12 days old

Coder Analyst - Remote

Conifer Health Solutions
Frisco, TX 75034

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!

JOB SUMMARY

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

    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.

    • 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) 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
              OTHER
              • Must be able to travel nationally as needed, not to exceed 10%

                Job: Conifer Health Solutions
                Primary Location: Frisco, Texas
                Posted: 2019-08-06 Expires: 2019-09-05

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              Coder Analyst - Remote

              Conifer Health Solutions
              Frisco, TX 75034

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