Inpatient Coding Quality Reviewer
: Job Details :

Description

Introduction

This is a fully remote/work from home position.

This position requires Outpatient Coding experience in acute care/facility.

Do you want to join an organization that invests in you as a Facility Outpatient Coder Team Lead? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support through fertility and family building benefits with Progyny and adoption assistance.
• Referral services for child, elder and pet care, home and auto repair, event planning and more
• Consumer discounts through Abenity and Consumer Discounts
• Retirement readiness, rollover assistance services and preferred banking partnerships
• Education assistance (tuition, student loan, certification support, dependent scholarships)
• Colleague recognition program
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients lives and you have the opportunity to make a difference. We are looking for a dedicated Facility Outpatient Coder Team Lead like you to be a part of our team.

Job Summary and Qualifications

Job Summary and Qualifications

In this work from home position as an Acute Care Outpatient Coding Lead, you will perform as the daily contact for coding, operational, and general questions from the coding staff, Health Information Management Service Center (HSC) staff, and shared service center departments. You will also provide support to coding leadership by coordinating coding and education activities within the HSC. You will work to achieve and maintain overall company-defined department goals. You will also verify complete, accurate, and consistent coding resulting in appropriate reimbursement, data integrity, and minimal variation in coding practices.

What you will do in this role:

• Leads, coordinates and performs HSC coding quality reviews (e.g., routine, policy driven, performance driven, incentive plan driven, customer needs, identified trends, RAC, payer, etc.) for inpatient and/or outpatient coding (e.g., DRG/code validation, query validation)
• Provides timely feedback and education as it relates to coding opportunities found during the review of accounts

• Ensures rebill requests are entered timely through the system/process outlined in company/HSC policy

• Answers coding related questions and assists Coding Integrity Specialists (CIS), Coding Account Reimbursement Specialists (CARS), and/or CDI Liaisons with day-to-day operations

• Assists Coding Manager in the review and improvement of processes and services

• Ensures accounts are reviewed timely to ensure cashflow, sustain accuracy, and meet filing deadlines and claim submission deadlines utilizing various tools (e.g., eRequest, Bill 49 tool(s), HIM Coding Prebill Account Review Tool [C-PART))

• Coordinates activities in conjunction with the Coding Manager and SSC Education staff related to the development, education, training, and orientation of the CISs, CDI Liaison, and/or CARS team members

• Reports to the Coding Manager periodically on team and individual work accomplishments, problems, progress in mastering tasks and work processes, and individual and team training needs

• Coach, facilitate, solve work problems, and participate in the work of the team 2 Job Description

• Assists the Coding Manager in verifying and reporting staff productivity for Coding, DRG/Code Validation, Unbilled, CDI reconciliation and CARS functions

What qualifications you will need:

• Management and supervisory experience in healthcare-related field

• Minimum of 5 years of acute care outpatient coding experience required

• Minimum of 3 years coding auditing experience

• RHIA, RHIT, or CCS OR in process of receiving certification required

• Associate's degree or higher in HIM/HIT strongly preferred

Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities.

CLICK HERE for more information on Parallon HCA Coding

Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the Worlds Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

Good people beget good people. - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Facility Outpatient Coder Team Lead opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.