Physician Services Coding Specialist II - Remote Production Denials

Conifer Health Solutions•Frisco, TX

1d•$21 - $31•Remote

About The Position

JOB SUMMARY The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

Requirements

Vocational or technical education beyond high school
Minimum of 3-5 years coding experience
CPC or CCS-P or equivalent certification
Multi-specialty Evaluation and Management coding
Demonstrate working knowledge of medical terminology, human anatomy, and coding rules and regulations
Must possess knowledge of third-party reimbursement regulations and billing practices
Ability to examine documents for accuracy and completeness
Detail oriented with the ability to identify and resolve problems
Must possess knowledge of CCI, LCD, NCD and other applicable coding rules and regulations
Detail oriented with the ability to identify and resolve problems
Ability to communicate clearly and work effectively with co-workers
Ability to work as a team member in all activities
Conduct self in an ethical, honest, and professional manner
Demonstrate continued willingness to learn and grow
Proficient in Microsoft Word, Excel
Builds Team Relationships - Invites others to share opinions. Partners with employees in other departments. Actively seeks ways to help team members.
Communicates Effectively – Expresses ideas clearly and succinctly with small or large audiences. Listens attentively to speaker’s message without interruption. Tailors writing to audience using correct grammar and spelling.
Compliance with Laws, Policies and Procedures - Adheres to company handbook and policies. Demonstrates behavior consistent with Code of Conduct. Adheres to compliance program and guidelines.
Develops Self - Seeks opportunities for continuous learning. Modifies behavior in response to feedback. Knows personal strengths and weaknesses and demonstrates ownership for personal development.
Displays Adaptability – Performs well in high pressure or stressful situations. Works effectively when direction is unclear or rapidly changing. Demonstrates persistence in the face of obstacles.
Drives for Results - Delivers high quality work and attains results. Demonstrates personal drive and pushes self and others for results and quality work. Response appropriately to urgent situations.
Focus on the Customer/Client – Ensures that clients have a positive experience. Responds to clients in a timely manner. Demonstrates tact and empathy when responding to clients.
Respects Others - Displays sensitivity to the needs and concerns of others. Interacts with others in an open, non-threatening manner.
Shows Reliability – Takes personal responsibility for actions and decisions. Consistently works assigned schedule. Acts responsibly and can be counted on to accomplish goals successfully.

Responsibilities

Assign ICD-10, CPT, HCPCS and modifiers codes from documentation
Review and appropriately resolve pre-bill edits
Review and appropriately resolve coding denials
Meet or exceed productivity standards
Meet or exceed accuracy rate of 95.5% in monthly internal audits
Effectively present coding issues to internal team members, internal clients, or external clients
Deliver information in a one-on-one or small group format to peers
Meet deadlines and complete assignments before monthly closing dates
Locate and apply CCI, LCD, NCD and other applicable coding rules and client specific guidelines
Other duties as assigned

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.
For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

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