Job Summary
The Coding Specialist reviews medical documentation and assigns accurate ICD-10, CPT, and HCPCS codes. The role also supports the resolution of coding denials and pre-bill edits while meeting established productivity and accuracy standards.
Responsibilities
- Review clinical documentation and select appropriate ICD-10, CPT, and HCPCS codes.
- Address coding denials and resolve pre-bill edits.
- Meet productivity and accuracy expectations, using internal audits to support consistent coding quality.
- Communicate effectively with team members to help resolve coding issues.
Qualifications
- Three to five years of coding experience.
- Current CPC, CCS-P, or equivalent certification.
- Knowledge of medical terminology and anatomy.
- Working understanding of applicable coding regulations and guidelines, including CCI, LCD, and NCD.
Conifer Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
