Inpatient Auditing Analyst - Remote

Tenet Healthcare Corporation•Frisco, TX

37d•$27 - $41•Remote

About The Position

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.

Requirements

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
Three (3) to five (5) years' experience performing medical record coding in acute care setting
High school graduate or equivalent is required
AHIMA Credentials, and or AAPC
Must be able to work in sitting position, use computer and answer telephone
Must be able to lift up to 25lbs.
Must be able to travel nationally as needed, not to exceed 10%

Nice To Haves

Associate or Bachelor's Degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed

Responsibilities

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

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.

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