Specialty Physician Coder - Hospital Coding Expert

MemorialCare Health System; Colonia Juarez (CA); On-site; USD 75,000 - 110,000; Full time

Job summary

MemorialCare Health System seeks a Specialty Physician Coder to review and analyze specialty coding for charge processing, ensuring accurate coding for inpatient and outpatient services. You will work with the Coding Compliance Manager on trends and improvements, supporting compliant reimbursement.

The role requires 3 years in a hospital/physician setting, specialty coding in one or more areas, and CPC/CCS or equivalent certification. Epic software and MS Office experience are preferred.

Qualifications

• 3 years’ experience in a hospital or physician’s office as a medical coder.
• 1-year experience as a specialty coder in Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, or Radiation Oncology.
• Expert knowledge of ICD-10, CPT, and HCPCS.
• Strong knowledge of medical terminology, anatomy and physiology.
• CPC, CCS, or equivalent certification required.
• Specialty coding certification is highly desired.
• Epic software experience is highly desired.

Responsibilities

• Review and analyze specialty coding and billing for charge processing.
• Code office, hospital, and surgical procedures for reimbursement.
• Ensure accurate and compliant medical coding for inpatient and outpatient services.
• Identify coding trends and irregularities; propose needed action items.
• Provide ongoing communication/education to providers to maximize coding compliance and reimbursement.
• Analyze monthly coding change reports and report provider trends.

Skills

ICD-10-CM knowledge

CPT/HCPCS coding

Medical terminology

Epic software experience

Microsoft Office

High School diploma or GED

Education

CPC or CCS certification

High School diploma or GED

Tools

Epic software

Microsoft Office

Job description

MemorialCare Health System seeks a Specialty Physician Coder to review and analyze specialty coding for charge processing, ensuring accurate coding for inpatient and outpatient services. You will work with the Coding Compliance Manager on trends and improvements, supporting compliant reimbursement.

The role requires 3 years in a hospital/physician setting, specialty coding in one or more areas, and CPC/CCS or equivalent certification. Epic software and MS Office experience are preferred.