Coding Quality Auditor

Description

Introduction

Do you want to join an organization that invests in you as a(an) Revenue Cycle Operations Quality Coder Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

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

Note: Eligibility for benefits may vary by location.

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Revenue Cycle Operations Quality Coder Specialist like you to be a part of our team.

Job Summary and Qualifications

As a Revenue Cycle Operations Quality Review Specialist Coder, you will perform internal quality assessment reviews on processes performed by international vendors to ensure compliance with Notice of Admission operational standards and policies in accordance to the vendor contract agreement. You will analyze audit including coding criteria and guidelines in clinical denials and insurance claims. Quality reviews are communicated to the Parallon Revenue Cycle Operations Management team to improve accuracy and efficiency in workflow production and provide specific and ongoing education to vendors based on the quality monitoring review findings and trends.

What you will do in this role:

• Performs all functions of quality reviews and assessments of vendor processes performed by international vendors
• Review and trend account issues related to quality and provide feedback to Revenue Cycle Ops Manager
• Assists in ensuring vendors adhere to process and procedure according to vendor agreement
• Demonstrates and applies expert level of knowledge of revenue cycle processes and concepts
• Provide coding guidance and support on quality audit
• Assists Parallon on defining process flows and education, including but not limited to onboarding and training
• Maintains up-to-date knowledge of the business processes assigned to the international vendors

What you will need in this role:

• High school diploma or GED is required.
• 3-4 years relevant experience; Revenue Cycle/SSC experience preferred. HCA-based system experience preferred.

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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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"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Revenue Cycle Operations Quality Coder Specialist opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!

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.

PAR-AFHP

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