General Summary: The Coder works independently on a daily basis and is responsible for the abstracting, auditing and coding of medical records and assigning codes with a high degree of accuracy.
Essential Job Responsibilities:
Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
Reviews medical records and physician documentation to code patient charges, provide feedback.
Assists provider, practice staff, compliance and TPR leadership with reviewing provider coding, payer denials and internal/external audits as needed.
Reviews coding denial/edits and appeals to correct codes an provide education.
Works on high level appeals and tracks results with payers.
Works with compliance on pre-bill and post bill audits as required.
Prepares reports as requested and works on projects as needed.
Provide training to physicians and staff to improve coding outcomes.
Adhere to TPR productivity standards and submits daily productive reports.
Meets TPR accuracy and quality coding standards.
Meets or exceeds productivity requirements.
Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources.
Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
Attends meetings and participates in Q&A.
Additional responsibilities as needed
Education: High school diploma/GED with completion of a coding program.
Certification: Certified Professional Coding Certificate required and in good standing.
Experience: Physician professional coding required with 2 years of experience preferred. Large multispecialty groups of 50+ doctors.
Knowledge of ICDâ��10 coding guidelines
Knowledge of medical terminology
Knowledge of billing applications
Knowledge of the policies and procedures of the organization to complete coding tasks within compliance of the federal, state, insurance and organization regulations.
Job: Medical Coding
Primary Location: Boca Raton, Florida
Facility: Tenet Florida Physician Services
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��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 Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.