Medical Coder 26-00018

POSITION
Specialty Physician Coder

Position Type: Temporary
Schedule: M-F, : am - : pm; Onsite
Assignment Length: Approximately -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--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 years of medical coding experience in a hospital or physician office

  At least year of specialty coding experience in Medical Hematology/Oncology, OBGYN, General Surgery, Radiation Oncology, or related specialty

• Technical Knowledge:

  Expert knowledge of ICD--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