Specialty Physician Coder
Our client, a healthcare company, is looking for a Specialty Physician Coder for their Fountain Valley, CA location.
Responsibilities:
- Achievement of productivity standards as established by management.
- Achievement of quality standards as established by management.
- Analyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines.
- Review and natively code surgical operative and/or procedure reports.
- Follow established workflow for working claim denials in the Follow Up work queues and identify opportunities for billing and coding improvements.
- Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs.
- Work in the Follow Up and Claim Edit work queues and analyze denial trends for optimization opportunities.
- Provide ongoing and frequent communication and education to providers to maximize coding compliance and reimbursement.
- Follow Coding Compliance department branding standards when communicating with clinical partners and fellow business center teams.
- Work collaboratively with Physician Billing Services Insurance and Customer Service Representatives to solve billing and coding issues.
- Perform monthly coding change report analysis and oversight on provider coding change trends and communicate and educate providers as needed.
- Work weekly Missing Charge Reports to identify missed billable charges and maximize reimbursement.
- Organize, attend, and participate in specialty provider meetings.
- Prepare presentation materials for meetings.
- Document meeting minutes.
- Follow up on important action items and decisions from meetings and report to the Coding Compliance Manager.
- Take responsibility for various projects as assigned by management.
- Perform additional and miscellaneous duties as requested by the management team within the scope of knowledge and ability.
- Other duties as assigned.
Requirements:
- Three (3) years of experience working in a hospital or physician's office as a medical coder and interacting with physicians.
- One (1) year of experience as a specialty coder in one of the following specialties: Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, General Surgery, OR Radiation Oncology.
- 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/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 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 everchanging 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.
- Expert knowledge of ICD10, CPT, and HCPCS.
- Strong knowledge of medical terminology, anatomy, and physiology.
Why Should You Apply?
- Health benefits
- Referral program
- Excellent growth and advancement opportunities