Senior Specialty Physician Coder – Interventional

Job Description

Job Summary:

• 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.

Duties and Responsibilities:

• Provide excellent customer service and address a moderate amount of incoming email and phone calls.
• Collaborative team player with the ability to adapt to the ever-changing healthcare environment.
• Professional demeanor at all times.
• The ability to handle complex and confidential information with discretion.
• Maintain patient confidentiality.
• Maintain a safe and orderly work area.

Education and Certifications:

• High School diploma or GED required.
• CPC, CCS, or equivalent certification required.
• Specialty coding certification is highly desired.
• CIRCC specialty certification.

Experience:

• EPIC experience: charge entry and charge review experience required.
• Strong Evaluation and Management (E/M) inpatient and outpatient coding experience.

Knowledge, Skills, and Abilities:

• Proficient in Microsoft Office suite.
• Proficient in Epic software.
• Strong analytical skills.
• Strong critical thinking skills.
• Detail oriented.
• Strong work ethic, honest, and dependable.
• Strong personal time management skills.
• Be at work and be on time.
• Follow company policies, procedures, and directives.
• Interact in a positive and constructive manner.
• Prioritize and multitask.
• The ability to anticipate, research, and resolve problems/strong problem-solving skills.
• Strong understanding of the healthcare revenue cycle.
• Excellent communication skills with the ability to communicate information accurately and clearly.
• The ability to manage interpersonal relationships and effectively communicate with clinical partners
  and fellow business center teams.
• Surgical breast oncology (including plastic reconstructive breast surgery), Hematology/Oncology.
• Must be able to abstract the chart review to capture all billable charges.

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).