Physician Services Coding Specialist II - Dermatology/Pathology

About the position

The primary purpose of the SPEC, PHYS SVC CODING II, is to code physician charges in multiple specialties for both EM and Surgical encounters by assigning ICD-9, CPT-4 & HCPC codes from medical record documentation. A SPEC, PHYS SVC CODING II must be knowledgeable on insurance and denial issues regarding coding and have the ability to follow compliance issues of difficult complexity by utilizing appropriate coding/compliance resources. A SPEC, PHYS SVC CODING II present coding issues to others and support the team as needed as a coach in specified situations.

Responsibilities

• Assign ICD-9, CPT-4 & HCPC codes from documentation; apply appropriate modifiers
• Problem-solve claim edits and support the denial process as requested
• Uphold productivity standards / goals set by coding leaders and client contracts
• Maintain coding quality accuracy rate of 95.5%
• Mentor and assist in new employee training
• Meet deadlines and complete assignments before monthly closing dates
• Demonstrate a good working knowledge of medical terminology, human anatomy, and coding
• Possess knowledge of third-party reimbursement regulations and billing practices
• Examine documents for accuracy and completeness
• Understand and follow compliance issues of moderate complexity by utilizing appropriate coding/compliance resources
• Identify and resolve problems
• Possess moderate knowledge of CCI edits and LCDs and apply regulation knowledge to coding situations
• Conduct self in an ethical, honest, and professional manner
• Demonstrate continued willingness to learn and grow
• Proficient in Microsoft Word, Excel
• Maintain strictest confidentiality
• Perform related work as required

Requirements

• Vocational or technical education beyond high school
• Minimum of 3 years coding experience in relevant specialty
• AHIMA Credentials, and or AAPC certification
• AAPC Specialty certifications preferred

Benefits

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance
• Paid leave in accordance with Colorado's Healthy Families and Workplaces Act for Colorado employees