Medical Coder

7 days ago

Fountain Valley, CA, United States Alura Workforce Solutions Full time
POSITION
Specialty Physician Coder

Position Type: Temporary
Schedule: M-F, 8:00 am - 4:30 pm
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
REQUIREMENTS
  • 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

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