Trainee Hcc Risk Adjustment Coding Jobs in Irvine, CA

Fully Remote role - Must reside in CA -
CPC, CCS, or equivalent certification required.
Specialty coding certification is highly desired.
**ROLE REQUIREMENTS**

• Surgical breast oncology (including plastic reconstructive breast surgery), Hematology/Oncology
• Must be able to abstract the chart review to capture all billable charges
• EPIC experience: charge entry and charge review experience required
• Strong Evaluation and Management (E/M) inpatient and outpatient coding experience
• Must reside in CA but can be remote
• Profee ONLY - NOT HCC/risk adjustment, ASC, or facility coding
• Desire to convert to full-time employment

**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)

Job Description:
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
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. Provide excellent customer service and address a moderate amount of incoming email and phone
calls.
11. Collaborative team player with the ability to adapt to the ever-changing healthcare environment.
12. Professional demeanor at all times.
13. The ability to handle complex and confidential information with discretion.
14. Maintain patient confidentiality.
15. Maintain a safe and orderly work area.
16. Strong work ethic, honest, and dependable.
17. Strong personal time management skills.
18. Be at work and be on time.
19. Follow company policies, procedures, and directives.
20. Interact in a positive and constructive manner.
21. Prioritize and multitask.
Skills
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.
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, 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.
Must be very experienced in Epic charge submission
Education:
• High School diploma or GED required.