Physician Services Coding Specialist II - Remote

Conifer Health Solutions; Frisco (TX); Remote; USD 55,000 - 75,000; Full time

Job summary

A leading healthcare company is seeking a Physician Services Coding Specialist II to code physician charges across specialties. This remote role requires expertise in ICD-9, CPT-4, and HCPC coding, along with a strong understanding of compliance and billing practices. The specialist will mentor new employees and ensure high coding accuracy while problem-solving claim edits. Candidates should have vocational education and at least 3 years of relevant coding experience, along with necessary certifications.

Qualifications

• Minimum of 3 years coding experience in relevant specialty.
• AHIMA Credentials and/or AAPC certification required.

Responsibilities

• Assign ICD-9, CPT-4 & HCPC codes from documentation.
• Mentor and assist in new employee training.
• Maintain coding quality accuracy rate of 95.5%.

Skills

Medical Terminology

Problem Solving

Attention to Detail

Education

Vocational or Technical Education

Tools

Microsoft Word

Microsoft Excel

Job description

Join to apply for the Physician Services Coding Specialist II - Remote role at Conifer Health Solutions.

Job Summary

The primary purpose of the SPEC, PHYS SVC CODING II, 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 II 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. They also present coding issues to others and support the team as needed as a 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 a coding quality accuracy rate of 95.5%.
• Mentor and assist in new employee training.
• Meet deadlines and complete assignments before monthly closing dates.
• Demonstrate a good working knowledge of medical terminology, human anatomy, and coding.
• Possess knowledge of third-party reimbursement regulations and billing practices.
• Examine documents for accuracy and completeness.
• Understand and follow compliance issues of moderate complexity using appropriate resources.
• Be detail-oriented with the ability to identify and resolve problems.
• Have moderate knowledge of CCI edits and LCDs and apply regulation knowledge accurately.
• Conduct oneself ethically, honestly, and professionally, with a willingness to learn and grow.
• Proficient in Microsoft Word and Excel.
• Maintain strict confidentiality.
• Perform related work as required.

Education / Experience

• Vocational or technical education beyond high school.
• Minimum of 3 years of coding experience in relevant specialty.

Certificates, Licenses, Registrations

• Required: AHIMA Credentials and/or AAPC certification; AAPC Specialty certifications preferred.

Position Competencies

• Builds team relationships, communicates effectively, complies with laws and policies, develops self, demonstrates adaptability, drives for results, focuses on the customer, respects others, and shows reliability.

Conifer requires its candidates to obtain and provide confirmation of all required vaccinations and screenings prior to employment, including COVID-19, influenza, and others as required.