Job Title
Specialty Coder
Industry
Healthcare
Location
Fountain Valley, CA
Shift: 40 hours per week, 8 hours per day, 5 days per week. Note: this req is internally labeled Part Time despite this full time hour schedule, the same discrepancy seen on a prior MemorialCare req - worth confirming with the client.
Client Overview
You'd be working in the coding compliance department of a large nonprofit health system, reviewing and coding specialty physician charges for office visits, hospital care, and surgical procedures to support accurate billing and reimbursement.
Top 3 Skills
Medical coding (ICD-10-CM, CPT, HCPCS)
Specialty coding certification (Cardiology, GI, Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology)
Electronic medical records and coding compliance software (Epic)
What You'll Do
Analyze and interpret medical records to assign correct ICD-10-CM, CPT, and HCPCS codes
Review and code surgical operative and procedure reports
Work claim denials in follow up work queues and identify billing and coding improvement opportunities
Support coding compliance monitoring and clinical documentation improvement programs
Analyze denial trends in follow up and claim edit work queues for optimization opportunities
Provide ongoing communication and education to providers on coding compliance and reimbursement
Collaborate with billing, insurance, and customer service teams to resolve billing and coding issues
Perform monthly coding change report analysis and communicate trends to providers
Work weekly missing charge reports to identify missed billable charges
Organize and participate in specialty provider meetings, including preparing materials and documenting minutes
What We Need From You
3 years of experience as a medical coder in a hospital or physician's office setting
1 year of experience as a specialty coder in Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology
AAPC Certified Professional Coder (CPC) or AHIMA Certified Coding Specialist (CCS) certification
Proficient in Epic software
Expert knowledge of ICD-10, CPT, and HCPCS, and a strong understanding of the healthcare revenue cycle
Preferred / Bonus
Specialty coding certification in a relevant area, such as Certified Cardiology Coder (CCC), Certified Gastroenterology Coder (CGIC), or Certified General Surgery Coder (CGSC)
About Elevait
Elevait Solutions was founded by veterans who believe that how you treat people is the only thing that actually matters in this industry. We're a team that stays in your corner before, during, and after placement. We show up for the communities we work in, we tell you the truth, and we work hard to make sure every placement is a good fit for both sides. If that sounds like the kind of team you want behind you, we'd like to talk.
Elevait is a certified Service Disabled Veteran Owned Small Business, has over 100,000 LinkedIn followers, and was named a top company for hiring veterans by U.S. Veterans Magazine. We'd encourage you to check us out directly on our website and LinkedIn rather than just taking a recruiter's word for it.
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