Specialist Physician Services Coder II

Job Overview

Job Summary JOB SUMMARY The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation.

Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained.

Job Description

ESSENTIAL DUTIES AND RESPONSIBILITIES Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.

5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, 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 Locate and apply CCI, LCD, NCD and other applicable coding rules and client specific guidelines Other duties as assigned 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.

Partners with employees in other departments. Actively seeks ways to help team members. Communicates Effectively – Expresses ideas clearly and succinctly with small or large audiences. Listens attentively to speaker’s message without interruption.

Tailors writing to audience using correct grammar and spelling. Compliance with Laws, Policies and Procedures - Adheres to company handbook and policies. Demonstrates behavior consistent with Code of Conduct. Adheres to compliance program and guidelines.

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

Key Responsibilities

• Must have the ability to utilize multiple resources to support code assignment.
• Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding.
• ESSENTIAL DUTIES AND RESPONSIBILITIES Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, 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 Locate and apply CCI, LCD, NCD and other applicable coding rules and client specific guidelines Other duties as assigned 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.
• EDUCATION / EXPERIENCE Vocational or technical education beyond high school Minimum of 3-5 years coding experience CPC or CCS-P or equivalent certification Multi-specialty Evaluation and Management coding Demonstrate working knowledge of medical terminology, human anatomy, and coding rules and regulations Must possess 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 Must possess knowledge of CCI, LCD, NCD and other applicable coding rules and regulations Ability to communicate clearly and work effectively with co-workers Ability to work as a team member in all activities Conduct self in an ethical, honest, and professional manner Demonstrate continued willingness to learn and grow Proficient in Microsoft Word, Excel POSITION COMPETENCIES: Builds Team Relationships - Invites others to share opinions.
• Drives for Results - Delivers high quality work and attains results.
• Shows Reliability – Takes personal responsibility for actions and decisions.
• Acts responsibly and can be counted on to accomplish goals successfully.

Required Skills and Qualifications

• Must have the ability to utilize multiple resources to support code assignment.
• Must possess knowledge on how to resolve coding denials and pre-bill coding edits.
• Productivity and accuracy are measured via internal audits and must be maintained.
• ESSENTIAL DUTIES AND RESPONSIBILITIES Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, 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 Locate and apply CCI, LCD, NCD and other applicable coding rules and client specific guidelines Other duties as assigned 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 Vocational or technical education beyond high school Minimum of 3-5 years coding experience CPC or CCS-P or equivalent certification Multi-specialty Evaluation and Management coding Demonstrate working knowledge of medical terminology, human anatomy, and coding rules and regulations Must possess 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 Must possess knowledge of CCI, LCD, NCD and other applicable coding rules and regulations Ability to communicate clearly and work effectively with co-workers Ability to work as a team member in all activities Conduct self in an ethical, honest, and professional manner Demonstrate continued willingness to learn and grow Proficient in Microsoft Word, Excel POSITION COMPETENCIES: Builds Team Relationships - Invites others to share opinions.
• Focus on the Customer/Client – Ensures that clients have a positive experience.
• Compensation depends on location, qualifications, and experience.

Benefits and Perks

• Compensation and Benefit Information Compensation Pay: $20.51 - $30.77 per hour.
• Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
• Benefits Conifer offers the following benefits, subject to employment status: Medical, dental, vision, disability, and life insurance Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
• 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.

Work Location and Schedule

This role is listed as Remote USA with location information shown as Remote USA. The employment type is Full Time.

About the Company

Tenet Healthcare is the organization connected with this listing. USA Jobs Today displays this opportunity for job discovery only, so applicants should verify company details, application instructions, and eligibility on the official employer website.