hospital or physician’s office as a medical coder and interacting with physicians.
• 1 year’s experience as a specialty coder in Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology.
• Expert knowledge of ICD10, CPT, and HCPCS.
• Strong knowledge of medical terminology, anatomy and physiology.
• Epic software experience highly desired.

Proficient Microsoft skills.

Education/Licensure/Certification

• High School diploma or GED required.
• CPC, CCS, or equivalent certification required.
• Specialty coding certification highly desired.