JOB SUMMARY Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Consulting : Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. Chart Analysis IP, OP Coding Data auditing and validation : Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA).Reviews medical records to determine accurate required abstracting elements (facility/client/payer specific elements) including appropriate discharge disposition IP, OP Coding : Reviews medical records for the determination of accurate assignment of all documented ICD-9-CM codes for diagnoses and procedures. Abstracts accurate required data elements (facility/client specific elements) including appropriate discharge disposition. Coding : Uses discretion and specialized coding training and experience to accurately assign ICD-9, CPT-4 codes to patient medical records. Abstracting : Reviews medical records to determine accurate required abstracting elements (client specific elements) including appropriate discharge disposition. Coding Quality : Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by SOW. CDI : Identifies and communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow-up and resolution. Professional Development : Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls 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. Ability to consistently code at 95% accuracy and quality while maintaining client specified production standards Must successfully pass coding test Knowledge of medical terminology, ICD-9-CM and CPT-4 codes Must be detail oriented and have the ability to work independently Computer knowledge of MS Office Must display excellent interpersonal skills The coder should demonstrate initiative and discipline in time management and assignment completion The coder must be able to work in a virtual setting under minimal supervision Intermediate knowledge of disease pathophysiology and drug utilization Intermediate knowledge of MSDRG classification and reimbursement structures Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures 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 Associates degree in relevant field preferred or combination of equivalent of education and experience Three years coding experience including hospital and consulting background CERTIFICATES, LICENSES, REGISTRATIONS 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. Duties may require bending, twisting and lifting of materials up to 25 lbs. Duties may require driving an automobile to off- site locations. Duties may require travel via, plane, care, train, bus, and taxi-cab. Ability to sit for extended periods of time. Must be able to efficiently use computer keyboard and mouse to perform coding assignments. 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. Floats between clients as requested. Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment. OTHER Regular 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: $30.85 - $46.28 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.
09/08/2025
Full time
JOB SUMMARY Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Consulting : Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. Chart Analysis IP, OP Coding Data auditing and validation : Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA).Reviews medical records to determine accurate required abstracting elements (facility/client/payer specific elements) including appropriate discharge disposition IP, OP Coding : Reviews medical records for the determination of accurate assignment of all documented ICD-9-CM codes for diagnoses and procedures. Abstracts accurate required data elements (facility/client specific elements) including appropriate discharge disposition. Coding : Uses discretion and specialized coding training and experience to accurately assign ICD-9, CPT-4 codes to patient medical records. Abstracting : Reviews medical records to determine accurate required abstracting elements (client specific elements) including appropriate discharge disposition. Coding Quality : Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by SOW. CDI : Identifies and communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow-up and resolution. Professional Development : Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls 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. Ability to consistently code at 95% accuracy and quality while maintaining client specified production standards Must successfully pass coding test Knowledge of medical terminology, ICD-9-CM and CPT-4 codes Must be detail oriented and have the ability to work independently Computer knowledge of MS Office Must display excellent interpersonal skills The coder should demonstrate initiative and discipline in time management and assignment completion The coder must be able to work in a virtual setting under minimal supervision Intermediate knowledge of disease pathophysiology and drug utilization Intermediate knowledge of MSDRG classification and reimbursement structures Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures 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 Associates degree in relevant field preferred or combination of equivalent of education and experience Three years coding experience including hospital and consulting background CERTIFICATES, LICENSES, REGISTRATIONS 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. Duties may require bending, twisting and lifting of materials up to 25 lbs. Duties may require driving an automobile to off- site locations. Duties may require travel via, plane, care, train, bus, and taxi-cab. Ability to sit for extended periods of time. Must be able to efficiently use computer keyboard and mouse to perform coding assignments. 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. Floats between clients as requested. Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment. OTHER Regular 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: $30.85 - $46.28 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.
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.
09/08/2025
Full time
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.
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.
09/08/2025
Full time
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.
JOB SUMMARY 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. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Coding : 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). Abstracting : Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. Coding Quality : 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. Coder Productivity : Meets and/or exceeds Conifer's inpatient coding productivity guidelines Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries. Professional Development : 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. DNFB : 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. 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 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 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 preferred to perform the job. One to three years experience performing inpatient coding in acute care setting required High school graduate or equivalent is required 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. CERTIFICATES, LICENSES, REGISTRATIONS Required: AHIMA RHIT or RHIA or AAPC CCS approved credential 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. 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 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/Hospital 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.
09/08/2025
Full time
JOB SUMMARY 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. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Coding : 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). Abstracting : Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. Coding Quality : 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. Coder Productivity : Meets and/or exceeds Conifer's inpatient coding productivity guidelines Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries. Professional Development : 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. DNFB : 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. 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 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 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 preferred to perform the job. One to three years experience performing inpatient coding in acute care setting required High school graduate or equivalent is required 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. CERTIFICATES, LICENSES, REGISTRATIONS Required: AHIMA RHIT or RHIA or AAPC CCS approved credential 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. 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 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/Hospital 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.
JOB SUMMARY 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. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Coding : 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). Abstracting : Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. Coding Quality : 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. Coder Productivity : Meets and/or exceeds Conifer's inpatient coding productivity guidelines Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries. Professional Development : 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. DNFB : 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. 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 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 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 preferred to perform the job. One to three years experience performing inpatient coding in acute care setting required High school graduate or equivalent is required 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. CERTIFICATES, LICENSES, REGISTRATIONS Required: AHIMA RHIT or RHIA or AAPC CCS approved credential 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. 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 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/Hospital 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: $24.82-$37.23 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.
