Specialty Physician Coder: ICD-10/CPT Expert

MemorialCare Health System; Colonia Juarez (CA); On-site; USD 85,000 - 110,000; Full time

Job summary

MemorialCare Health System is seeking a Specialty Physician Coder to review and code office, hospital, and surgical procedures for accurate reimbursement. You will ensure compliant coding across inpatient and outpatient services, and collaborate with the Coding Compliance Manager on trends and improvements.

Responsibilities include education of providers, analysis of denial trends, and contributing to ongoing coding initiatives.

Qualifications

• 3 years’ experience in 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.
• Epic software experience is highly desired.
• Proficient Microsoft skills.
• High School diploma or GED required.
• CPC, CCS, or equivalent certification required.
• Specialty coding certification is highly desired.

Responsibilities

• Review and code office, hospital, and surgical procedures for reimbursement.
• Ensure accurate and compliant medical coding for inpatient and outpatient services.
• Identify coding trends and irregularities and needed action items with the Coding Compliance Manager.
• Provide ongoing communication/education to providers to maximize coding compliance and reimbursement.
• Analyze denial trends and opportunities for coding improvements.
• Work on missing charge reports to maximize reimbursement.
• Prepare presentation materials for specialty provider meetings and document minutes.
• Take responsibility for various projects and other duties as assigned.

Education

High School diploma or GED

CPC, CCS or equivalent certification

Tools

Epic software

Microsoft Office

Job description

MemorialCare Health System is seeking a Specialty Physician Coder to review and code office, hospital, and surgical procedures for accurate reimbursement. You will ensure compliant coding across inpatient and outpatient services, and collaborate with the Coding Compliance Manager on trends and improvements.

Responsibilities include education of providers, analysis of denial trends, and contributing to ongoing coding initiatives.