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!
Support and provide coding and compliance training to clinical personnel, billing, and/or other client staff. Establish effective communication with clinical staff, and/or hospital staff to address documentation, coding, and reimbursement issues. Use knowledge of coding and compliance guidelines to identify potential billing / reimbursement issues. Participate in special audits and system administration as necessary.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Performs diagnosis data submissions to Client, Vendors and internal Stakeholders
Develop monthly productivity and revenue projections
Responsible for chart assignment oversight and monitoring accounts on hold
Reviews, analyzes and oversight of prebill/post bill reviews and pending accounts
Works to resolve workflow, systems and complex matters related to coding
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Proficient in inpatient and/or outpatient diagnosis and procedure coding guidelines
Proficient in CPT/HCPCS code assignment including Evaluation & Management facility coding guidelines
Knowledge of MS-DRG, APR DRG and CPT classification and reimbursement structures
Proficient at writing AHIMA complaint physician queries
Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness
Functional knowledge of facility EMR, encoder, CDI tool and other support software
EDUCATION / EXPERIENCE
Required: Three (3) to five (5) yearsâ�� experience performing medical record coding in acute care setting
Required: High school graduate or equivalent is required
Preferred: Associate or Bachelorâ��s Degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed
CERTIFICATES, LICENSES, REGISTRATIONS
Required: AHIMA Credentials, and or AAPC
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable 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
Must be able to lift up to 25lbs.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Office Work Environment
Works in a private office space in the coderâ��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: Westminster, California
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��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.
Internal Number: 2105021351
About Conifer Health Solutions
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.