As a part of the Tenet and Catholic Health Initiativesfamily, Conifer Health brings 30 years of healthcare industry expertise toclients in more than 135 local regions nationwide. We help our clientsstrengthen their financial and clinical performance, serve their communitiesand succeed at the business of healthcare. Conifer Health helps organizationstransition from volume to value-based care, enhance the consumer and patienthealthcare experience and improve quality, cost and access to healthcare. Areyou ready to be part of our solutions? Welcome to the company that gives you the resources and incentives toredefine healthcare services, with a competitive benefits package andleadership to take your career to the next step!
Theprimary purpose of the SPEC, PHYS SVC CODING II is to code physician charges byassigning ICD-9, CPT-4 & HCPC codes from documentation. Intermediate knowledge of level 1 & 2modifiers is required. A SPEC, PHYS SVCCODING II must have the ability to utilize multiple websites to support codeassignment be able to cite supporting documentation for coding complianceissues. A SPEC, PHYS SVC CODING II mustpossess intermediate knowledge on how to problem-solve insurance rejections anddenial issues. Coders are responsiblefor accurate and complete coding under Compliance Guidelines. Productivity and accuracy are measured viainternal audits and must be maintained.
ESSENTIAL DUTIES ANDRESPONSIBILITIES
Assign ICD-9, CPT-4 & HCPC codes from documentation
Problem-solve insurance rejections and denial issues
Uphold productivity standards / daily quota set by management
Maintain company accuracy rate of 95% in monthly internal audits
Effectively present coding issues to internal 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
Maintain strictest confidentiality
Perform related work as required
Others may be assigned.
Vocational or technical education beyond high school
Minimum of 1-2 years coding experience
CPC or CCS-P or equivalent certification or related, relevant experience
Demonstrate a good working knowledge of medical terminology, human anatomy, and coding
Must possess knowledge of third party reimbursement regulations and billing practices
Possess moderate knowledge of level 1 & 2 modifiers
Ability to examine documents for accuracy and completeness
Ability to understand and follow compliance issues of moderate complexity
Detail oriented with the ability to identify and resolve problems
Must possess moderate knowledge of CCI edits and LCDs and be able to accurately apply regulation knowledge to coding situations
Radiology coders must be able to code the following modalities: level I, plus duplex and Doppler ultrasounds, CTâs/CTAâs, MRIâs, nuclear medicine, and basic IR procedures
Multi-specialty coders must possess correct coding E&M and at least 2 other specialties
Able to work TES (Transaction Editing System) edits of moderate complexity
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
Employment practices will not be influenced or affected by an applicantâs or employeeâs race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.