Medical Coder

POSITION

Specialty Physician Coder

Position Type: Temporary

Schedule: M-F, 8:00 am - 4:30 pm; Onsite

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