Senior Specialty Physician Coder - Interventional

Description

Contract to hire role and candidate needs to Local to CA State.

Purpose Statement / Position Summary

• Under the direction of the Coding Compliance Manager, the Senior 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 both inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients.
• In addition, the Senior Specialty Physician Coder will serve as a point of contact for contract coders, maintain the continuity of contract coding operations, and ensure the implementation of client policies and procedures.
• The Senior Specialty Physician Coder will also work with the Coding Compliance Manager on discovered coding trends and irregularities and needed action items.

Skills:    

Essential Functions and Responsibilities of the Job

• 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.
• The ability to build and maintain positive provider relationships.

Experience

• 5 years’ experience working in a hospital or physician’s office as a medical coder and interacting with physicians.
• 2 years’ experience as a specialty coder in one of the following specialties: Cardiothoracic Surgery, Interventional Radiology, Oncology Chemotherapy Infusion.
• Expert knowledge of ICD10, CPT, and HCPCS.
• Strong knowledge of medical terminology, anatomy and physiology.
• Epic software experience is highly desired.
• Proficient Microsoft skills.
• Must be very experienced in Epic charge submission.

Education:         

• High School diploma or GED required.
• CPC, CCS, or equivalent certification required.
• Specialty coding certification is highly desired.
• CIRCC specialty certification HIGHLY DESIRED