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Physician Services Coding Specialist II

Conifer Health Solutions

The primary purpose of this role is to code physician charges by assigning ICD-10, CPT, HCPCS, and modifier codes from medical record documentation. The position requires use of multiple resources to support code assignment, as well as the ability to resolve coding denials and pre-bill coding edits.

Level II responsibilities include evaluation and management coding, radiology coding, and emergency department coding.

Key responsibilities include:

  • Assign ICD-10, CPT, HCPCS, and modifier codes from documentation
  • Review and resolve pre-bill edits
  • Review and resolve coding denials
  • Meet or exceed productivity standards
  • Maintain a 95.5% or higher accuracy rate in monthly internal audits
  • Present coding issues to internal team members, internal clients, and external clients
  • Deliver information in one-on-one or small group settings
  • Meet deadlines and complete assignments before monthly closing dates
  • Apply CCI, LCD, NCD, and other applicable coding rules and client-specific guidelines
  • Perform other duties as assigned
Requirements & Qualifications

Education and experience

  • Vocational or technical education beyond high school
  • 3 to 5 years of coding experience
  • CPC, CCS-P, or equivalent certification
  • Multi-specialty evaluation and management coding experience
  • Working knowledge of medical terminology, human anatomy, and coding rules and regulations
  • Knowledge of third-party reimbursement regulations and billing practices
  • Ability to examine documents for accuracy and completeness
  • Strong attention to detail with the ability to identify and resolve problems
  • Knowledge of CCI, LCD, NCD, and other applicable coding rules and regulations
  • Ability to communicate clearly and work effectively with coworkers
  • Ability to work as part of a team
  • Ethical, honest, and professional conduct
  • Commitment to continuous learning and development
  • Proficiency in Microsoft Word and Excel
Benefits & Perks

Compensation and perks

  • Pay: $20.51 to $30.77 per hour
  • May be eligible for a signing bonus for qualified new hires, subject to employment status
  • Time and a half for Conifer observed holidays

Benefits

  • Medical, dental, vision, disability, and life insurance
  • Paid time off for vacation and sick leave, minimum 12 days per year
  • 401(k) with up to 6% employer match
  • 10 paid holidays per year
  • Health savings accounts and healthcare/dependent flexible spending accounts
  • Employee assistance program and employee discount program
  • Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare, AD&D, auto and home insurance
  • Paid leave in accordance with Colorado's Healthy Families and Workplaces Act for Colorado employees

Location

Texas, US

Employment Type

Full-time

Experience Level

Intermediate Level

Remote work allowed

Yes

Posted

3 weeks ago

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