Inpatient Coding Editor Specialist Job at HCA Healthcare in Nashville

HCA Healthcare Inpatient Coding Editor Specialist in Nashville, Tennessee

Description

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Inpatient Coding Editor Specialist with Work from Home, you can be a part of an organization that is devoted to giving back!

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

1. 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.
2. 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.
3. Free counseling services and resources for emotional, physical, and financial wellbeing.
4. 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service).
5. Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
6. Family support through fertility and family building benefits with Progyny and adoption assistance.
7. Referral services for child, elder, and pet care, home and auto repair, event planning, and more.
8. Consumer discounts through Abenity and Consumer Discounts.
9. Retirement readiness, rollover assistance services, and preferred banking partnerships.
10. Education assistance (tuition, student loan, certification support, dependent scholarships).
11. Colleague recognition program.
12. Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence).
13. Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Work from Home family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Inpatient Coding Editor Specialist to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

As an Inpatient Coding Specialist, you will be responsible for working inpatient coding related alerts/edits, predominately post initial/final coding. You will also perform the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked according to the established procedures and thresholds and communicated as appropriate.

What you will do in this role:

1. Compiles daily work list from eRequest, CRT, and/or other alert/edit systems.
2. Takes action and resolves alerts/edits daily following established procedures and thresholds.
3. Enters detailed notes to update eRequest to provide details if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution.
4. Escalates alert/edit resolution issues as appropriate to minimize final billing delays.
5. Monitors the aging of accounts held by an alert/edit, prioritizes aged accounts first, and reports to leadership.
6. Works with team members in billing, revenue integrity, and/or the Medicare Service Center to resolve alerts/edits.
7. Assigns interim DRGs for in-house patients at month end.
8. Completes MOCK abstracts as necessary (e.g., combining the codes for outpatient and inpatient claims subject to the payment window).
9. Assists the Coding Leads and/or Coding Managers in resolving unbilled reason codes (URC)/Hold Reasons.
10. Communicates coding revisions to the applicable party (e.g., CIS, lead, manager, international log).

Periodically works with their manager to review individual work accomplishments, discuss work problems/barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progression.

What qualifications you will need:

1. Undergraduate (associate or bachelor's) degree in HIM/HIT preferred.
2. RHIA, RHIT, and/or CCS preferred.
3. 1-year acute care inpatient coding experience required with 3 years’ experience preferred.

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 World’s 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.

Be a part of an organization that invests in you! We are reviewing applications for our Inpatient Coding Editor Specialist opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

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

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