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!
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 AND RESPONSIBILITIES
Include the following. 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.
Professional Development: 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 resolution
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, anindividual must be able to perform each essential duty satisfactorily. Therequirements listed below are representative of the knowledge, skill and/orability required. Reasonable accommodations may be made to enable individualswith disabilities to perform the essential functions.
Proficient in outpatient diagnosis codingguidelines
Ability to establish and maintain effective workingrelationships as required by the duties of the position
Ability to concentrate and accomplish taskswith explicit accuracy
Ability to use office equipment and automatedsystems/applications/software at an acceptable level of proficiency
Functional knowledge of facility EMR, encoderand other support software
EDUCATION / EXPERIENCE
Includeminimum education, technical training, and/or experience preferred to performthe job.
Zero to six months of experience medical recordcoding in acute care setting preferred
Required: High school graduate or equivalent
Preferred: Completion of basic coding course
Required: AHIMA or AAPC approved credential
The physical demands described here arerepresentative of those that must be met by an employee to successfully performthe essential functions of this job. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential functions.
Must be able to work in sitting position, usecomputer and answer telephone
Ability to travel
Includes ability to walk through hospital-baseddepartments across broad campus settings, including Emergency Departmentenvironments
The work environment characteristicsdescribed here are representative of those an employee encounters whileperforming the essential functions of this job. Reasonable accommodations maybe made to enable individuals with disabilities to perform the essentialfunctions.
Office Work Environment
Hospital Work Environment
Must be able to travel nationally as needed,not to exceed 10%
Employment practices will not be influenced or affected by an applicantâs or employeeâs 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.