Physician Services Coding Specialist II - Remote

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 present coding issues to others and support 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

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 :

Invites others to share opinions. Partners with employees in other departments. Actively seeks ways to help team members.

Adheres to company handbook and policies. Demonstrates behavior consistent with Code of Conduct. Adheres to compliance program and guidelines.

Seeks opportunities for continuous learning. Modifies behavior in response to feedback. Knows personal strengths and weaknesses and demonstrates ownership for personal development.

Delivers high quality work and attains results. Demonstrates personal drive and pushes self and others for results and quality work. Response appropriately to urgent situations.

Displays sensitivity to the needs and concerns of others. Interacts with others in an open, non-threatening manner.

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 :

2503022510

J-18808-Ljbffr