Specialty Physician Coder, OBGYN

MemorialCare; California; A distancia; USD 47.000 - 68.000; Jornada completa

Descripción de la vacante

MemorialCare is seeking a Specialty Physician Coder for OBGYN to review and code office, hospital, and surgical procedures across inpatient and outpatient settings in a predominantly remote role requiring CA residency. You will collaborate with the Coding Compliance Manager to identify trends and ensure compliant reimbursement.

The position emphasizes accuracy, strong communication with clinical partners, confidentiality, and adherence to policies, while supporting MemorialCare’s commitment to

Formación

• 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 one of: 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.

Responsabilidades

• 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 with the Coding Compliance Manager.
• Communicate findings and collaborate with clinical partners and teams.
• Maintain patient confidentiality and handle sensitive information.

Conocimientos

Analytical skills

Critical thinking

Detail oriented

Communication skills

Interpersonal skills

Problem solving

Time management

Teamwork

Professional demeanor

Discretion

Confidentiality

Punctuality

Policy adherence

Educación

High school diploma

CPC certification

CCS certification

Specialty coding certification

Herramientas

Epic software

Microsoft Office

Descripción del empleo

Title: Specialty Physician Coder, OBGYN

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

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.

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...

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.