Conifer Revenue Cycle Solutions
Frisco, Texas
JOB SUMMARY 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. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. 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 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. 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 Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Required: Three (3) to five (5) years' experience performing medical record coding in acute care setting Required: 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 CERTIFICATES, LICENSES, REGISTRATIONS Required: AHIMA Credentials, and or AAPC 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 Must be able to lift up to 25lbs. 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 Works in a private office space in the coder's home per conifer Telecommuter Policy as defined in the Telecommuting Program Guide OTHER Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. 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! Compensation and Benefit Information Compensation Pay: $27.30 - $40.95 per hour. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: 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. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
JOB SUMMARY 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. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. 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 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. 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 Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Required: Three (3) to five (5) years' experience performing medical record coding in acute care setting Required: 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 CERTIFICATES, LICENSES, REGISTRATIONS Required: AHIMA Credentials, and or AAPC 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 Must be able to lift up to 25lbs. 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 Works in a private office space in the coder's home per conifer Telecommuter Policy as defined in the Telecommuting Program Guide OTHER Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. 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! Compensation and Benefit Information Compensation Pay: $27.30 - $40.95 per hour. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: 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. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Conifer Revenue Cycle Solutions
Detroit, Michigan
JOB SUMMARY The Dir, PA Market is responsible for Conifer's Patient Access day-to-day operating activities. This role is responsible for meeting all goals set for the operations and has total control of the operations to meet these goals. The Operations leader responsibilities include delivery of Client Service Level Agreements (SLA) Operating goals, set by the Patient Access Process group that drive SLA patient and account cycle time and productivity standards process quality and accuracy adherence to process standards Relative cost management metrics goals expense, cost, and margin control monthly, quarterly, and annual financial goal management ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Responsible for directing and executing business processes including monitoring and achieving client Service Level Agreements and all supporting process metrics at each hospital of responsibility. Responsible for the overall cycle time, work product accuracy including quality monitoring metrics, productivity, and associated process metrics. Works daily with his/her direct reports to execute against plans. Supports the establishment of hospital budgets and ensures and manages human resource utilization at all levels. Analyzes monthly P & L's to ensure positive EBIT performance. Ensures regional leadership is aware of any hospital specific initiatives impacting Patient Access. Manages all aspects of change management as it relates to operational processes, driving process metrics, staffing and employee relations, etc. Able to leverage skills to other hospitals outside of his/her direct responsibility as needed to help assess and execute operationally as needed to support peers. Ensures adherence to all standardized processes and is ensures he/she is viewed as an effective support partner to both his/her direct and indirect reports and clients. Work collaboratively within business units to ensure organizational goals are achieved. FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Approximately $4-$5 million per market. SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (titles) Dir, Conifer PA I or II Indirect Reports (titles) Manager, PA I or II 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. Strong knowledge and ability to drive operational metrics. Knowledge of detailed Patient Access processes Knowledge of the flow of the revenue cycle Excellent oral and written communication skills Detail oriented, analytical skills, and an ability to work independently PC/Systems literate including the Internet and basic MS office skills Proficiency in prioritizing and managing multiple tasks Operating Discipline and Business Acumen Strong leadership and organizational skills Deal with Ambiguity and make good decisions Assess, coach, train and develop talent Possesses excellent tactical execution skills Possesses the ability to motivate and maintain effective working relationships with staff and all stakeholders. Demonstrates strength in both performance management and leadership development Manage change while minimizing interruption at an operational and service level Advanced writing, verbal and presentation skills Provide advanced customer service Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. At least 4 years manager/director level experience, including experience managing multi-level positions. At least 1 year director level over multiple facilities/units or equivalent business experience 4 year college degree 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 Approximately 40% - 80% travel may be required As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. 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! Compensation and Benefit Information Compensation Pay: $104,624.00-$156,957.00 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: Medical, dental, vision, disability, life, and business travel insurance Manager Time Off - 20 days per year 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. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
JOB SUMMARY The Dir, PA Market is responsible for Conifer's Patient Access day-to-day operating activities. This role is responsible for meeting all goals set for the operations and has total control of the operations to meet these goals. The Operations leader responsibilities include delivery of Client Service Level Agreements (SLA) Operating goals, set by the Patient Access Process group that drive SLA patient and account cycle time and productivity standards process quality and accuracy adherence to process standards Relative cost management metrics goals expense, cost, and margin control monthly, quarterly, and annual financial goal management ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Responsible for directing and executing business processes including monitoring and achieving client Service Level Agreements and all supporting process metrics at each hospital of responsibility. Responsible for the overall cycle time, work product accuracy including quality monitoring metrics, productivity, and associated process metrics. Works daily with his/her direct reports to execute against plans. Supports the establishment of hospital budgets and ensures and manages human resource utilization at all levels. Analyzes monthly P & L's to ensure positive EBIT performance. Ensures regional leadership is aware of any hospital specific initiatives impacting Patient Access. Manages all aspects of change management as it relates to operational processes, driving process metrics, staffing and employee relations, etc. Able to leverage skills to other hospitals outside of his/her direct responsibility as needed to help assess and execute operationally as needed to support peers. Ensures adherence to all standardized processes and is ensures he/she is viewed as an effective support partner to both his/her direct and indirect reports and clients. Work collaboratively within business units to ensure organizational goals are achieved. FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): Approximately $4-$5 million per market. SUPERVISORY RESPONSIBILITIES This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Direct Reports (titles) Dir, Conifer PA I or II Indirect Reports (titles) Manager, PA I or II 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. Strong knowledge and ability to drive operational metrics. Knowledge of detailed Patient Access processes Knowledge of the flow of the revenue cycle Excellent oral and written communication skills Detail oriented, analytical skills, and an ability to work independently PC/Systems literate including the Internet and basic MS office skills Proficiency in prioritizing and managing multiple tasks Operating Discipline and Business Acumen Strong leadership and organizational skills Deal with Ambiguity and make good decisions Assess, coach, train and develop talent Possesses excellent tactical execution skills Possesses the ability to motivate and maintain effective working relationships with staff and all stakeholders. Demonstrates strength in both performance management and leadership development Manage change while minimizing interruption at an operational and service level Advanced writing, verbal and presentation skills Provide advanced customer service Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. At least 4 years manager/director level experience, including experience managing multi-level positions. At least 1 year director level over multiple facilities/units or equivalent business experience 4 year college degree 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 Approximately 40% - 80% travel may be required As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. 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! Compensation and Benefit Information Compensation Pay: $104,624.00-$156,957.00 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. Management level positions may be eligible for sign-on and relocation bonuses. Benefits Conifer offers the following benefits, subject to employment status: Medical, dental, vision, disability, life, and business travel insurance Manager Time Off - 20 days per year 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. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.