Description
At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in Healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.
Position 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.
Essential Functions and Responsibilities of the Job
- Proficient in Microsoft Office suite.
- Proficient in Epic software.
- Strong analytical skills.
- Strong critical thinking skills.
- Detail oriented.
- 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.
- 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.
- 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.
Qualifications
Minimum Requirements
Qualifications/Work 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, 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.
Education/Licensure/Certification
- High School diploma or GED required.
- CPC, CCS or equivalent certification required.
- Specialty coding certification is highly desired.
