Risk Adjustment and Quality Improvement Coder - Remote

Conifer Value Based Care • Frisco, TX

116d • $27 - $40 • 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

• Three (3) to five (5) years' experience performing medical record coding in acute care setting
• High school graduate or equivalent is required

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Professional, Scientific, and Technical Services
• Education Level: High school or GED