Headquarters: Texas
JOB SUMMARY
Conducts knowledge high quality audits of inpatient admissions and outpatient encounters to validate coding project is in compliance with the official coding tips as supported by medical documentation in well being report. Validates abstracted knowledge components which are integral to acceptable cost methodology.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Embody the next. Others could also be assigned.
- Consulting: Consults facility leaders and workers on greatest practices, methodology, and instruments for precisely coding.
- Chart Evaluation IP, OP Coding Knowledge auditing and validation: Critiques medical data for the dedication of correct project of all documented diagnoses and procedures. Adheres to Requirements of Moral Coding (AHIMA). Critiques medical data for the dedication of correct project of all documented diagnoses and procedures. Critiques declare to validate abstracted knowledge together with however restricted to discharge disposition which impacts facility reimbursement and/or MS-DRG project. Adheres to Requirements of Moral Coding (AHIMA).Critiques medical data to find out correct required abstracting components (facility/shopper/payer particular components) together with acceptable discharge disposition
- IP, OP Coding: Critiques medical data for the dedication of correct project of all documented ICD-9-CM codes for diagnoses and procedures. Abstracts correct required knowledge components (facility/shopper particular components) together with acceptable discharge disposition.
- Coding: Makes use of discretion and specialised coding coaching and expertise to precisely assign ICD-9, CPT-4 codes to affected person medical data.
- Abstracting: Critiques medical data to find out correct required abstracting components (shopper particular components) together with acceptable discharge disposition.
- Coding High quality: Demonstrates capacity to realize accuracy and consistency within the choice of principal and secondary diagnoses (together with MCC & CC) and procedures. Demonstrates capacity to realize accuracy and consistency in abstracting components outlined by SOW.
- CDI: Identifies and communicates documentation enchancment alternatives and coding points (missing documentation, doctor queries, and many others.) to acceptable personnel for follow-up and backbone.
- Skilled Improvement: Stays present with AHA Official Coding and Reporting Pointers, CMS and different company directives for ICD-9-CM and CPT coding. Attends obligatory coding seminars on annual foundation (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly evaluate of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding convention calls
KNOWLEDGE, SKILLS, ABILITIES
To carry out this job efficiently, a person should have the ability to carry out every important obligation satisfactorily. The necessities listed under are consultant of the information, talent and/or capacity required. Affordable lodging could also be made to allow people with disabilities to carry out the important features.
- Capability to constantly code at 95% accuracy and high quality whereas sustaining shopper specified manufacturing requirements
- Should efficiently move coding check
- Information of medical terminology, ICD-9-CM and CPT-4 codes
- Have to be element oriented and have the flexibility to work independently
- Pc information of MS Workplace
- Should show wonderful interpersonal expertise
- The coder ought to show initiative and self-discipline in time administration and project completion
- The coder should have the ability to work in a digital setting underneath minimal supervision
- Intermediate information of illness pathophysiology and drug utilization
- Intermediate information of MSDRG classification and reimbursement buildings
- Intermediate information of APC, OCE, NCCI classification and reimbursement buildings
Conifer requires its candidates, as relevant and as permitted by legislation, to acquire and supply affirmation of all required vaccinations and screenings previous to the beginning of employment. This will embrace, however just isn’t restricted to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
- Associates diploma in related discipline most popular or mixture of equal of schooling and expertise
- Three years coding expertise together with hospital and consulting background
CERTIFICATES, LICENSES, REGISTRATIONS
- AHIMA Credentials, and or AAPC
PHYSICAL DEMANDS
The bodily calls for described listed below are consultant of those who have to be met by an worker to efficiently carry out the important features of this job. Affordable lodging could also be made to allow people with disabilities to carry out the important features.
- Duties could require bending, twisting and lifting of supplies as much as 25 lbs.
- Duties could require driving an vehicle to off- website places.
- Duties could require journey through, airplane, care, practice, bus, and taxi-cab.
- Capability to take a seat for prolonged durations of time.
- Should have the ability to effectively use laptop keyboard and mouse to carry out coding assignments.
WORK ENVIRONMENT
The work atmosphere traits described listed below are consultant of these an worker encounters whereas performing the important features of this job. Affordable lodging could also be made to allow people with disabilities to carry out the important features.
- Floats between shoppers as requested.
- Capability to work independently in a digital workplace setting or at hospital setting if required to journey for project.
OTHER
- Common journey could also be required
As part of the Tenet and Catholic Well being Initiatives household, Conifer Well being brings 30 years of healthcare trade experience to shoppers in additional than 135 native areas nationwide. We assist our shoppers strengthen their monetary and medical efficiency, serve their communities and succeed on the enterprise of healthcare. Conifer Well being helps organizations transition from quantity to value-based care, improve the patron and affected person healthcare expertise and enhance high quality, price and entry to healthcare. Are you able to be a part of our options? Welcome to the corporate that provides you the assets and incentives to redefine healthcare companies, with a aggressive advantages bundle and management to take your profession to the following step!
Compensation and Profit Data
Compensation
- Pay: $30.85 – $46.28 per hour. Compensation is determined by location, {qualifications}, and expertise.
- Place could also be eligible for a signing bonus for certified new hires, topic to employment standing.
- Conifer noticed holidays obtain time and a half.
Advantages
Conifer presents the next advantages, topic to employment standing:
- Medical, dental, imaginative and prescient, incapacity, and life insurance coverage
- Paid time without work (trip & sick depart) – min of 12 days per yr, accrue at a fee of roughly 1.84 hours per 40 hours labored.
- 401k with as much as 6% employer match
- 10 paid holidays per yr
- Well being financial savings accounts, healthcare & dependent versatile spending accounts
- Worker Help program, Worker low cost program
- Voluntary advantages embrace pet insurance coverage, authorized insurance coverage, accident and important sickness insurance coverage, long run care, elder & childcare, AD&D, auto & house insurance coverage.
- For Colorado workers, Conifer presents paid depart in accordance with Colorado’s Wholesome Households and Workplaces Act.
Employment practices is not going to be influenced or affected by an applicant’s or worker’s race, shade, faith, intercourse (together with being pregnant), nationwide origin, age, incapacity, genetic info, sexual orientation, gender identification or expression, veteran standing or every other legally protected standing. Tenet will make cheap lodging for certified people with disabilities until doing so would lead to an undue hardship.
To use: https://weworkremotely.com/remote-jobs/conifer-revenue-cycle-solutions-coding-quality-auditor-remote
