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Tenet Healthcare - Frisco, TX
posted 3 days ago
About the position
The primary purpose of the SPEC, PHYS SVC CODING III, 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 III 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 III present coding issues to others and support the team as needed as a trainer and coach in specified situations.
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
- Effectively present coding & documentation 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
- 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 difficult 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
Requirements
- Associates Degree or Vocational, Technical education beyond high school
- Minimum of 5 years coding experience
- Demonstrated experience in at least 2 specialties, 3 preferred
Nice-to-haves
- AHIMA Credentials, and or AAPC certification
- AAPC Specialty certifications preferred
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
