Specialist Physician Services Coder II

Job SummaryJOB SUMMARYThe primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation.

Must have the ability to utilize multiple resources to support code assignment.

Must possess knowledge on how to resolve coding denials and pre-bill coding edits.

Productivity and accuracy are measured via internal audits and must be maintained.

Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding.

ESSENTIAL DUTIES AND.

Responsabilidades

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 Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment

This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

EDUCATION / EXPERIENCE 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 D.