Physician Services Coding Specialist II – Denials
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Job Description
Remote Physician Services Coding Specialist assigning medical billing codes and resolving denials for Conifer Health’s healthcare clients. Maintaining coding accuracy, productivity, and compliance with reimbursement rules.
Responsibilities:
- Code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation
- Utilize multiple resources to support code assignment
- Resolve coding denials and pre-bill coding edits
- Meet or exceed productivity standards
- Maintain an accuracy rate of 95.5% in monthly internal audits
- Present coding issues to internal team members, internal clients, or external clients
- Deliver information one-on-one or in small-group formats 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
- Perform other duties as assigned
Requirements:
- 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
- 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
- Detail oriented 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 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 and Excel
- Must obtain and provide confirmation of required vaccinations and screenings, as applicable and permitted by law, prior to employment
Benefits:
- Position may be eligible for a signing bonus for qualified new hires, subject to employment status
- Conifer observed holidays receive time and a half
- 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
- For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act
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