Physician Services Coding Specialist III - ED Remote

Conifer Health Solutions•United States,

5h•$25 - $37•Remote

About The Position

The Physician Services Coding Specialist III codes physician charges by assigning ICD-10, CPT, HCPCS codes, and modifiers based on medical record documentation. The role uses multiple resources to support code assignment and resolves coding denials and pre-bill coding edits. Productivity and accuracy are monitored through internal audits, with an expected monthly audit accuracy rate of at least 95.5%. Level III work includes invasive and surgical coding, such as general surgery, interventional radiology, invasive cardiology, and anesthesia. The specialist presents coding issues to internal team members, clients, or external clients and shares information with peers one-on-one or in small groups. The position requires meeting deadlines, completing assignments before monthly closing dates, and applying CCI, LCD, NCD, other applicable coding rules, and client-specific guidelines. Candidates may be required, where applicable and permitted by law, to provide confirmation of required vaccinations and screenings before employment begins. Conifer Health is part of the Tenet and Catholic Health Initiatives family and provides healthcare financial and clinical performance services to clients in more than 135 local regions nationwide. The position offers compensation of $24.82–$37.23 per hour, depending on location, qualifications, and experience. A signing bonus may be available to qualified new hires, subject to employment status. Conifer-observed holidays are paid at time and a half.

Requirements

Vocational or technical education beyond high school.
3–5 years of coding experience.
CPC, CCS-P, or equivalent certification.
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 codes, and modifiers based on medical record documentation.
Review and appropriately resolve pre-bill edits.
Review and appropriately resolve coding denials.
Meet or exceed productivity standards.
Maintain at least 95.5% accuracy in monthly internal audits.
Present coding issues effectively to internal team members, internal clients, or external clients.
Deliver information to peers in one-on-one or small-group settings.
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, with a minimum of 12 days per year.
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.
Paid leave for Colorado employees in accordance with Colorado’s Healthy Families and Workplaces Act.
Potential signing bonus for qualified new hires, subject to employment status.
Time and a half pay for Conifer-observed holidays.