Outpatient Coding Auditor in Nashville, Tennessee, United States
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Outpatient Coding Auditor

Work from Home
Nashville, TN, United States
Full-time • Work From Home
HIMS and Health Informatics   Job ID: 1108387
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Description

Sign-On Bonus Eligible*

Introduction

Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Outpatient Coder opening with Parallon today and find out what it truly means to be a part of the HCA Healthcare team.

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.

We are seeking an Outpatient Coder for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!

Job Summary and Qualifications

This is a remote/work from home position.

As part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position.

What you will do in this role:

  • Verifying accuracy of assigned CPT codes for complex and/or error prone procedures
  • Verifying the diagnosis coding accuracy for complex and/or error prone encounters
  • Validating certain discharge dispositions
  • Reviewing charge and procedure mismatches
  • Reviewing codes with revenue integrity for NCD/LCD coverage
  • Reviewing invalid codes, code conflicts, and missing modifiers
  • Working with other team members in billing, revenue integrity, etc. to route or resolve alerts/edits
  • Combining codes for payment window encounters
  • Initiating rebills for miss coded encounters, and/or
  • Assisting with resolution of accounts with HIM/Coding unbilled hold reasons preventing final billing

What Qualifications you will need:

  • High School graduate or GED equivalent required
  • Undergraduate (Associate's or Bachelor's) degree in HIM/HIT preferred
  • Minimum 1-year hospital, acute care same day surgery outpatient coding experience required
  • RHIA, RHIT or CCS 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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"Across HCA Healthcare’s more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.
Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN
Senior Vice President and Chief Nursing Executive

If you find this opportunity compelling, we encourage you to apply for our Inpatient Coder opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing apply today!

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.

PAR-AFHP

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Details

HIMS and Health Informatics
Work from Home
Full-time • Work From Home

About HCA Healthcare

What matters most to our diverse and talented colleagues is giving people the absolute best healthcare in the most compassionate way possible.

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