Job DescriptionTenet Healthcare has an immediate need for a TPR Manager, Coding Audits & Education.Strategically, the position is responsible for protecting the company's interests and advance business objectives with respect to HIM coding by helping to assure Tenet coders, providers, and vendors achieve accurate coding and charging.
Tactically, the position is responsible for managing a team of individuals that conducts coding quality reviews of Tenet TPR coded accounts, identifying education opportunities based on those reviews and developing and delivering educational content.
- Annual Pro-Fee QA audit of assigned Providers (E&M, CPT, ICD10, Modifiers)
- Annual Pro-Fee QA audit of assigned TPR GBC or Vendor coders
- Pre-Bill Clearance for all new assigned providers
- Focused QA audits as assigned, i.e., OIG workplan, payor review notifications
- Provider/coder/practice coding education based on audit findings and trending of results
- Claim denial root cause analysis for assigned providers/coders and development / delivery of education for prevention of denials to appropriate entity
- Coding education resource for providers, coders, practice and staff queries
- Excellent communication and presentation skills both in person and via online platforms (1:1 or group settings)
This position is responsible for supervising, scheduling and assessing the performance of the growing team of coding auditor/educator FTEs domestically and in the GBC. This position coordinates and monitors Coding Manager meetings, assignments and other activities as assigned by the Senior Director of Coding and CDI.
This is a remote based role requiring travel 0-10% of time. EXTERNAL QUALIFICATIONS Required: Seven years progressive coding or coding review experience in a profee setting.
- Associate's degree in health information management or related field
- Previous managerial/supervisory experience, such as a profee coding supervisor
- Certified in coding from AAPC or AHIMA
- Knowledge of applicable federal regulations (APC/OPPS, NCCI, ICD-10-CM Official Guidelines, OPPS, Coding Clinic, etc.)
- Proven ability to effectively communicate findings and deliver educational content to all levels of the organization
- Ability to balance multiple deadlines
Preferred: - A bachelor's degree or higher in a health-related discipline
Compensation
- Pay: $85,280-$136,032 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
The following benefits are available, subject to employment status:
- Medical, dental, vision, disability, life, AD&D and business travel insurance
- Paid time off (vacation & sick leave)
- Discretionary 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, auto & home insurance.
- For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available.
Tenet Healthcare complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
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About UsWho We AreWe are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community.
Our StoryWe started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care.
We have a rich history at Tenet. There are so many stories of compassionate care; so many "firsts" in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others.
Our Impact TodayToday, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions.
Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions.
Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day.
About the TeamCareers at TenetAt Tenet Healthcare, the heart of what we do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients. Everyone contributes to these moments, whether providing care directly or supporting those who do.
As an organization, we provide employees with resources, tools and support to serve our patients and customers in the best way possible. We also take care of one another, helping team members further develop their career pathways and maximize their potential.
