Conifer Health Solutions
Physician Services Coding Specialist II - Remote
Conifer Health Solutions, Frisco, Texas, United States, 75034
Job Title
Physician Services Coding Specialist II - Remote at Conifer Health Solutions
Job Summary 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 presents coding issues to others and supports the team as needed as a coach in specified situations.
Essential Duties And 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
Must possess knowledge of third-party reimbursement regulations and billing practices
Ability to examine documents for accuracy and completeness
Ability to understand and follow compliance issues of moderate complexity by utilizing appropriate coding/compliance resources
Detail oriented with the ability to identify and resolve problems
Must possess moderate knowledge of CCI edits and LCDs and be able to accurately 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
Education / Experience
Vocational or technical education beyond high school
Minimum of 3 years coding experience in relevant specialty
CERTIFICATES, LICENSES, REGISTRATIONS
Required: AHIMA Credentials, and/or AAPC certification; AAPC Specialty certifications preferred
Position Competencies
Builds Team Relationships
Communicates Effectively
Compliance with Laws, Policies and Procedures
Develops Self
Displays Adaptability
Drives for Results
Focus on the Customer/Client
Respects Others
Shows Reliability
Compensation
Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience.
Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Conifer observed holidays receive time and a half.
Benefits
Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) – min of 12 days per year
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
Colorado-specific paid leave information may apply
Equality and Employment Notice Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services.
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Job Summary 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 presents coding issues to others and supports the team as needed as a coach in specified situations.
Essential Duties And 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
Must possess knowledge of third-party reimbursement regulations and billing practices
Ability to examine documents for accuracy and completeness
Ability to understand and follow compliance issues of moderate complexity by utilizing appropriate coding/compliance resources
Detail oriented with the ability to identify and resolve problems
Must possess moderate knowledge of CCI edits and LCDs and be able to accurately 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
Education / Experience
Vocational or technical education beyond high school
Minimum of 3 years coding experience in relevant specialty
CERTIFICATES, LICENSES, REGISTRATIONS
Required: AHIMA Credentials, and/or AAPC certification; AAPC Specialty certifications preferred
Position Competencies
Builds Team Relationships
Communicates Effectively
Compliance with Laws, Policies and Procedures
Develops Self
Displays Adaptability
Drives for Results
Focus on the Customer/Client
Respects Others
Shows Reliability
Compensation
Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience.
Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
Conifer observed holidays receive time and a half.
Benefits
Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) – min of 12 days per year
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
Colorado-specific paid leave information may apply
Equality and Employment Notice Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services.
#J-18808-Ljbffr