What are the responsibilities and job description for the Inpatient Coding Resolution Specialist position at Parallon?
Description
SHIFT: Work From HomeSCHEDULE: Full-time
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We are committed to providing our colleagues with the support they need. We offer an array of medical, dental, and vision packages as well as several add-on perks to make your benefits package truly customizable to you. Some of our unique benefits we offer include:
- Tuition Reimbursement/Assistance Programs
- Moving, mortgage, and real estate assistance
- 100% matching 401(k) based on years of service
- Identity Theft Protection discounts
- Auto, Home, and Life Insurance options
- Adoption Assistance
- Employee Stock Purchase Program (ESPP)
The Coding Resolution Specialist III (CRS) WORK FROM HOME works inpatient coding related alerts/edits, predominately post initial/final coding. The CRS 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.
- Compile daily work list from eRequest, CRT and/or other alert/edit systems
- Resolve alerts/edits daily, following established procedures and thresholds
- Enter 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
- Monitor the aging of accounts held by an alert/edit, prioritize aged accounts first, and report to leadership
- Work with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits
- Assign interim DRGs for in-house patients at month end
- Complete MOCK abstracts as necessary (e.g., combining the codes for outpatient and inpatient claims subject to the payment window)
- Assist the Coding Leads and/or Coding Managers in resolving unbilled reason codes (URC)
- Adhere to all applicable coding and billing regulations and guidance, including but not limited to, CMS, AHA and HCA policies and guidelines
Qualifications
Undergraduate (Associate's or Bachelor's) degree in HIM/HIT preferred.
Minimum of 1 year of acute care HOSPITAL inpatient coding experience required with 3 years’ experience preferred. HOSPITAL SETTING mandatory.
RHIA, RHIT and/or CCS preferred.
Parallon is an industry leader in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare, has been consistently named a World’s Most Ethical Company by Ethisphere and is ranked in the Fortune 100. We are dedicated to ensuring our patients have the best experience even after they leave our facilities.
HCA Healthcare is dedicated to the growth and development of our colleagues. We will provide you the tools and resources you need to succeed in our organization. We are actively reviewing applications. Highly qualified candidates will be promptly 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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