Specialty Physician Coder, OBGYN

MemorialCare • Fountain Valley, CA

6d • Remote

About The Position

The Specialty Physician Coder reviews and analyzes specialty coding and billing for charge processing under the direction of the Coding Compliance Manager. The role reviews and accurately codes office, hospital, and surgical/procedural services for reimbursement, ensuring accurate and compliant coding for inpatient and outpatient services, diagnostic tests, and other services provided to patients. The coder also collaborates with the Coding Compliance Manager on identified coding trends, irregularities, and necessary action items.

This is a full-time, predominately remote position based in California, with an 8-hour day shift. The role is based in Fountain Valley, California. MemorialCare is a nonprofit integrated health system serving Orange and Los Angeles Counties.

Requirements

• At least 3 years of experience working as a medical coder in a hospital or physician’s office and interacting with physicians.
• At least 1 year of specialty coding experience in Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology.
• Expert knowledge of ICD-10, CPT, and HCPCS.
• Strong knowledge of medical terminology, anatomy, and physiology.
• High school diploma or GED.
• CPC, CCS, or equivalent certification.
• Proficiency with Microsoft Office.
• Strong analytical, critical-thinking, problem-solving, time-management, communication, and interpersonal skills.
• Ability to prioritize and multitask, adapt to a changing healthcare environment, and work collaboratively.
• Professional demeanor, strong work ethic, honesty, dependability, and attention to detail.

Nice To Haves

• Epic software experience.
• Specialty coding certification.

Responsibilities

• Review and analyze specialty coding and billing for charge processing.
• Accurately code office, hospital, and surgical/procedural services for reimbursement.
• Ensure accurate and compliant medical coding for inpatient and outpatient services, diagnostic tests, and other medical services.
• Work with the Coding Compliance Manager on coding trends, irregularities, and action items.
• Respond to a moderate volume of incoming email and phone calls and provide excellent customer service.
• Communicate clearly and accurately with clinical partners and business center teams.
• Handle complex and confidential information with discretion and maintain patient confidentiality.
• Follow company policies, procedures, and directives; maintain a safe and orderly work area; and be punctual and dependable.

Benefits

• Health insurance plan options for employees and their dependents.
• Potential additional compensation, including shift differentials, extra-shift incentives, and bonus opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED