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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
solutions, we empower healthcare decision makers-hospitals, health systems, physicians, self-insured employers, and payers-to 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 HIM Coding Specialist at Carrington Healthcare, Carrington, ND.
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.
Reviews 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.
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% accuracy Exceeds = >95.01% accuracy
Coding Labor Productivity:
Meets and/or exceeds Conifer's coding productivity guidelines. Productivity measurement coincides with quality review using completed work / # hrs worked to produce the total work output. Does not meet = 95% of quarterly productivity benchmark result Exceeds = > 95.01 of quarterly productivity benchmark result
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
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: Four (4) year's of government and non-government payer inpatient coding and abstracting experience
Preferred: Four (4) year's of government and non-government payer outpatient surgical and procedural coding and abstracting experience
Preferred: Three (3) year's experience with encoders and computerized abstracting systems
Preferred: Associates degree Health Information Management Technology
CERTIFICATES, LICENSES, REGISTRATIONS
Required: Current CCS Credential
Required: Current RHIT/RHIA Credential
Conifer - Carrington, ND
Tenet Healthcare - 17 months ago