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Physician Services Coder II - ED/EM Remote

$20.51 - $30.77 per hour

Conifer Health Solutions

Job Summary The 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. You must be able to utilize multiple resources to support code assignment and 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 Responsibilities Assign ICD-10, CPT, HCPCS and modifier codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed an 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 Education and Experience Vocational or technical education beyond high school Minimum of 3–5 years coding experience CPC or CCS‑P or equivalent certification in Multi‑specialty Evaluation and Management coding Demonstrate working knowledge of medical terminology, human anatomy, and coding rules and regulations 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 Knowledge of CCI, LCD, NCD and other applicable coding rules and regulations Ability to communicate clearly and work effectively with co‑workers Ability to work as a team member in all activities Demonstrate continued willingness to learn and grow Proficient in Microsoft Word and Excel Position Competencies Builds team relationships – invites others to share opinions and partners with employees in other departments. Communicates effectively – expresses ideas clearly and succinctly with small or large audiences, listens attentively, and tailors writing to the audience. Compliance with laws, policies and procedures – adheres to company handbook and the Code of Conduct. Develops self – seeks opportunities for continuous learning, modifies behavior in response to feedback, and owns personal development. Displays adaptability – performs well in high pressure situations, works effectively when direction is unclear or changing, and shows persistence in the face of obstacles. Drives for results – delivers high quality work, attains results, and pushes self and others for quality. Focus on the customer/client – ensures a positive client experience and responds in a timely manner. Respects others – displays sensitivity to the needs and concerns of others. Shows reliability – takes personal responsibility, consistently works assigned schedule, and is dependable. Compensation Pay: $20.51 – $30.77 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. Observed holidays receive time and a half. Benefits Medical, dental, vision, disability, and life insurance Paid time off (vacation & sick leave) – minimum of 12 days per year, accruing at approximately 1.84 hours per 40 hours worked. 401(k) with up to 6% employer match 10 paid holidays per year Health savings accounts, healthcare & dependent flexible spending accounts Employee Assistance program and Employee discount program Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long‑term care, elder & childcare, AD&D, auto & home insurance. For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act. EEO Statement Employment practices will not be influenced or affected by an applicant’s or employee’s 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. Tenet participates in the E‑Verify program. #J-18808-Ljbffr

Vacancy posted 8 hours ago
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