Physician Services Coding Specialist II - Denials Remote

Conifer Health Solutions•United States,

20h•$21 - $31•Remote

About The Position

The Physician Services Coding Specialist II codes physician charges by assigning ICD-10, CPT, HCPCS codes, and modifiers based on medical record documentation, using multiple resources to support code assignment. The position resolves coding denials and pre-bill coding edits, maintains productivity and accuracy standards measured through internal audits, and may perform evaluation and management, radiology, and emergency department coding. The role requires meeting productivity standards and achieving at least 95.5% accuracy in monthly internal audits. The specialist communicates coding issues to internal team members, clients, and external clients, shares information with peers individually or in small groups, meets deadlines, and completes assignments before monthly closing dates. The position also requires locating and applying CCI, LCD, NCD, other applicable coding rules, and client-specific guidelines. Candidates may be required, as applicable and permitted by law, to obtain and confirm required vaccinations and screenings before employment begins. These may include COVID-19 and influenza vaccinations.

Requirements

Vocational or technical education beyond high school.
3–5 years of coding experience.
CPC, CCS-P, or equivalent certification.
Multi-specialty evaluation and management coding experience or knowledge.
Working knowledge of medical terminology, human anatomy, and coding rules and regulations.
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.
Knowledge of CCI, LCD, NCD, and other applicable coding rules and regulations.
Ability to communicate clearly and work effectively with coworkers.
Ability to work as a team member.
Ability to conduct oneself ethically, honestly, and professionally.
Willingness to continue learning and growing.
Proficiency in Microsoft Word and Excel.

Responsibilities

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

Benefits

Medical, dental, vision, disability, and life insurance.
Paid time off, including vacation and sick leave; at least 12 days per year, accrued at approximately 1.84 hours per 40 hours worked.
401(k) with up to 6% employer match.
10 paid holidays per year.
Health savings accounts and healthcare and dependent flexible spending accounts.
Employee Assistance Program.
Employee discount program.
Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare, AD&D, and auto and home insurance.
Potential signing bonus for qualified new hires, subject to employment status.
Time-and-a-half pay for Conifer-observed holidays.
For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.