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Physician Services Coder II – Denials
Tenet HealthcarePhysician Services Coder II coding physician charges at Conifer Health Solutions. Focusing on accuracy, productivity, and compliance in coding denials and documentation review.
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10 codingCPT codingHCPCS codingmodifiers codingmulti-specialty Evaluation and Management codingmedical terminologyhuman anatomycoding rules and regulationsthird-party reimbursement regulationsbilling practices
Soft Skills
detail orientedproblem solvingcommunicationteamworkethical conductprofessionalismwillingness to learnpresentation skillstime managementaccuracy
Tools & Technologies
Microsoft WordMicrosoft Excel
Certifications & Qualifications
CPCCCS-P
Industry Keywords
CCILCDNCDcoding denialspre-bill editsproductivity standardsinternal auditsclient specific guidelines
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- 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
- Detail oriented with the ability to identify and resolve problems
- Must possess 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
- Conduct self in an ethical, honest, and professional manner
- Demonstrate continued willingness to learn and grow
- Proficient in Microsoft Word, Excel.
Benefits
Comp & perks- 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.