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!

JOB SUMMARY

Supports clinical performance through abstraction, review, and reporting of medical record clinical documentation and billing assessment, to support initiatives related to quality improvement, accreditation, and regulatory requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

• Abstract moderate to highly complex clinical data using established definitions and guidelines and maintain an abstracting volume to meet internal and external reporting deadlines.
• Perform clinical review of a medical record and summarize the findings to facilitate additional review.
• Conducts analysis of data in cooperation with the medical staff to assist in identification of improvement activities.
• Understands current issues, practices and trends in healthcare
• Provides documented reports of findings from data collection as requested
• Attend education classes to build and maintain knowledge of the expections of this positions

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.

Knowledge:

• Anatomy, physiology, and medical terminology.
• Working knowledge of clinical workflows
• Electronic Health Systems
• ICD-9 and CPT codes

Skills:

• Multi-tasking.
• Computer hardware and software use.
• Verbal and written communication.
• Exercising a high degree of initiative, judgment, discretion, and decision-making to achieve organizational objectives.
• Analyzing situations accurately and taking effective action.
• Establishing and maintaining effective working relationships with employees, policy-making bodies, third-party payers, patients, and the public.
• Organizing work, making assignments, and achieving goals and objectives.
• Exercising judgment and discretion in developing, applying, interpreting, and coordinating departmental policies and procedures.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

• Minimum education of a High School diploma or GED equivalent
• Prior experience with clinical chart review, health information management and/or core measure data abstraction is 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

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.

• Position is in a well-lit office environment.
• Evening and weekend work may be necessary

OTHER

• Approximately 5% travel may be required

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.