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

MemorialCare • Fountain Valley, CA

1d • Remote

About The Position

Under the direction of the Coding Compliance Manager, the Senior 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 both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. In addition, the Senior Specialty Physician Coder will serve as a point of contact for contract coders, maintain the continuity of contract coding operations, and ensure the implementation of MemorialCare policies and procedures. The Senior Specialty Physician Coder will also work with the Coding Compliance Manager on discovered coding trends and irregularities and needed action items.

Requirements

• 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 one of the following specialties: Cardiothoracic Surgery, Surgical Oncology, Interventional Radiology, Oncology/Chemotherapy/Infusion
• Expert knowledge of ICD10, CPT, and HCPCS
• Strong knowledge of medical terminology, anatomy and physiology
• Proficient Microsoft skills
• High School diploma or GED required
• CPC, CCS, CPC, COC, CCC, CCVTC, CIRCC certification required
• Strong analytical skills
• Strong critical thinking skills
• Detail oriented
• The 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
• The ability to manage interpersonal relationships and effectively communicate with clinical partners and fellow business center teams
• The ability to build and maintain positive provider relationships
• Collaborative team player with the ability to adapt to the ever-changing healthcare environment
• Professional demeanor at all times
• The ability to handle complex and confidential information with discretion
• Strong work ethic, honest, and dependable
• Strong personal time management skills

Nice To Haves

• Epic software experience is highly desired
• Specialty coding certification is highly desired

Responsibilities

• Reviewing and analyzing specialty coding and billing for charge processing
• Reviewing and accurately coding office, hospital, and surgical procedures for reimbursement
• Ensuring accurate and compliant medical coding for both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients
• Serving as a point of contact for contract coders
• Maintaining the continuity of contract coding operations
• Ensuring the implementation of MemorialCare policies and procedures
• Working with the Coding Compliance Manager on discovered coding trends and irregularities and needed action items
• Proficient in Microsoft Office suite
• Proficient in Epic software
• Provide excellent customer service and address a moderate amount of incoming email and phone calls
• Train and mentor internal and external coding staff
• Maintain patient confidentiality
• Maintain a safe and orderly work area
• Be at work and be on time
• Follow company policies, procedures and directives
• Interact in a positive and constructive manner
• Prioritize and multitask

Benefits

• High quality health insurance plan options
• Additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: High school or GED
• Number of Employees: 11-50 employees