Description
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient communication s, and value-based care solutions, we empower healthcare decision makershospitals, health systems, physicians, self-insured employers, and payersto better connect every point of care and wellness management. 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!
Conifer Health Solutions is currently hiring for a Remote Inpatient Coding Specialist II due to growth.
JOB SUMMARY
Under virtual supervision, the coder assigns diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-9-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. Responsible for maintaining coding data quality and integrity for all coding assignments at all facilities.
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 facility.
Goal: Average coding quality standard of =/>95% accuracy per monitoring period.
Does not meet =Meets => 95% accuracy
Exceeds =>95.01% accuracy
Coding Labor Productivity: Meets and/or exceeds Conifers coding productivity guidelines. Productivity measurement coincides with quality review using completed work / # hrs worked to produce the total work output.
Does not meet = Meets = > 95% of quarterly productivity benchmark result
Exceeds = > 95.01 of quarterly productivity benchmark result
Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls
CDI: Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution
Other duties as assigned
Qualifications
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.
- Coder must display teamwork and commitment while performing daily coding duties
- Must demonstrate initiative and discipline in time management and assignment completion
- Must be able to work in a virtual setting under minimal supervision
- Must rotate between facilities as requested
- Travel may be required to meet the needs of the facilities
- Other duties as assigned based on leadership request(s).
- Advanced knowledge of ICD-9-CM and CPT coding principles and rules
- Intermediate knowledge of disease pathophysiology and drug utilization
- Intermediate knowledge of MS-DRG classification and reimbursement structures
- Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures
- Effective written and verbal communication skills
- Coding proficiency demonstrated by successful completion of approved coding exercise
- Excellent organizational skills for initiation and maintenance of efficient work flow
- Regular and reliable attendance and time reporting per Conifer Telecommuting program requirements
- Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment.
- Good visual acuity
- Able to operate computer keyboard, mouse and other peripherals as appropriate to accomplish coding & abstracting duties.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
- Preferred: Three (3) years of government and non-government payer inpatient coding and abstracting experience
- Preferred: Three (3) years of government and non-government payer outpatient surgical and procedural coding and abstracting experience
- Preferred: Two (2) years experience with encoders and computerized abstracting systems
- Preferred: Associates degree Health Information Management Technology
CERTIFICATES, LICENSES, REGISTRATIONS
- Preferred: Current CCS Credential
- Preferred: Current RHIT/RHIA Credential
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.
- Ability to sit for extended periods of time
- Must be able to efficiently use computer keyboard and mouse to perform coding assignments
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.
- Works in private office space in the coders home per the Conifer PFS Telecommuter Policy as defined in the Telecommuting Program Guide
OTHER
- Must meet the requirements of the Conifer Telecommuting Program Guide and the Remote Coder Policy
- The ideal candidate will have coding experience in an acute care facility
- Must be able to travel nationally as needed, not to exceed 10%
News Source
0 comments:
Post a Comment