About this role
Role Overview
- 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
- 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
- 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
- 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.