Specialty Physician Coder - General Surgery, Breast Oncology & Reconstruction, OBGYN

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

Benefits offered by this job

Health insurance

Shift differentials

Bonus opportunities

Job summary

MemorialCare is seeking a Specialty Physician Coder for General Surgery with a focus on Surgical Breast Oncology and General Hematology/Oncology. This full-time position allows for predominately remote work within California. Responsibilities include reviewing specialty coding and billing, ensuring accurate coding for services, and collaborating with clinical partners. Candidates should have at least 3 years of experience as a medical coder and expertise in ICD10, CPT, and HCPCS. A CPC or CCS certification is required, with additional benefits offered.

Qualifications

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

Responsibilities

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

Skills

Microsoft Office suite proficiency

Epic software proficiency

Analytical skills

Critical thinking skills

Detail oriented

Problem-solving skills

Understanding of healthcare revenue cycle

Excellent communication skills

Education

High School diploma or GED

CPC, CCS, or equivalent certification

Tools

Epic software

Microsoft Office

Job description

Title: Specialty Physician Coder - General Surgery (Surgical Breast Oncology and General Hematology/Oncology)

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

Department: Document Improvement

Status: Full-Time

Shift: Days (8hr)

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

Position Summary

Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role in reviewing and analyzing specialty coding and billing for charge processing. This role will be responsible for reviewing and accurately coding office, hospital, and surgical/procedures for reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. The Specialty Physician Coder will also work with the Coding Compliance Manager on discovered coding trends and irregularities and needed action items.

Essential Functions and Responsibilities of the Job

1. Proficient in Microsoft Office suite.
2. Proficient in Epic software.
3. Strong analytical skills.
4. Strong critical thinking skills.
5. Detail oriented.
6. The ability to anticipate, research, and resolve problems/strong problem-solving skills.
7. Strong understanding of the healthcare revenue cycle.
8. Excellent communication skills with the ability to communicate information accurately and clearly.
9. The ability to manage interpersonal relationships and effectively communicate with clinical partners and fellow business center teams.
10. Provide excellent customer service and address a moderate amount of incoming email and phone calls.
11. Collaborative team player with the ability to adapt to the ever-changing healthcare environment.
12. Professional demeanor at all times.
13. The ability to handle complex and confidential information with discretion.
14. Maintain patient confidentiality.
15. Maintain a safe and orderly work area.
16. Strong work ethic, honest, and dependable.
17. Strong personal time management skills.
18. Be at work and be on time.
19. Follow company policies, procedures, and directives.
20. Interact in a positive and constructive manner.
21. Prioritize and multitask.

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more… Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

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 years’ experience as a specialty coder in one of the following specialties: 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 is highly desired.
• Proficient Microsoft skills.

Education/Licensure/Certification:

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