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 physicians, clinical personnel, billing, and/or other client staff. Establish effective communication with physicians, 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
Audit diagnosis submission files to ensure accuracy
Prepares data collection reports for leadership
Monitors diagnosis submission progress
Analyze diagnosis data to improve submission quality (Chart Review Delete Process)
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 outpatient diagnosis coding guidelines
Proficient in CPT/HCPCS code assignment including Evaluation & Management facility coding guidelines
Knowledge of MS-DRG 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 and other support software
EDUCATION / EXPERIENCE
Required: Three (3) to five (5) yearsï¿½ experience performing medical record coding in acute care setting
Required: High school graduate or equivalent is required
Preferred: Associate or Bachelorï¿½s 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
Must be able to travel nationally as needed, not to exceed 10%
Job: Conifer Health Solutions
Primary Location: Frisco, Texas
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: 2005004770
About Conifer Health Solutions
“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.