Specialty Physician Coder - ICD-10/CPT Expert

MemorialCare; Fountain Valley (CA); On-site; USD 65,000 - 90,000; Full time

Job summary

MemorialCare is a nonprofit health system serving Orange and Los Angeles Counties, consisting of four hospitals and extensive care networks. The Specialty Physician Coder role focuses on accurate office, hospital, and surgical coding for reimbursement, while supporting compliant documentation and coding processes.

Under the Coding Compliance Manager, you will review ICD-10-CM, CPT, and HCPCS coding, analyze denial trends, and communicate findings to providers.

Qualifications

• 3 years' experience in hospital or physician office medical coding.
• Specialty coder in one of listed specialties preferred.
• Expert knowledge of ICD-10-CM, CPT, and HCPCS.
• Strong knowledge of medical terminology, anatomy, and physiology.
• Certification CPC/CCS or equivalent required; specialty coding certification desired.

Responsibilities

• Review and analyze specialty coding and billing for charge processing.
• Code office, hospital, and surgical procedures for reimbursement.
• Identify trends in denials and opportunities for coding improvements.
• Educate physicians and staff to maximize coding compliance and reimbursement.
• Collaborate with Billing Service and other teams to resolve coding issues.
• Perform monthly coding change report analysis and report findings.

Skills

Medical coding

ICD-10-CM

CPT coding

HCPCS

Epic

Education

CPC certification

CCS certification

Tools

Epic software

Job description

MemorialCare is a nonprofit health system serving Orange and Los Angeles Counties, consisting of four hospitals and extensive care networks. The Specialty Physician Coder role focuses on accurate office, hospital, and surgical coding for reimbursement, while supporting compliant documentation and coding processes.

Under the Coding Compliance Manager, you will review ICD-10-CM, CPT, and HCPCS coding, analyze denial trends, and communicate findings to providers.