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IP Coder-Turtle Lake, ND
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Turtle Lake, North Dakota |
About this job
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 , patient communication s, and value-based care 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 IP Coder. In addition to coding, the position will be responsible for scanning, deficiency analysis, and record releases.
JOB SUMMARY
Responsible for assigning 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.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).
Abstracting: 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% accuracy
Exceeds =>95.01% accuracy
Coding Labor Productivity: Meets and/or exceeds Conifer's coding productivity guidelines.
Professional Development: 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
Communicates 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 structures
Understanding of appropriate level of care orders
Working knowledge of Value Based Purchasing (VBP)
Proficient at writing AHIMA complaint physician queries
Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
Proficient in researching and responding to Business Office questions and/or question by the payer
Ability to establish and maintain effective working relationships as required by the duties of the position
Ability to concentrate and accomplish tasks with explicit accuracy
Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
Functional knowledge of facility EMR, encoder and other support software
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
One to three 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: RHIA, RHIT, and/or CCS
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
Ability to travel
Includes 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 Environment
Hospital Work Environment
OTHER
Must be able to travel nationally as needed, not to exceed 10%
MWW
Conifer Health Solutions is currently hiring for a IP Coder. In addition to coding, the position will be responsible for scanning, deficiency analysis, and record releases.
JOB SUMMARY
Responsible for assigning 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.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).
Abstracting: 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% accuracy
Exceeds =>95.01% accuracy
Coding Labor Productivity: Meets and/or exceeds Conifer's coding productivity guidelines.
Professional Development: 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
Communicates 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 structures
Understanding of appropriate level of care orders
Working knowledge of Value Based Purchasing (VBP)
Proficient at writing AHIMA complaint physician queries
Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
Proficient in researching and responding to Business Office questions and/or question by the payer
Ability to establish and maintain effective working relationships as required by the duties of the position
Ability to concentrate and accomplish tasks with explicit accuracy
Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
Functional knowledge of facility EMR, encoder and other support software
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
One to three 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: RHIA, RHIT, and/or CCS
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
Ability to travel
Includes 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 Environment
Hospital Work Environment
OTHER
Must be able to travel nationally as needed, not to exceed 10%
MWW
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