Senior Specialty Physician Coder - Interventional

• 100% remote; candidate must be based in California.
• Must have Profee coding experience (outpatient only).
• Must have strong Interventional Radiology (IR) coding expertise not just exposure.
• Extensive and recent IR coding experience is required; candidates must be able to perform IR coding independently from day one (no training will be provided).
• CIRCC certification is preferred but not required; candidates without the certification must demonstrate significant IR coding experience.
• CPC, CCS, or equivalent coding certification required.
• Please send IR-focused resumes only. The hiring manager is specifically looking for deep IR coding experience, not general coding backgrounds.

When submitting candidates, please clearly outline their IR experience, including:

• Types of IR procedures coded
• Years of IR experience
• Level of proficiency/volume of IR work

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 is 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 MemorialCare policies and procedures. The Senior Specialty Physician Coder will also work with the Coding Compliance Manager on discovered coding trends, irregularities, and required action items.

Essential Functions and Responsibilities of the Job:

1. Proficient in Microsoft Office Suite.
2. Proficient in Epic software.
3. Strong analytical skills.
4. Strong critical thinking skills.
5. Detail oriented.
6. Ability to anticipate, research, and resolve problems; strong problem-solving skills.
7. Strong understanding of the healthcare revenue cycle.
8. Excellent communication skills with the ability to communicate information accurately and clearly.
9. Ability to manage interpersonal relationships and effectively communicate with clinical partners and fellow business center teams.
10. Ability to build and maintain positive provider relationships.
11. Provide excellent customer service and address a moderate amount of incoming email and phone calls.
12. Ability to train and mentor internal and external coding staff.
13. Collaborative team player with the ability to adapt to the ever-changing healthcare environment.
14. Professional demeanor at all times.
15. Ability to handle complex and confidential information with discretion.
16. Maintain patient confidentiality.
17. Maintain a safe and orderly work area.
18. Strong work ethic; honest and dependable.
19. Strong personal time management skills.
20. Be at work and be on time.
21. Follow company policies, procedures, and directives.
22. Interact in a positive and constructive manner.
23. Prioritize and multitask.

Experience:

• 5 years of experience working in a hospital or physicians office as a medical coder and interacting with physicians.
• 2 years of experience as a specialty coder in one of the following specialties: Cardiothoracic Surgery, Interventional Radiology, or Oncology Chemotherapy Infusion.
• Expert knowledge of ICD-10, 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.