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Company

Conifer Health Solutions · 2 days ago

IP Senior Coder - Remote

Frisco, TX

Full-time

Remote

Entry, Mid, Senior Level

$27.30/hr - $40.95/hr

1+ years exp

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Responsibilities

Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS 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.

Performs inpatient coding quality/second level reviews, inpatient denial reviews, provides consultation on projects, and may be primary point of contact for team members and other departments when supervisor/manager is not available.

Acts as a resource and subject matter expert for the inpatient coding team.

Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines.

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 consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses (including DRG, MCC & CC, SOI/ROM) and procedures.

Demonstrates accuracy and consistency in abstracting elements defined by per facility.

Meets and/or exceeds Conifer’s inpatient coding productivity guidelines.

Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries.

Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding.

Completes mandatory coding education as assigned.

Quarterly review of AHA Coding Clinic.

Attends all required coding operations conference calls.

Reviews held accounts daily for resolution in support of coding DNFB performance.

Communicates barriers to leaders (physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution.

Provides operational performance reports to leadership as requested.

Qualification

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ICD-10-CM codingICD-10-PCS codingAHIMA Standards of Ethical CodingMS-DRG classificationAPR DRG classificationAHIMA compliant queriesInpatient coding experienceAbstracting clinical informationOffice equipment proficiencyCollaboration with CDIFacility EMR knowledgeEncoder software proficiencyAHIMA RHIT certificationAHIMA RHIA certificationAAPC CCS certification

Required

Abides by the Standards of Ethical Coding as set forth by AHIMA.

Abstracting required clinical information from the medical record.

Acts as a resource and subject matter expert for the inpatient coding team.

Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures.

Proficient at writing AHIMA compliant 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 related to coding and/or payer-specific coding guidelines.

Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.

Works collaboratively with CDI, Quality and other facility leadership.

Functional knowledge of facility EMR, encoder, CDI tool and other support software.

One to three years experience performing inpatient coding in acute care setting required.

High school graduate or equivalent is required.

Required: AHIMA RHIT or RHIA or AAPC CCS approved credential.

Ability to lift 15-20lbs.

Ability to sit and work at a computer for a prolonged period of time.

Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments if appropriate.

Must be able to travel nationally as needed, not to exceed 10%.

Preferred

Associate or Bachelor’s Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements.

Benefits

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.