Specialist Physician Services Coder II

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Job Description:

  • Assign ICD-10, CPT, HCPCS and modifiers codes from documentation
  • Review and appropriately resolve pre-bill edits
  • Review and appropriately resolve coding denials
  • Meet or exceed productivity standards
  • Meet or exceed accuracy rate of 95.5% in monthly internal audits
  • Effectively present coding issues to internal team members, internal clients, 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
  • Locate and apply CCI, LCD, NCD and other applicable coding rules and client specific guidelines
  • 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
  • Demonstrate working knowledge of medical terminology, human anatomy, and coding rules and regulations
  • Must possess 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
  • Must possess knowledge of CCI, LCD, NCD and other applicable coding rules and regulations
  • Detail oriented with the ability to identify and resolve problems
  • 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

Benefits:

  • 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, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
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