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!
The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-9, CPT-4 & HCPC codes from documentation. Intermediate knowledge of level 1 & 2 modifiers is required. A SPEC, PHYS SVC CODING II must have the ability to utilize multiple websites to support code assignment be able to cite supporting documentation for coding compliance issues. A SPEC, PHYS SVC CODING IImust possess intermediate knowledge on how to problem-solve insurance rejections and denial issues. Coders are responsible for accurate and complete coding under Compliance Guidelines. Productivity and accuracy are measured via internal audits and must be maintained.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Assign ICD-9, CPT-4 & HCPC codes from documentation
Problem-solve insurance rejections and denial issues
Uphold productivity standards / daily quota set by management
Maintain company accuracy rate of 95% in monthly internal audits
Effectively present coding 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
Maintain strictest confidentiality
Perform related work as required
Others may be 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 activity. 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 1-2 years coding experience
CPC or CCS-P or equivalent certification or related, relevant experience
Demonstrate a good working knowledge of medical terminology, human anatomy, and coding
Must possess knowledge of third party reimbursement regulations and billing practices
Possess moderate knowledge of level 1 & 2 modifiers
Ability to examine documents for accuracy and completeness
Ability to understand and follow compliance issues of moderate complexity
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
Radiology coders must be able to code the following modalities: level I, plus duplex and Doppler ultrasounds, CTâ��s/CT
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��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 Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.