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Specialty Physician Coder
Spectraforce
Fountain Valley, California

3 hours ago

Job Description

Role Name:  Specialty Physician Coder
Location: 100% remote, must be based in CA
Schedule: Mon - Fri, 40hrs
Contract length: 3 months assignment with possible extensions
    
ROLE REQUIREMENTS
  • Cardiology and cardiac surgery experience
  • Strong critical care knowledge
  • Must be able to abstract the chart review to capture all billable charges
  • CCC certification/CCVTC cert required
  • Must be knowledgeable in heart catheterizations
  • EPIC experience: charge entry and charge review experience required
  • Strong Evaluation and Management (E/M) inpatient and outpatient coding experience
  • Must reside in CA
  • Profee ONLY – NOT HCC/risk adjustment, ASC, or facility coding
  • Desire to convert to full-time employment
Bonus:
  • Bonus: Experience working on denials
  • Bonus: GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more)
Job Description:
Under the direction of the Coding Compliance Manager, the 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 inpatient and outpatient services, diagnostic tests, and other medical services rendered to patients. The 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 
1. Proficient in Microsoft Office suite. 
2. Proficient in Epic software. 
3. Strong analytical skills. 
4. Strong critical thinking skills. 
5. Detail oriented. 
6. The 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. The ability to manage interpersonal relationships and effectively communicate with clinical partners and fellow business center teams. 
10. Provide excellent customer service and address a moderate amount of incoming email and phone calls. 
11. Collaborative team player with the ability to adapt to the ever-changing healthcare environment. 
12. Professional demeanor at all times. 
13. The ability to handle complex and confidential information with discretion. 
14. Maintain patient confidentiality. 
15. Maintain a safe and orderly work area. 
16. Strong work ethic, honest, and dependable. 
17. Strong personal time management skills. 
18. Be at work and be on time. 
19. Follow company policies, procedures, and directives. 
20. Interact in a positive and constructive manner. 
21. Prioritize and multitask.

Education:
• High School diploma or GED required.

Experience:
• 3 years’ experience working in a hospital or physician’s office as a medical coder and interacting with physicians.
• 1 years’ experience as a specialty coder in one of the following specialties: Cardiology, Gastroenterology, Medical Hematology/Oncology, OBGYN, Pulmonology, General Surgery, or Radiation Oncology.
• Expert knowledge of ICD10, CPT, and HCPCS.
• Strong knowledge of medical terminology, anatomy and physiology.
• Epic software experience is highly desired. 
• Proficient Microsoft skills.  
Applicant Notices & Disclaimers
  • For information on benefits, equal opportunity employment, and location-specific applicant notices, click here
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 42.00/hr.

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