Sr. Specialty Physician Coder - Cardiology, CTS, Peds Cardiology & IR

MemorialCare; Colonia Juarez (CA); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

High-quality health insurance plan options

Shift differentials and bonuses available

Job summary

A healthcare organization is seeking a Senior Specialty Physician Coder to review and analyze specialty coding and billing for charge processing. In this role, you will be responsible for accurately coding procedures for reimbursement while ensuring compliance with regulations. Ideal candidates will have at least 5 years of experience in medical coding, including 2 years in specialty coding. The position offers a predominantly remote work environment and a full-time schedule.

Qualifications

• 5 years’ experience working in a hospital or physician’s office as a medical coder.
• 2 years’ experience as a specialty coder in specific medical fields.
• Expert knowledge of ICD-10, CPT, and HCPCS.

Responsibilities

• Review and analyze specialty coding and billing for charge processing.
• Accurate coding for reimbursement and ensuring compliance.
• Serve as a point of contact for contract coders.

Skills

Proficient in Microsoft Office suite

Proficient in Epic software

Strong analytical skills

Detail oriented

Problem-solving skills

Strong understanding of the healthcare revenue cycle

Excellent communication skills

Ability to train and mentor staff

Education

High School diploma or GED

CPC, CCS, CPC, COC, CCC, CCVTC, CIRCC certification

Tools

Epic software

Microsoft Office

Job description

Title: Sr. Specialty Physician Coder

Location: Fountain Valley, CA / Predominantly Remote

Department: Document Improvement

Status: Full-Time

Shift: Days (8hr)

Pay Range*: $35.46/hr - $51.46/hr

Position Summary

Under the direction of the Coding Compliance Manager, the Senior Specialty Physician Coder reviews and analyzes specialty coding and billing for charge processing. The role is responsible for accurately coding office, hospital, and surgical procedures for reimbursement and ensuring compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services. The coder serves as a point of contact for contract coders, maintains contract coding operations, ensures implementation of MemorialCare policies and procedures, and collaborates with the Coding Compliance Manager on discovered coding trends, irregularities and action items.

Essential Functions and Responsibilities

• Proficient in Microsoft Office suite.
• Proficient in Epic software.
• Strong analytical skills.
• Strong critical thinking skills.
• Detail oriented.
• Ability to anticipate, research, and resolve problems; strong problem‑solving skills.
• Strong understanding of the healthcare revenue cycle.
• Excellent communication skills with the ability to communicate information accurately and clearly.
• Ability to manage interpersonal relationships and effectively communicate with clinical partners and fellow business center teams.
• Ability to build and maintain positive provider relationships.
• Provide excellent customer service and address a moderate amount of incoming email and phone calls.
• Ability to train and mentor internal and external coding staff.
• Collaborative team player with the ability to adapt to the ever‑changing healthcare environment.
• Professional demeanor at all times.
• Ability to handle complex and confidential information with discretion.
• Maintain patient confidentiality.
• Maintain a safe and orderly work area.
• Strong work ethic, honest, and dependable.
• Strong personal time management skills.
• Be at work and be on time.
• Follow company policies, procedures and directives.
• Interact in a positive and constructive manner.
• 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.

Minimum Requirements

Qualifications / Work Experience

• 5 years’ experience working in a hospital or physician’s office as a medical coder and interacting with physicians.
• 2 years’ experience as a specialty coder in Cardiothoracic Surgery, Surgical Oncology, Interventional Radiology, Oncology/Chemotherapy/Infusion.
• 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.

Education / Licensure / Certification

• High School diploma or GED required.
• CPC, CCS, CPC, COC, CCC, CCVTC, CIRCC certification required.
• Specialty coding certification is highly desired.