Location: California (Remote – must reside in CA)
Type: Contract with intent to convert full-time
 

Duties

• Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a key role  in reviewing and analyzing specialty coding and billing for charge processing.
• This role will be  responsible for reviewing and accurately coding office, hospital, and surgical/procedures for  reimbursement and ensuring accurate and compliant medical coding for inpatient and outpatient  services, diagnostic tests, and other medical services rendered to patients.
• The Specialty Physician  Coder will also work with the Coding Compliance Manager on discovered coding trends and  irregularities and needed action items. 

Role Requirements

• Surgical breast oncology (including plastic reconstructive breast surgery), Hematology/Oncology
• Must be able to abstract the chart review to capture all billable charges
• EPIC experience: charge entry and charge review experience required
• CHONC coding certification is highly desired
• Strong Evaluation and Management (E/M) inpatient and outpatient coding experience
• Must reside in CA
• Profee ONLY – NOT HCC/risk adjustment, ASC, or facility coding
• Desire to convert to full-time employment

Bonus/nice to have

• Bonus: GYNONC coding experience
• Bonus: Experience working on denials
• Bonus: GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more) 

Essential Functions and Responsibilities of the Job

• 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.  

Experience

• 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.

Education:     

• High School diploma or GED required.