Description
JOB SUMMARY
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
Prepares data collection reports for leadership
Monitors diagnosis submission progress; Audit diagnosis submission files to ensure accuracy
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
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 employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
Required: Three (3) to five (5) years’ experience performing medical record coding in acute care setting
Required: High school graduate or equivalent is required
Preferred: Associate or Bachelor’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
PHYSICAL DEMANDS
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.
WORK ENVIRONMENT
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 coder’s home per conifer Telecommuter Policy as defined in the Telecommuting Program Guide
OTHER
Must be able to travel nationally as needed, not to exceed 10%
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!
Compensation and Benefit Information
Compensation
Pay: $27.30 - $40.95 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.
Conifer observed holidays receive time and a half.
Benefits
Conifer offers the following benefits, subject to employment status:
Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
Responsibilities for Internal Candidates
Qualifications for Internal Candidates
Same Posting Description for Internal and External Candidates