Job Summary
The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. You must be able to utilize multiple resources to support code assignment and possess knowledge on how to resolve coding denials and pre‑bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding.
Essential Duties and Responsibilities
Assign ICD-10, CPT, HCPCS and modifier codes from documentation
Review and appropriately resolve pre-bill edits
Review and appropriately resolve coding denials
Meet or exceed productivity standards
Meet or exceed an 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
Education and Experience
Vocational or technical education beyond high school
Minimum of 3–5 years coding experience
CPC or CCS‑P or equivalent certification in Multi‑specialty Evaluation and Management coding
Demonstrate working knowledge of medical terminology, human anatomy, and coding rules and regulations
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
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
Demonstrate continued willingness to learn and grow
Proficient in Microsoft Word and Excel
Position Competencies
Builds team relationships – invites others to share opinions and partners with employees in other departments.
Communicates effectively – expresses ideas clearly and succinctly with small or large audiences, listens attentively, and tailors writing to the audience.
Compliance with laws, policies and procedures – adheres to company handbook and the Code of Conduct.
Develops self – seeks opportunities for continuous learning, modifies behavior in response to feedback, and owns personal development.
Displays adaptability – performs well in high pressure situations, works effectively when direction is unclear or changing, and shows persistence in the face of obstacles.
Drives for results – delivers high quality work, attains results, and pushes self and others for quality.
Focus on the customer/client – ensures a positive client experience and responds in a timely manner.
Respects others – displays sensitivity to the needs and concerns of others.
Shows reliability – takes personal responsibility, consistently works assigned schedule, and is dependable.
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.
Observed holidays receive time and a half.
Benefits
Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) – minimum of 12 days per year, accruing at approximately 1.84 hours per 40 hours worked.
401(k) with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program and Employee discount program
Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long‑term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
EEO Statement
Employment practices will not be influenced or affected by an applicant’s or employee’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 participates in the E‑Verify program.
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