Tenet Healthcare Corporation Frisco , TX 75034
Posted 4 days ago
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. A SPEC, PHYS SVC CODING II 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 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
Must possess knowledge of third-party reimbursement regulations and billing practices
Ability to examine documents for accuracy and completeness
Ability to understand and follow compliance issues of moderate complexity by utilizing appropriate coding/compliance resources
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
Conduct self in an ethical, honest, and professional manner, demonstrate continued willingness to learn and grow
Proficient in Microsoft Word, Excel
Maintain strictest confidentiality
Perform related work as required
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 years coding experience in relevant specialty
CERTIFICATES, LICENSES, REGISTRATIONS
POSITION COMPETENCIES:
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
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.
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.
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Tenet Healthcare Corporation