HCA Healthcare
Description
Hourly Wage Estimate: $28.58 - $42.88 / hour Learn more about the benefits offered ( https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Introduction
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 a Vendor Resource Management Team Lead today with Parallon. This is a fully work from home position. This position has a specialization in Inpatient Coding. 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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) Note: Eligibility for benefits may vary by location. Job Summary and Qualifications
As a Vendor Resource Management Coding Lead, you will be responsible for performing concurrent and retrospective quality reviews of vendor ICD-10 Diagnosis and PCS Code/CPT/DRG/abstracting assignments as well as compilation and reporting of results to enhance quality outcomes. You will prepare and provide coder specific education based on audit outcomes and trends. Additionally, you will also assists the VRM Manager with vendor management including monitoring processes and services for improvement, coding quality, trending/analyzing data, creating and presenting education, answering coding questions, and account follow up/resolution. What you will do in this role:
Actively participates in the review and improvement of processes and services
Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder/auditor that need to be addressed
Prepares and presents coder education as needed based on trends and/or problematic areas identified by Parallon HIM back officecoding staff
Collates and presents quality trends and findings to the VRM management team, Vendor teams, and Parallon stakeholders
Monitors and ensures vendor staff adhere with coding guidelines and policies
Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy
Assists in managing coding vendor daily workflow (e.g., work queues,/worklists, turnaround times, quality)
Performs quality reviews of inpatient and/or outpatient records as needed (including concurrent coding); where applicable, validates physician queries, ICD-10-CM, ICD-10-PCS, CPT/HCPCS level II Codes as well as facility E/M levels and injection/infusion procedure codes assigned by vendor coders
Performs operational reviews of inpatient and/or outpatient records as needed. • Validates accuracy of codes assigned by CAC (Computer Assisted Coding) tool; assists in monitoring coders CAC adoption behavior; assists in identifying precision and recall improvement opportunities
Monitors and assists the vendors in the monthly random, focus, prebill review, and Ad Hoc quality review process
Submits and reviews coding appeals as appropriate
What qualifications you will need:
High School diploma required.
Undergraduate degree in HIM/HIT Dpreferred.
Management/Supervisory experience in healthcare related field preferred
Minimum of 2 years acute care inpatient and/or outpatient coding experience required
Coding auditing/monitoring experience strongly preferred
RHIA, RHIT and/or CCS required
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. If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Vendor Resource Management Team Lead 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.
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Hourly Wage Estimate: $28.58 - $42.88 / hour Learn more about the benefits offered ( https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Introduction
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 a Vendor Resource Management Team Lead today with Parallon. This is a fully work from home position. This position has a specialization in Inpatient Coding. 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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) Note: Eligibility for benefits may vary by location. Job Summary and Qualifications
As a Vendor Resource Management Coding Lead, you will be responsible for performing concurrent and retrospective quality reviews of vendor ICD-10 Diagnosis and PCS Code/CPT/DRG/abstracting assignments as well as compilation and reporting of results to enhance quality outcomes. You will prepare and provide coder specific education based on audit outcomes and trends. Additionally, you will also assists the VRM Manager with vendor management including monitoring processes and services for improvement, coding quality, trending/analyzing data, creating and presenting education, answering coding questions, and account follow up/resolution. What you will do in this role:
Actively participates in the review and improvement of processes and services
Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder/auditor that need to be addressed
Prepares and presents coder education as needed based on trends and/or problematic areas identified by Parallon HIM back officecoding staff
Collates and presents quality trends and findings to the VRM management team, Vendor teams, and Parallon stakeholders
Monitors and ensures vendor staff adhere with coding guidelines and policies
Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy
Assists in managing coding vendor daily workflow (e.g., work queues,/worklists, turnaround times, quality)
Performs quality reviews of inpatient and/or outpatient records as needed (including concurrent coding); where applicable, validates physician queries, ICD-10-CM, ICD-10-PCS, CPT/HCPCS level II Codes as well as facility E/M levels and injection/infusion procedure codes assigned by vendor coders
Performs operational reviews of inpatient and/or outpatient records as needed. • Validates accuracy of codes assigned by CAC (Computer Assisted Coding) tool; assists in monitoring coders CAC adoption behavior; assists in identifying precision and recall improvement opportunities
Monitors and assists the vendors in the monthly random, focus, prebill review, and Ad Hoc quality review process
Submits and reviews coding appeals as appropriate
What qualifications you will need:
High School diploma required.
Undergraduate degree in HIM/HIT Dpreferred.
Management/Supervisory experience in healthcare related field preferred
Minimum of 2 years acute care inpatient and/or outpatient coding experience required
Coding auditing/monitoring experience strongly preferred
RHIA, RHIT and/or CCS required
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. If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Vendor Resource Management Team Lead 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.
#J-18808-Ljbffr