Physician Services Coding Specialist II – Denials

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

📋 Description

• Assign ICD-10, CPT, HCPCS codes and modifiers to physician charges based on medical record documentation.

• Leverage various resources to assist in accurate code assignment.

• Address coding denials and pre-bill coding discrepancies.

• Achieve or surpass productivity benchmarks.

• Maintain a monthly accuracy rate of 95.5% in internal audits.

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

• Provide information in both one-on-one and small group settings to colleagues.

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

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

• Execute additional responsibilities as required.

⛳️ Requirements

• Completion of vocational or technical education beyond high school.

• At least 3-5 years of coding experience.

• Certification as CPC, CCS-P, or an equivalent credential.

• Expertise in multi-specialty Evaluation and Management coding.

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

• Familiarity with third-party reimbursement policies and billing practices.

• Capability to review documents for precision and thoroughness.

• Detail-oriented with a knack for identifying and resolving issues.

• Knowledgeable in CCI, LCD, NCD, and other pertinent coding regulations.

• Strong communication skills and effective collaboration with colleagues.

• Ability to function as a team player in all tasks.

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

• Show ongoing eagerness to learn and develop professionally.

• Proficiency in Microsoft Word and Excel.

• Must acquire and provide proof of necessary vaccinations and screenings as permitted by law, prior to employment.

🏝️ Benefits

• Eligible positions may offer a signing bonus for qualified new hires, contingent on employment status.

• Time and a half pay for observed holidays at Conifer.

• Comprehensive medical, dental, vision, disability, and life insurance coverage.

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

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

• Ten paid holidays each year.

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

• Employee Assistance program available.

• Employee discount program offered.

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

• For employees in Colorado, paid leave is provided in accordance with Colorado’s Healthy Families and Workplaces Act.