Des Moines, IA, United States
Senior Inpatient Coder','!*!
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!
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. Responds
to audits, conducts coding or provides consultation on projects, and may be the
primary point of contact to CDI team when coding supervisor/manager is not
available. Mentors staff and assists
with questions. 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.
medical records for the determination of accurate assignment of all documented
diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).
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.
Does not meet =<95%
Meets => 95%
Coding Labor Productivity: Meets and/or exceeds Conifer’s coding productivity
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
and resolves coding issues (lacking documentation, physician queries, etc.) for
appropriate follow-up and resolution','!*! 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. Knowledge of MS-DRG classification and reimbursement structuresUnderstanding of appropriate level of care orders Working knowledge of Value Based Purchasing (VBP)Proficient at writing AHIMA complaint physician queriesAdept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate managerProficient in researching and responding to Business Office questions and/or question by the payerAbility to mentor less experienced staff in all areas of coding. Assists in the training of new and transitioning coding staffAbility to establish and maintain effective working relationships as required by the duties of the positionAbility to concentrate and accomplish tasks with explicit accuracyAbility to use office equipment and automated systems/applications/software at an acceptable level of proficiencyFunctional knowledge of facility EMR, encoder and other support software EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. Three to five years’ experience performing medical record coding in acute care setting required. High school graduate or equivalent is required. Associate or Bachelor’s Degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed preferred. Years of coding experience would be considered in lieu of educational requirements. CERTIFICATES, LICENSES, REGISTRATIONS Required: AHIMA or AAPC approved 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. Must be able to work in sitting position, use computer and answer telephoneAbility to travelIncludes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments 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 EnvironmentHospital Work Environment OTHER Must be able to travel nationally as needed, not to exceed 10%','Conifer Health Solutions','IA-Des Moines','','','Full-time','Full-time','Days','Days','','','','','','','2005001270','Senior Inpatient Coder
Website : http://www.tenethealth.com