Jobs

Description

Senior Specialty Physician Coder (Remote – California Residents Only)

Position Overview

We are seeking an experienced Senior Specialty Physician Coder to support physician billing operations and ensure accurate, compliant coding for professional fee services. This role will focus on reviewing medical records, coding office and hospital encounters, surgical procedures, and ensuring all billable services are appropriately captured and submitted for reimbursement.

The ideal candidate will have strong experience with specialty physician coding, Epic charge review/submission, and Evaluation & Management (E/M) coding across both inpatient and outpatient settings.

Key Responsibilities

• Review and accurately code physician services using ICD-10-CM, CPT, and HCPCS coding guidelines.
• Code office visits, hospital services, surgical procedures, and other professional fee encounters.
• Perform detailed chart reviews to identify and capture all billable services.
• Review, enter, and validate charges within Epic.
• Ensure coding accuracy, compliance, and optimal reimbursement.
• Analyze coding trends, documentation gaps, and reimbursement issues.
• Assist with coding-related denials and resolution activities.
• Collaborate with providers, clinical staff, and revenue cycle teams to improve coding quality and documentation.
• Participate in coding education and compliance initiatives.
• Support operational continuity and collaborate with internal and contract coding teams.

Required Qualifications

• Minimum 5 years of medical coding experience in a physician practice, healthcare system, or hospital setting.
• Strong Professional Fee (ProFee) coding experience.
• Strong inpatient and outpatient Evaluation & Management (E/M) coding experience.
• Experience coding one or more of the following specialties:
  • Surgical Breast Oncology
  • Breast Reconstructive Surgery
  • Hematology/Oncology
• Advanced knowledge of ICD-10-CM, CPT, and HCPCS coding.
• Strong understanding of medical terminology, anatomy, physiology, and healthcare revenue cycle processes.
• Hands-on Epic experience, including:
  • Charge Entry
  • Charge Review
  • Charge Submission
• Excellent analytical, problem-solving, and communication skills.

Required Certifications

• * CPC, CCS, or equivalent coding certification.

Preferred Qualifications

• Gynecologic Oncology (GYN Oncology) coding experience.
• Experience working coding-related denials.
• Gastroenterology coding experience (CGIC certification preferred).
• OBGYN coding experience (COBGC certification preferred).
• CIRCC certification.
• Experience providing coding education or mentoring other coders.

Location & Work Arrangement

• 100% Remote
• Candidates must currently reside in California.

What We're Looking For

We are looking for a detail-oriented coding professional who can work independently, accurately review complex medical records, ensure compliance with coding regulations, and contribute to maximizing reimbursement through high-quality physician coding practices.