Duties:

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 *** 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.
**ROLE REQUIREMENTS**
Surgical breast oncology (including plastic reconstructive breast surgery), Hematology/Oncology
Must be able to abstract the chart review to capture all billable charges
EPIC experience: charge entry and charge review experience required
Strong Evaluation and Management (E/M) inpatient and outpatient coding experience
Must reside in CA but can be remote
Profee ONLY – NOT HCC/risk adjustment, ASC, or facility coding
Desire to convert to full-time employment
**Bonus/nice to have**
Bonus: GYNONC coding experience
Bonus: Experience working on denials
Bonus: GI (CGIC coding certification) or OBGYN (COBGC coding certification) coding experience (1 year or more)
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.

Skills:
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. The 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. The 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. The 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 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.