Physician Services Coder II – Denials Coding

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

📋 Description

• Assign ICD-10, CPT, HCPCS, and modifier codes based on documentation.

• Review and effectively resolve pre-bill edits.

• Review and appropriately address coding denials.

• Achieve or surpass productivity standards.

• Maintain or exceed an accuracy rate of 95.5% during monthly internal audits.

• Present coding issues effectively to colleagues, internal clients, or external clients.

• Provide information in a one-on-one or small group setting to peers.

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

• Identify and apply CCI, LCD, NCD, and other relevant coding rules as well as 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 equivalent certification in multi-specialty Evaluation and Management coding.

• Proven working knowledge of medical terminology, human anatomy, and coding standards and regulations.

• Must have an understanding of third-party reimbursement regulations and billing practices.

• Ability to review documents for accuracy and completeness.

• Detail-oriented with the capability to identify and resolve issues.

• Effective communication skills to collaborate with co-workers.

• Ability to work collaboratively as a team member in all tasks.

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

• Demonstrate a continuous willingness to learn and develop.

• Proficient in Microsoft Word and Excel.

🏝️ Benefits

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

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

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

• Ten paid holidays annually.

• Health savings accounts and flexible spending accounts for healthcare & dependents.

• Employee Assistance program and employee discount program available.

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

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