Physician Services Coding Specialist III - Remote (Anesthesia)

JOB SUMMARY

The primary purpose of the SPEC, PHYS SVC CODING III, 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 III 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 III present coding issues to others and support the team as needed as a trainer and 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
• Effectively present coding & documentation issues to internal 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
• 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 difficult 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

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.

EDUCATION / EXPERIENCE

CERTIFICATES, LICENSES, REGISTRATIONS

POSITION COMPETENCIES :

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Compensation and Benefit Information

Compensation

Benefits

Conifer offers the following benefits, subject to employment status :

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