Job Description Report

Date 10/04/2021 Job Title OP CODER

Job Code LEVEL 3 - FLSA Approx. number of employees in
23
SUPERVISOR/INDIVIDUAL this position
CONTRIBUTOR

POSITION SUMMARY

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!

The OP Coder is responsible for assigning diagnostic and procedural codes (outpatient surgery, observation, infusion
services, and interventional procedure records) to patient charts, of moderate to high complexity, using: ICD-10-CM, CPT and
HCPCS or any other designated coding classification system in accordance with coding rules and regulations. They abide by
the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Beginning with the most important, briefly state the major duties and responsibilities of this job, percent of total job and frequency of
each activity.
No. Description of Responsibilities % of Total Job Frequency
(should = 100%) (daily, weekly,
monthly)
1 Coding: Reviews medical records for the determination of 45% Daily
accurate assignment of all
documented diagnoses and procedures. Adheres to Standards of
Ethical Coding
(AHIMA).
o Abstracting: Reviews medical records to determine accurate
required abstracting
elements (facility/client specific elements) including appropriate
discharge disposition.
o 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 per facility.
o Goal: Average coding quality standard of =>95.5% accuracy per
monitoring period.
? Does not meet =<95% accuracy
? Meets => 95.5% accuracy
? Exceeds =>95.6% accuracy
2 Coding Labor Productivity: Meets and/or exceeds Conifer͛s coding 40% Daily
productivity guidelines
3 Professional Development: Stays current with AHA Official Coding 10% Daily
and Reporting Guidelines,
CMS, and other agency directives for ICD-10-CM and CPT coding.
Attends mandatory coding
seminars on an annual basis (OPPS, ICD-10-CM and CPT updates)
for inpatient and outpatient
coding. Quarterly review of AHA Coding Clinic. Attends Quarterly
Coding Updates and all coding
conference calls.
4 Communicates and resolves coding issues (lacking 5% Daily
documentation, physician queries, etc.) for
appropriate follow-up and resolution
5 Other duties as assigned Needed

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The list below are
representative of the knowledge, skill and/or ability. Reasonable accommodations may be made to enable individuals with disabilities to
perform the essential functions.

1. The following responsibilities and duties:

ƕ Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses
and procedures. Adheres to Standards of Ethical Coding (AHIMA).

ƕ Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client
specific elements) including appropriate discharge disposition.

ƕ 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 per facility.

ƕ Goal: Average coding quality standard of =>95.5% accuracy per monitoring period.

? Does not meet =<95% accuracy

? Meets => 95.5% accuracy

? Exceeds =>95.6% accuracy

1. Coding Labor Productivity: Meets and/or exceeds Conifer¶s coding productivity guidelines.
2. Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS, and other agency
directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on an annual basis (OPPS, ICD-10-
CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly
Coding Updates and all coding conference calls.
3. Communicates and resolves coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up
and resolution
4. Other duties as assigned

EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience for the job.
EDUCATION
No. Education Level Education Type Description
1 Vocational Qualification MANAGEMENT High School graduate or equivalent
required. Completion of basic coding
course
WORK EXPERIENCE
No. Experience Type Description No Of Year
1 1 - 2 YEARS OF RELEVANT EXPERIENCE One year of experience performing medical record 1.00
coding in acute care setting
REQUIRED CERTIFICATIONS/LICENSURE
Include minimum certification required to perform the job.

SUBORDINATES
Number of employee directly reporting to this position: 23
Number of employee indirectly reporting to this position:

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.
· Be in a stationary position approximately 50% of the time, use computer and answer telephone
· Occasionally moves through hospital-based departments across broad campus settings, including Emergency
Department environments
· Travel ___ % of the time
Tip: Avoid words such as hear, talk, stand, walk, see͙add the frequency of the physical demand and weight if possible.

Leader Name Date

Department Leader
Functional Head
Human Resources