Specialty Physician Coder
13 days ago
Fountain Valley
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., • Analyze and interpret medical information in the medical record and assign and sequence the correct ICD10CM, CPT, and/or HCPCS codes to the diagnoses/procedures of office, inpatient, and/or outpatient medical records according to established coding guidelines., • Review and natively code surgical operative and/or procedure reports., • Follow established workflow for working claim denials in the Follow Up work queues and identify opportunities for billing and coding improvements., • Participate in developing, implementing, and reviewing programs for coding compliance monitoring, benchmark comparisons, organizational policies and procedures, and physician clinical documentation improvement programs., • Work in the Follow Up and Claim Edit work queues and analyze denial trends for optimization opportunities., • Provide ongoing and frequent communication and education to providers to maximize coding compliance and reimbursement., • Follow Coding Compliance department branding standards when communicating with clinical partners and fellow business center teams., • Work collaboratively with Physician Billing Services Insurance and Customer Service Representatives to solve billing and coding issues., • Perform monthly coding change report analysis and oversight on provider coding change trends and communicate and educate providers as needed., • Work weekly Missing Charge Reports to identify missed billable charges and maximize reimbursement., • Organize, attend, and participate in specialty provider meetings., • Prepare presentation materials for meetings., • Document meeting minutes., • Follow up on important action items and decisions from meetings and report to the Coding Compliance Manager., • Take responsibility for various projects as assigned by management., • Perform additional and miscellaneous duties as requested by the management team within the scope of knowledge and ability., • Other duties as assigned. Requirements: • Three (3) years of experience working in a hospital or physician's office as a medical coder and interacting with physicians., • One (1) year of experience as a specialty coder in one of the following specialties: Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, General Surgery, OR Radiation Oncology., • Proficient in Microsoft Office suite., • Proficient in Epic software., • Strong analytical skills., • Strong critical thinking skills., • Detail oriented., • Ability to anticipate, research, and resolve problems/problem solving skills., • Strong understanding of the healthcare revenue cycle., • Excellent communication skills with the ability to communicate information accurately and clearly., • Ability to manage interpersonal relationships and effectively communicate with clinical partners and fellow business center teams., • Ability to 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 everchanging healthcare environment., • Professional demeanor at all times., • 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., • Expert knowledge of ICD10, CPT, and HCPCS., • Strong knowledge of medical terminology, anatomy, and physiology. Why Should You Apply? • Health benefits, • Referral program, • Excellent growth and advancement opportunities