Physician Services Coding Specialist

JOB SUMMARY The Physician Services Coding Specialist plays a crucial role in accurately coding physician charges across various specialties, including Emergency Medicine and Surgical encounters. This position involves assigning ICD-9, CPT-4, and HCPC codes based on detailed medical record documentation. A successful candidate must possess a deep understanding of insurance processes, denial issues, and compliance regulations while offering support and guidance to team members. ESSENTIAL DUTIES AND RESPONSIBILITIES

• Accurately assign ICD-9, CPT-4, and HCPC codes from medical documentation and apply appropriate modifiers.
• Effectively resolve claim edits and support the denial management process as needed.
• Meet and maintain productivity standards and quality goals set by coding leadership.
• Aim for a coding quality accuracy rate of at least 95.5%.
• Mentor new employees and facilitate their training.
• Ensure all assignments are completed ahead of monthly closure dates.
• Demonstrate thorough knowledge of medical terminology, human anatomy, and coding principles.
• Possess in-depth understanding of third-party reimbursement regulations and billing practices.
• Conduct detailed reviews of documents for accuracy and completeness.
• Navigate complex compliance issues with appropriate coding and compliance resources.
• Exhibit a keen eye for detail and problem-solving skills.
• Utilize knowledge of CCI edits and LCDs to apply regulations correctly in coding scenarios.
• Uphold high ethical standards, display professionalism, and show a commitment to ongoing learning.
• Proficient in Microsoft Word and Excel.
• Maintain strict confidentiality in all aspects of work.
• Perform other related tasks as required.

EDUCATION / EXPERIENCE

• Vocational or technical education beyond high school.
• A minimum of 3 years of coding experience in relevant specialties.

CERTIFICATES, LICENSES, REGISTRATIONS

• Required: AHIMA or AAPC certifications. AAPC Specialty certifications are preferred.

POSITION COMPETENCIES:

• Builds Team Relationships: Collaborates and encourages input from colleagues.
• Communicates Effectively: Clearly conveys ideas and listens actively.
• Compliance with Laws, Policies, and Procedures: Adheres to ethical standards and company policies.
• Develops Self: Pursues continuous learning and accepts feedback for personal growth.
• Displays Adaptability: Thrives in challenging situations and handles change effectively.
• Drives for Results: Consistently delivers high-quality work and meets deadlines.
• Focus on the Customer/Client: Ensures a positive experience for clients with timely responses.
• Respects Others: Interacts sensitively with others and fosters a non-threatening environment.
• Shows Reliability: Takes responsibility for actions and consistently meets work obligations.

As part of the Tenet and Catholic Health Initiatives family, Conifer Health delivers over 30 years of expertise in the healthcare industry across more than 135 regions nationwide. We empower our clients to enhance financial and clinical performance while improving community health and access to care. If you're ready to contribute to impactful solutions in healthcare, join our team and enjoy a robust benefits package that supports your career growth.

Compensation and Benefits

Overview

Compensation

• Hourly Pay: $20.51 - $30.77, based on location, qualifications, and experience.
• Potential signing bonuses for eligible new hires.
• Time and a half for Conifer-observed holidays.

Benefits

Conifer Health offers a comprehensive benefits package that may include:

• Medical, dental, vision, disability, and life insurance.
• Paid time off (minimum of 12 days per year, accruing at approximately 1.84 hours for every 40 hours worked).
• 401k with up to 6% employer match.
• 10 paid holidays annually.
• Health savings accounts, healthcare & dependent flexible spending accounts.
• Employee Assistance programs and discounts.
• Additional voluntary benefits like pet insurance, legal insurance, and more.
• For Colorado residents, paid leave in accordance with state laws.

We are committed to diversity and inclusion and ensure that our employment practices are fair and non-discriminatory. Apply Job!