Inpatient Auditing Analyst

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September 17

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Tenet Healthcare

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Healthcare • Biotechnology • Wellness

Tenet Healthcare is a leading healthcare services company that owns and operates hospitals, outpatient centers, and other healthcare facilities. With a focus on providing high-quality and accessible medical care to communities across the United States, Tenet Healthcare is committed to improving patient outcomes and enhancing the healthcare experience. They also offer innovative treatment options and invest in health technology to support their mission of delivering exceptional care.

10,000+ employees

🧬 Biotechnology

🧘 Wellness

💰 $2G Post-IPO Debt on 2022-05

📋 Description

• 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 • 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 • Works in a private office space in the coder’s home per conifer Telecommuter Policy as defined in the Telecommuting Program Guide

🎯 Requirements

• Three (3) to five (5) years’ experience performing medical record coding in acute care setting • 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 • 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 • Must be able to lift up to 25lbs. • Must be able to work in sitting position, use computer and answer telephone • Must be able to travel nationally as needed, not to exceed 10%

🏖️ 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 • Position may be eligible for a signing bonus for qualified new hires, subject to employment status • Conifer observed holidays receive time and a half