Physician Services Coder II – Denials

This is a fully remote position, open to applicants in United States.

📋 Description

• Assign codes such as ICD-10, CPT, HCPCS, and modifiers based on documentation.

• Review and efficiently resolve pre-bill edits.

• Analyze and appropriately address coding denials.

• Achieve or surpass productivity benchmarks.

• Maintain an accuracy rate of 95.5% or higher in monthly internal audits.

• Effectively communicate coding issues to internal team members, clients, or external stakeholders.

• Present information in a one-on-one or small group setting to colleagues.

• Adhere to deadlines and finalize tasks prior to monthly closing dates.

• Identify and apply CCI, LCD, NCD, and other relevant coding rules and client-specific guidelines.

• Perform additional duties as assigned.

⛳️ Requirements

• Vocational or technical education beyond high school is required.

• A minimum of 3-5 years of coding experience is necessary.

• CPC, CCS-P, or an equivalent certification in Multi-specialty Evaluation and Management coding.

• Proven understanding of medical terminology, human anatomy, and coding regulations.

• Knowledge of third-party reimbursement regulations and billing practices is essential.

• Ability to review documents for precision and completeness.

• Detail-oriented with strong problem identification and resolution skills.

• Familiarity with CCI, LCD, NCD, and other applicable coding rules and regulations is required.

• Strong communication skills and the ability to collaborate effectively with colleagues.

• Capability to function as a team member in all tasks.

• Conduct oneself in an ethical, honest, and professional manner.

• Show a continuous willingness to learn and develop professionally.

• Proficient in Microsoft Word and Excel.

🏝️ Benefits

• Medical, dental, vision, disability, and life insurance options.

• Paid time off (vacation & sick leave) – a minimum of 12 days per year, accruing at approximately 1.84 hours per 40 hours worked.

• 401k plan with up to a 6% employer match.

• 10 paid holidays annually.

• Health savings accounts, along with healthcare and dependent flexible spending accounts.

• Employee Assistance Program and Employee Discount Program.

• Optional benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare services, AD&D, auto, and home insurance.

• For employees in Colorado, Conifer provides paid leave in compliance with Colorado’s Healthy Families and Workplaces Act.