Physician Services Coding Specialist III - ED Remote

Conifer Health Solutions; Frisco (TX); On-site; USD 34,000 - 51,000; Full time

Benefits offered by this job

Medical insurance

401k with employer match

Paid time off

Job summary

Conifer Health Solutions in Frisco, TX is seeking a SPEC, PHYS SVC CODING III to code physician charges using ICD-10, CPT, HCPCS codes and modifiers from medical records. You will resolve pre-bill edits and denials while upholding productivity and accuracy standards.

The role requires 3–5 years of coding experience, CPC or CCS-P certification, and knowledge of CCI, LCD and NCD rules. You will collaborate with teams to ensure compliant, high-quality coding and denial management support.

Qualifications

• Minimum of 3–5 years coding experience.
• Certification in CPC or CCS-P or equivalent is required.
• Ability to interpret medical documentation and apply coding rules accurately.
• Detail oriented with problem-solving abilities.
• Knowledge of third-party reimbursement regulations and billing practices.

Responsibilities

• Assign ICD-10, CPT, HCPCS and modifiers codes from documentation.
• Review and resolve pre-bill edits.
• Review and resolve coding denials.
• Meet or exceed productivity standards.
• Maintain an accuracy rate of 95.5% in monthly audits.
• Present coding issues to team or clients as needed.
• Meet deadlines and complete assignments before monthly closing dates.
• Apply CCI, LCD, NCD and other applicable coding rules and client guidelines.
• Perform other duties as assigned.

Skills

ICD-10 coding

CPT coding

HCPCS coding

Denials resolution

CCI/LCD/NCD rules

Medical terminology

Team collaboration

Third-party billing knowledge

Problem solving

Communication

Education

CPC or CCS-P or equivalent certification

Vocational or technical education beyond high school

Tools

Microsoft Word

Excel

Job description

JOB SUMMARY

The primary purpose of the SPEC, PHYS SVC CODING III is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must 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 III roles include but are not limited to invasive and surgical coding such as general surgery, interventional radiology, invasive cardiology, and anesthesia.

Essential Duties And Responsibilities

• 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 exceedproductivity 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

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

• Vocational or technical education beyond high school
• Minimum of 3-5 years coding experience
• CPC or CCS-P or equivalent certification
• 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
• Detail oriented with the ability to identify and resolve problems
• 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

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

• 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.

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. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

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.

,$24.82 - $37.23 hourly Individual wages are determined based upon a number of factors including, but not limited to, an individual’s qualifications and experience