Specialty Physician Coder Our client, a healthcare company, is looking for a Specialty Physician Coder for their remote, CA location.
Responsibilities: Achievement of productivity standards as established by management.
Achievement of quality standards as established by management. In adherence with standard work, analyze and interpret medical information in the medical record and assign and sequence the correct ICD-10-CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient and/or outpatient medical records according to established coding guidelines, including the ability to review and natively code surgical operative and/or procedure reports.
In adherence with standard work, follow established workflow for working claim denials in the
Follow-Up work queues and identify opportunities for billing/coding improvements.
Participate in developing, implementing, and reviewing programs for coding compliance monitoring, criteria for benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
Optimization opportunities include but are not limited to, working in the Follow-Up and Claim Edit work queues and analyzing denial trends.
In adherence with standard work, provide ongoing and frequent communication/education to
MCMF providers to maximize coding compliance and reimbursement.
Follow Coding Compliance department branding standards when communicating with clinical partners and fellow business center teams and work collaboratively with Physician Billing Services Insurance and Customer
Service Representatives to solve billing and coding issues.
Perform monthly coding change report analysis/oversight on provider coding change trends and communicate/educate the providers, as needed.
In adherence with standard work, work weekly Missing Charge Reports to identify missed billable charges to maximize reimbursement.
In adherence with standard work, organize, attend, and participate in specialty provider meetings.
Prepare presentation materials for meetings, document meeting minutes, follow up on important action items/decisions from meetings, and report to the Coding Compliance Manager.
In adherence with standard work, take responsibility for various projects as assigned by management, and perform any additional/miscellaneous duties (not inclusive of job description) as requested by the management team within the scope of knowledge/ability.
Other duties as assigned.
Requirements: Proficient in Microsoft Office suite.
Proficient in Epic software.
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.
Provide excellent customer service and address a moderate amount of incoming email and phone calls.
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.
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.
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.
High School diploma or GED required.
Why Should You Apply? Health Benefits
Referral Program
Excellent growth and advancement opportunities