Physician Services Coding Specialist II - Production Denials 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
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.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
