POSITION Specialty Physician Coder
Position Type: Temporary
Schedule: M-F, 8:00 am - 4:30 pm
Assignment Length: Approximately 3-Months, possibly longer.
DESCRIPTION Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a critical role in reviewing and analyzing specialty physician coding and billing to support accurate charge capture and compliant reimbursement. This position is responsible for coding office, inpatient, outpatient, and surgical/procedural services with a focus on surgical breast oncology (including plastic reconstructive breast surgery) and Hematology/Oncology. The coder will identify coding trends, irregularities, and opportunities for improvement while collaborating closely with providers and revenue cycle partners.
Essential Duties & Responsibilities - Review and abstract medical records to capture all billable professional charges
- Assign accurate ICD-10-CM, CPT, and HCPCS codes for inpatient, outpatient, office, and surgical services
- Perform native coding of operative and procedure reports
- Code and review Evaluation & Management (E/M) services for inpatient and outpatient encounters
- Enter and review charges in Epic (charge entry and charge review required)
- Ensure compliance with coding guidelines, payer requirements, and organizational policies
- Identify, analyze, and communicate coding trends, irregularities, and compliance risks
- Work Follow-Up and Claim Edit work queues, including denial review and trend analysis
- Run and analyze Missing Charge Reports to ensure complete and accurate charge capture
- Provide ongoing coding education and feedback to providers to maximize compliance and reimbursement
- Collaborate with Physician Billing Services, Insurance, and Customer Service teams to resolve coding and billing issues
- Organize, attend, and participate in specialty provider meetings; prepare materials, document minutes, and follow up on action items
- Support coding compliance initiatives, benchmarking, and documentation improvement efforts
- Manage assigned projects and perform additional duties as requested by management
REQUIREMENTS - Experience:
- Minimum of 3 years of medical coding experience in a hospital or physician office
- At least 1 year of specialty coding experience in Medical Hematology/Oncology, OBGYN, General Surgery, Radiation Oncology, or related specialty
- Technical Knowledge:
- Expert knowledge of ICD-10-CM, CPT, and HCPCS
- Strong understanding of medical terminology, anatomy, and physiology
- Strong understanding of the healthcare revenue cycle
- Systems:
- Epic EHR experience required (charge entry and review)
- Proficiency in Microsoft Office Suite
- Licensure/Certification:
- CHONC certification highly desired
INDH