Day Shift Humana Medical Coding Jobs in California

Title: Sr. Specialty Physician Coder

Location: Fountain Valley, CA / Predominantly Remote

Department: Document Improvement

Status: Full-Time

Shift: Days (8hr)

Pay Range*: $35.46/hr - $51.46/hr

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.

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 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 MemorialCare 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.

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.

*Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Minimum Requirements

Qualifications/Work 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, Surgical Oncology, 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.

Education/Licensure/Certification:

• High School diploma or GED required;

• CPC, CCS, CPC, COC, CCC, CCVTC, CIRCC certification required

• Specialty coding certification is highly desired.