Remote
Conifer Health Solutions

Please note the eligible states below.

PHYSICIAN SERVICES CODING SPECIALIST III

  • Remote
  • 1905020827

Description:

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!

JOB SUMMARY

The primary purpose of the Physician Service Coding Specialist III, is to code physician charges by assigning ICD-9, CPT-4 & HCPC codes from medical record documentation. A Physician Service Coding Specialist III 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 Physician Service Coding Specialist III will participate in continuing education activities, present coding issues to others and work as a trainer and coach of other coders in specified situations.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Assign ICD-9, CPT-4 & HCPC codes from documentation
  • Problem-solve insurance rejections and denial issues by working TES and PCS work files
  • Uphold productivity standards / daily quota set by management
  • Maintain company accuracy rate of 95% in monthly internal audits
  • Mentor and assist in new employee training
  • Effectively present coding issues to internal 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
  • Maintain strictest confidentiality
  • Perform related work as required
  • Others may be assigned.

Qualifications:

EDUCATION / EXPERIENCE

  • Vocational or technical education beyond high school
  • Minimum of 2-4 years coding experience
  • CPC or CCS-P or equivalent certification, additional/specialty certifications a plus or related, relevant experience
  • Demonstrate a good working knowledge of medical terminology, human anatomy, and coding
  • Must possess knowledge of third party reimbursement regulations and billing practices
  • Possess moderate knowledge of level 1 & 2 modifiers
  • Ability to examine documents for accuracy and completeness
  • Ability to understand and follow compliance issues of difficult 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
  • Radiology coders must be able to code all level 1 and 2, and IR procedures
  • Multi-specialty coders must possess correct coding E&M and at least 4 other specialties
  • Able to work TES (Transaction Editing System) edits of moderate complexity
  • 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

Job: Conifer Health Solutions

Primary Location: Texas

Other Locations: Kentucky, Mississippi, Oregon, Kansas, Florida, Nebraska, Idaho, New Hampshire, North Carolina, Colorado, Wisconsin, Massachusetts, Washington D.C., Arizona, Illinois, Vermont, New Jersey, Missouri, Montana, Minnesota, Maryland, New York, Virginia, Georgia, Ohio, Michigan, Louisiana, Arkansas, South Carolina, District of Columbia-Washington D.C., California, Iowa, Connecticut, Alabama, Pennsylvania, Washington, Tennessee, Indiana, South Dakota, Rhode Island, North Dakota

Job Type : Full-time

Shift Type : Days