Vacancy expired!
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!JOB SUMMARY Responsible for assigning diagnostic and procedural codes
to patient charts of moderate to high complexity using ICD-10-CM, CPT and HCPCS
or any other designated coding classification system in accordance with coding
rules and regulations. Abides by the Standards of Ethical Coding as set forth
by AHIMA. Abstracting required clinical
information from the medical record. ESSENTIAL DUTIES ANDRESPONSIBILITIES Include thefollowing. Others may be assigned. Coding: Reviews medical records for the determination
of accurate assignment of all documented diagnoses and procedures. Adheres to
Standards of Ethical Coding (AHIMA). Abstracting: Reviews medical records to determine accurate
required abstracting elements (facility/client specific elements) including
appropriate discharge disposition.Coding Quality: Demonstrates ability to achieve accuracy and
consistency in the selection of principal and secondary diagnoses (including
MCC & CC) and procedures. Demonstrates ability to achieve accuracy and
consistency in abstracting elements defined by per facility.Goal: Average coding quality standard of =>95%
accuracy per monitoring period.Does
not meet =<95% accuracyMeets
=> 95% accuracyExceeds
=>95.01% accuracy Coding LaborProductivity: Meets
and/or exceeds Conifer’s coding productivity guidelines. ProfessionalDevelopment: Stays
current with AHA Official Coding and Reporting Guidelines, CMS and other agency
directives for ICD-10-CM and CPT coding.
Attends mandatory coding seminars on annual basis (IPPS and OPPS,
ICD-10-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all
coding conference calls Communicates and resolves coding issues (lacking
documentation, physician queries, etc.) for appropriate follow-up and
resolutionKNOWLEDGE, SKILLS,ABILITIES To perform this jobsuccessfully, an individual must be able to perform each essential dutysatisfactorily. The requirements listed below are representative of theknowledge, skill and/or ability required. Reasonable accommodations may be madeto enable individuals with disabilities to perform the essential functions.
Knowledge of MS-DRG classification andreimbursement structures
Understanding of appropriate level ofcare orders
Working knowledge of Value BasedPurchasing (VBP)
Proficient at writing AHIMA complaintphysician queries
Adept at comparing documentation, codeassignment and charge in the financial system for accuracy and completeness andelevating concerns to the appropriate manager
Proficient in researching and respondingto Business Office questions and/or question by the payer
Ability to establish and maintaineffective working relationships as required by the duties of the position
Ability to concentrate and accomplishtasks with explicit accuracy
Ability to use office equipment andautomated systems/applications/software at an acceptable level of proficiency
Functional knowledge of facility EMR,encoder and other support software
EDUCATION /EXPERIENCE Include minimumeducation, technical training, and/or experience preferred to perform the job.
One to three years’ experienceperforming medical record coding in acute care setting required
High school graduate or equivalent isrequired
Associate or Bachelor’s Degree in HealthInformation, Nursing, or other related field, or formal coding classescompleted and passed preferred. Years ofcoding experience would be considered in lieu of educational requirements.
CERTIFICATES,LICENSES, REGISTRATIONS
Required: AHIMA or AAPC approved credential
PHYSICAL DEMANDS The physical demandsdescribed here are representative of those that must be met by an employee tosuccessfully perform the essential functions of this job. Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.
Must be able to work in sittingposition, use computer and answer telephone
Ability to travel
Includes ability to walk through hospital-baseddepartments across broad campus settings, including Emergency Departmentenvironments
WORK ENVIRONMENT The work environmentcharacteristics described here are representative of those an employeeencounters while performing the essential functions of this job. Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.
Office Work Environment
Hospital Work Environment
OTHER
Must be able to travel nationally asneeded, not to exceed 10%
Job: Conifer Health SolutionsOrganization:Title: Inpatient Coder - RemoteLocation: TX-FriscoRequisition ID: 2005001265
Vacancy expired!