09/08/2025
Full time
JOB SUMMARY 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. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Coding : 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). Abstracting : Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. Coding Quality : 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. Coder Productivity : Meets and/or exceeds Conifer's inpatient coding productivity guidelines Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries. Professional Development : 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. DNFB : 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. 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 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 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 preferred to perform the job. One to three years experience performing inpatient coding in acute care setting required High school graduate or equivalent is required 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. CERTIFICATES, LICENSES, REGISTRATIONS Required: AHIMA RHIT or RHIA or AAPC CCS approved credential 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. 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 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/Hospital 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: $24.82-$37.23 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.
JOB SUMMARY Manage the daily operations of a Patient Access department to effectively implement process improvements and ensure the safe, timely, accurate processes of patients through the Patient Access flow. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Implement process improvement initiatives as directed and needed to achieve both Conifer and Client goals. Continuously focused on meeting metrics and proactively identifying areas of opportunity by working collaboratively, professionally and fostering positive relationships with both internal and external peers. Develop and implement action plans as identified. Actively practice budget/cost management. Understand and be able to speak to all aspects of Patient Access, from technology, processes and regulations. Consistently manages staffing activities in areas of responsibility. This includes documentation and identification of needs, selection of staff, wage/salary activities, orientation and training. Grow/Mentor supervisors and ensure staff engagement and commitment to strategy, mission and goals. Communicate proactively and positively with direct supervisor to ensure personal growth in knowledge and skill set. Work positively with Client Services to ensure that client needs/concerns/requests in relation to Patient Access are being addressed proactively and in a way which does not negatively impact efficiencies or operational flows established. Effectively and proactively communicate and address issues that may be impeding performance, including technology or processes. FINANCIAL RESPONSIBILITY/SCOPE (Specify Revenue/Budget/Expense): Varies based on hospital size, volume and payor mix. Bed size: 300+ OR Points of Entry: 8+ (clinic/satellite is 1 POE) OR Number of facilities: 2-3 mid-sized hospitals or multi-site AND $200M+ in Net Patient Revenue 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) Manager or Supervisors, Patient Access Indirect Reports (titles) Rep, PA I-IV; Rep, PA Scheduler 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. Excellent interpersonal and organizational skills Demonstrated leadership and management abilities Ability to manage a budget Proficiency in Regulatory requirements Thorough knowledge of Insurance Ability to Delegate successfully 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. Bachelor's Degree preferred Three (3) to five (5) years Management in a Revenue Cycle, Business Services, or Acute Health Care environment preferred. Extensive knowledge of Patient Access desired Certified Healthcare Access Manager (CHAM) preferred 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 25% 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: $92,602.00 - $138,902.00 annually. Benefits Conifer offers the following benefits, subject to employment status: Medical, dental, vision, disability, life, and business travel insurance Management time off (vacation & sick leave) - min of 12 days per year, accrued 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.
09/08/2025
Full time
JOB SUMMARY Manage the daily operations of a Patient Access department to effectively implement process improvements and ensure the safe, timely, accurate processes of patients through the Patient Access flow. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Implement process improvement initiatives as directed and needed to achieve both Conifer and Client goals. Continuously focused on meeting metrics and proactively identifying areas of opportunity by working collaboratively, professionally and fostering positive relationships with both internal and external peers. Develop and implement action plans as identified. Actively practice budget/cost management. Understand and be able to speak to all aspects of Patient Access, from technology, processes and regulations. Consistently manages staffing activities in areas of responsibility. This includes documentation and identification of needs, selection of staff, wage/salary activities, orientation and training. Grow/Mentor supervisors and ensure staff engagement and commitment to strategy, mission and goals. Communicate proactively and positively with direct supervisor to ensure personal growth in knowledge and skill set. Work positively with Client Services to ensure that client needs/concerns/requests in relation to Patient Access are being addressed proactively and in a way which does not negatively impact efficiencies or operational flows established. Effectively and proactively communicate and address issues that may be impeding performance, including technology or processes. FINANCIAL RESPONSIBILITY/SCOPE (Specify Revenue/Budget/Expense): Varies based on hospital size, volume and payor mix. Bed size: 300+ OR Points of Entry: 8+ (clinic/satellite is 1 POE) OR Number of facilities: 2-3 mid-sized hospitals or multi-site AND $200M+ in Net Patient Revenue 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) Manager or Supervisors, Patient Access Indirect Reports (titles) Rep, PA I-IV; Rep, PA Scheduler 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. Excellent interpersonal and organizational skills Demonstrated leadership and management abilities Ability to manage a budget Proficiency in Regulatory requirements Thorough knowledge of Insurance Ability to Delegate successfully 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. Bachelor's Degree preferred Three (3) to five (5) years Management in a Revenue Cycle, Business Services, or Acute Health Care environment preferred. Extensive knowledge of Patient Access desired Certified Healthcare Access Manager (CHAM) preferred 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 25% 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: $92,602.00 - $138,902.00 annually. Benefits Conifer offers the following benefits, subject to employment status: Medical, dental, vision, disability, life, and business travel insurance Management time off (vacation & sick leave) - min of 12 days per year, accrued 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.