Senior Specialty Physician Coder

Job Title: Senior Specialty Physician Coder

Job Duration: 3 months contract (possible extension)

Location: 100% Remote

Pay Range: $45 to $48/hr on W2

Schedule: Regular Business Hours

Important Details:

• 100% remote, must be based in CA.
• Must have Profee experience - outpatient only.
• Must have IR expertise experience, not just exposure.
• CIRCC specialty certification REQUIRED.
• CPC, CCS, or equivalent certification required.

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.

Essential Functions and Responsibilities of the Job:

• Proficient in Epic software and Microsoft Office suite.
• Strong understanding of the healthcare revenue cycle.
• The ability to build and maintain positive provider relationships.
• Provide excellent customer service and address a moderate amount of incoming email and phone calls.
• The ability to train and mentor internal and external coding staff.
• The ability to handle complex and confidential information with discretion.
• Maintain patient confidentiality.

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.