Medical Coder 26-00018
Alura Workforce Solutions
Fountain Valley, CA
Specialty Physician Coder
Position Type: Temporary
Schedule: M-F, 8:00 am - 4:30 pm; Onsite
Assignment Length: Approximately 3-Months, possibly longer.
DESCRIPTION
Under the direction of the Coding Compliance Manager, the Specialty Physician Coder plays a critical role in reviewing and analyzing specialty physician coding and billing to support accurate charge capture and compliant reimbursement. This position is responsible for coding office, inpatient, outpatient, and surgical/procedural services with a focus on surgical breast oncology (including plastic reconstructive breast surgery) and Hematology/Oncology. The coder will identify coding trends, irregularities, and opportunities for improvement while collaborating closely with providers and revenue cycle partners.
Essential Duties & Responsibilities
Review and abstract medical records to capture all billable professional charges
Assign accurate ICD-10-CM, CPT, and HCPCS codes for inpatient, outpatient, office, and surgical services
Perform native coding of operative and procedure reports
Code and review Evaluation & Management (E/M) services for inpatient and outpatient encounters
Enter and review charges in Epic (charge entry and charge review required)
Ensure compliance with coding guidelines, payer requirements, and organizational policies
Identify, analyze, and communicate coding trends, irregularities, and compliance risks
Work Follow-Up and Claim Edit work queues, including denial review and trend analysis
Run and analyze Missing Charge Reports to ensure complete and accurate charge capture
Provide ongoing coding education and feedback to providers to maximize compliance and reimbursement
Collaborate with Physician Billing Services, Insurance, and Customer Service teams to resolve coding and billing issues
Organize, attend, and participate in specialty provider meetings; prepare materials, document minutes, and follow up on action items
Support coding compliance initiatives, benchmarking, and documentation improvement efforts
Manage assigned projects and perform additional duties as requested by management
Experience:
Minimum of 3 years of medical coding experience in a hospital or physician office
At least 1 year of specialty coding experience in Medical Hematology/Oncology, OBGYN, General Surgery, Radiation Oncology, or related specialty
Technical Knowledge:
Expert knowledge of ICD-10-CM, CPT, and HCPCS
Strong understanding of medical terminology, anatomy, and physiology
Strong understanding of the healthcare revenue cycle
Systems:
Epic EHR experience required (charge entry and review)
Proficiency in Microsoft Office Suite
Licensure/Certification:
- CPC Certification Required
- CHONC certification highly desired
INDH