Inpatient Coding Resolution Specialist

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as an Inpatient Coding Resolution Specialist today with Parallon.

Job Summary and Qualifications

The Coding Account Resolution Specialist-III (CARS-III) works inpatient coding related alerts/edits, predominately post initial/final coding. The CARS-III performs 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:

• Compiles daily work list from eRequest, CRT and/or other alert/edit systems

• Takes action and resolves alerts/edits daily following established procedures and thresholds

• 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

• Escalates alert/edit resolution issues as appropriate to minimize final billing delays

• Monitors the aging of accounts held by an alert/edit, prioritizes aged accounts first, and reports to leadership

• Works with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits

• Assigns interim DRGs for in-house patients at month end

• Completes MOCK abstracts as necessary (e.g., combining the codes for outpatient and inpatient claims subject to the payment window)

• Assists the Coding Leads and/or Coding Managers in resolving unbilled reason codes (URC)/Hold Reasons

• 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

• Adheres to all applicable coding and billing regulations and guidance, including but not limited to, CMS, AHA and HCA policies and guidelines

• As needed, may periodically be asked to perform Coding Integrity Specialist III (CIS-III) duties

• Meets all educational requirements as stated in Company and HSC policy

• Reviews all official data quality standards, coding guidelines, Company policies and procedures and clinical/medical resources to assure coding knowledge and skills remain current

• Practice and adhere to the Company’s Code of Conduct philosophy

• Practice and adhere to the Company’s Mission and Values

• Other duties as assigned

Qualifications:

• High School graduate or GED equivalent preferred, undergraduate (associates or bachelors) degree in HIM/HIT preferred

• 1-year acute care inpatient coding experience require with 3 years’ experience preferred

• RHIA, RHIT and/or CCS preferred

Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities. CLICK HERE for more information on Parallon Coding (https://careers.hcahealthcare.com/pages/parallon-coding-landing-page)

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 benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services

• Wellbeing support, including free counseling and referral services

• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence

• Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling

• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing

• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

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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.

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"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Inpatient Coding Resolution Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

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.