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. 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."

• 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.

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities