United States onlyJOB SUMMARY
The primary purpose of the SPEC, PHYS SVC CODING III, is to code physician charges in multiple specialties for both EM and Surgical encounters by assigning ICD-9, CPT-4 & HCPC codes from medical record documentation. A SPEC, PHYS SVC CODING III must be knowledgeable on insurance and denial issues regarding coding and have the ability to follow compliance issues of difficult complexity by utilizing appropriate coding/compliance resources. A SPEC, PHYS SVC CODING III present coding issues to others and support the team as needed as a trainer and coach in specified situations.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Assign ICD-9, CPT-4 & HCPC codes from documentation; apply appropriate modifiers
- Problem-solve claim edits and support the denial process as requested.
- Uphold productivity standards / goals set by coding leaders and client contracts.
- Maintain coding quality accuracy rate of 95.5%
- Mentor and assist in new employee training
- Effectively present coding & documentation 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
- Demonstrate a good working knowledge of medical terminology, human anatomy, and coding
- Must possess knowledge of third-party reimbursement regulations and billing practices
- Ability to examine documents for accuracy and completeness
- Ability to understand and follow compliance issues of difficult complexity by utilizing appropriate coding/compliance resources
- 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
- Conduct self in an ethical, honest, and professional manner, demonstrate continued willingness to learn and grow
- Proficient in Microsoft Word, Excel
- Maintain strictest confidentiality
- Perform related work as required
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
- Associates Degree or Vocational, Technical education beyond high school
- Minimum of 5 years coding experience
- Demonstrated experience in at least 2 specialties, 3 preferred
CERTIFICATES, LICENSES, REGISTRATIONS
- Required: AHIMA Credentials, and or AAPC certification, AAPC Specialty certifications preferred.
POSITION COMPETENCIES:
- Builds Team Relationships - Invites others to share opinions. Partners with employees in other departments. Actively seeks ways to help team members.
- Communicates Effectively – Expresses ideas clearly and succinctly with small or large audiences. Listens attentively to speaker’s message without interruption. Tailors writing to audience using correct grammar and spelling.
- Compliance with Laws, Policies and Procedures - Adheres to company handbook and policies. Demonstrates behavior consistent with Code of Conduct. Adheres to compliance program and guidelines.
- Develops Self - Seeks opportunities for continuous learning. Modifies behavior in response to feedback. Knows personal strengths and weaknesses and demonstrates ownership for personal development.
- Displays Adaptability – Performs well in high pressure or stressful situations. Works effectively when direction is unclear or rapidly changing. Demonstrates persistence in the face of obstacles.
- Drives for Results - Delivers high quality work and attains results. Demonstrates personal drive and pushes self and others for results and quality work. Response appropriately to urgent situations.
- Focus on the Customer/Client – Ensures that clients have a positive experience. Responds to clients in a timely manner. Demonstrates tact and empathy when responding to clients.
- Respects Others - Displays sensitivity to the needs and concerns of others. Interacts with others in an open, non-threatening manner.
- Shows Reliability – Takes personal responsibility for actions and decisions. Consistently works assigned schedule. Acts responsibly and can be counted on to accomplish goals successfully.
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Compensation and Benefit Information
Compensation
- Pay: $24.82 - $37.23 per hour. Compensation depends on location, qualifications, and experience.
- Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
- Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
- 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.
