Coding Resolution Specialist III

HCA Healthcare

Coding Resolution Specialist III

Nashville ,

Tennessee

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This coder will be working edits. AHIMA preferred.
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Coding Resolution Specialist III with Parallon you can be a part of an organization that is devoted to giving back!
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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)
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 Parallon 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 to help us reach our goals. Unlock your potential!
Job Summary and Qualifications
As a Coding Resolution Specialist III (CRS III), 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:
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) 2 Job Description
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:
Undergraduate (associate or bachelors) degree in HIM/HIT preferred.
RHIA, RHIT, and or CCS preferred
1-year acute care inpatient coding experience required with 3 years’ experience preferred.
RHIA, RHIT and/or CCS 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."
"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
Be a part of an organization that invests in you! We are reviewing applications for our Inpatient Coding Editor 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.
*Some exclusions may apply. Must meet eligibility requirements.

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