Coder Analyst - Remote
- Employer
- Conifer Revenue Cycle Solutions
- Location
- Frisco, Texas
- Salary
- Negotiable
- Posted
- Oct 14, 2024
- Closes
- Oct 15, 2024
- Ref
- 2836680906
- Role Type
- Administration, Billing / Coding, Management
- Hours
- Full Time
- Practice Setting
- Ambulatory Care / Outpatient, Hospital / Medical Center
- Employment Type
- Permanent
- Organization Type
- Academic, Hospital / Health System
JOB SUMMARY
Support and provide coding and compliance training to clinical personnel, billing, and/or other client staff. Establish effective communication with 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.
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.
EDUCATION / EXPERIENCE
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.
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.
Compensation and Benefit Information
Compensation
Conifer offers the following benefits, subject to employment status:
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Support and provide coding and compliance training to clinical personnel, billing, and/or other client staff. Establish effective communication with 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
- Responsible for chart assignment oversight and monitoring accounts on hold
- Prepares data collection reports for leadership
- Monitors diagnosis submission progress; Audit diagnosis submission files to ensure accuracy
- Reviews, analyzes and oversight of prebill/post bill reviews and pending accounts
- Works to resolve workflow, systems and complex matters related to coding
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 inpatient and/or outpatient diagnosis and procedure coding guidelines
- Proficient in CPT/HCPCS code assignment including Evaluation & Management facility coding guidelines
- Knowledge of MS-DRG, APR DRG and CPT 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, CDI tool 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
- Required: AHIMA Credentials, and or AAPC
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.
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
- Works in a private office space in the coder's home per conifer Telecommuter Policy as defined in the Telecommuting Program Guide
- Must be able to travel nationally as needed, not to exceed 10%
Compensation and Benefit Information
Compensation
- Pay: $27.30-$40.95 per hour. Compensation depends on location, qualifications, and experience.
- Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
- Conifer observed holidays receive time and a half.
Conifer offers the following benefits, subject to employment status:
- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
- 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
- For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.