Job type full-time
Full job description
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 nationwideWe help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcareConifer health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcareAre 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!
Responsible for assigning diagnostic and procedural codes to patient charts of moderate to high complexity using icd-10-cm and icd-10-pcs or any other designated coding classification system in accordance with coding rules and regulationsAbides by the standards of ethical coding as set forth by ahimaAbstracting required clinical information from the medical record.
Essential duties and responsibilities
Include the followingOthers may be assigned.
Coding: reviews medical records for the determination of accurate assignment of all documented diagnoses and proceduresAdheres 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 95% or higher accuracy and consistency in the selection of principal and secondary diagnoses (including mcc & cc) and proceduresDemonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility.
Coding labor productivity: meets and/or exceeds conifer’s coding productivity guidelines.
Professional development: stays current with aha official coding and reporting guidelines, cms and other agency directives for icd-10-cm and icd-10-pcs codingAttends mandatory coding seminars on annual basis for inpatient codingQuarterly review of aha coding clinicAttends quarterly coding updates and all coding conference calls
Communicates and resolves coding issues (lacking documentation, physician queries, missing documentation, second level review, drg reconciliation, etc.) for appropriate follow-up and resolution
Knowledge, skills, abilities
To perform this job successfully, an individual must be able to perform each essential duty satisfactorilyThe requirements listed below are representative of the knowledge, skill and/or ability requiredReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Knowledge of ms-drg and apr drg classification and reimbursement structures
Understanding of appropriate level of care orders
Working knowledge of value based purchasing (vbp)
Proficient at writing ahima complaint physician queries
Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
Proficient in researching and responding to business office questions and/or question by the payer
Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
Works collaboratively with cdi, quality and other facility leadership
Functional knowledge of facility emr, encoder, cdi tool and other support software
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employmentThis may include, but is not limited to, the covid-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
Education / experience
Include minimum education, technical training, and/or experience preferred to perform the job.
One to three years’ experience performing medical record coding in acute care setting required
High school graduate or equivalent is required
Associate or bachelor’s degree in health information, nursing, or other related field, or formal coding classes completed and passed preferredYears of coding experience would be considered in lieu of educational requirements.
Certificates, licenses, registrations
Required: ahima or aapc approved credential
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this jobReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Must be able to work in sitting position, use computer and answer telephone
Includes ability to walk through hospital-based departments across broad campus settings, including emergency department environments if appropriate
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this jobReasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Office/hospital work environment
Works in a private office space in the coder’s home per conifer telecommuter policy as defined in the telecommuting program guide
Must be able to travel nationally as needed, not to exceed 10%
Job: conifer health solutions primary location: hot springs, arkansas job type: full-time shift type: days
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 statusTenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.