Physician Services Coding Specialist II - Remote - United States
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 …
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Regions Countries Benefits/Perks401k with up to 6% employer match Competitive benefits package Employee Assistance Program Health Savings Accounts Life Insurance Paid holidays Paid Time Off Voluntary benefits
SkillsCoding Compliance CPT-4 Excel HCPC Healthcare industry expertise ICD-9 Leadership Medical terminology Microsoft Excel Microsoft Word Technical Training
Tasks- Assigning ICD-9, CPT-4 & HCPC codes
- Assisting in new employee training
- Demonstrating knowledge of medical terminology and human anatomy
- Examining documents for accuracy
- Maintaining coding quality accuracy rate
- Maintaining confidentiality
- Meeting deadlines
- Mentoring team members
- Performing related work
- Problem-solving claim edits
3 years
EducationBusiness Technical Education Vocational Education
CertificationsAAPC Certification AAPC Specialty Certifications AHIMA Credentials
RestrictionsPosition may be eligible for a signing bonus for qualified new hires
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9