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Coding Quality Reviewer or Editor

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Nashville, TN, United States

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Description

SHIFT: Work From Home

SCHEDULE: Full-time

  

You will operate in a work from home environment with your team members just a click of the keyboard or a phone call away.

 

Do you have the career opportunities you want in your current role? We have an exciting opportunity for you to join the nation's largest provider of healthcare services with HCA Healthcare

  

 

We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include work from home, 401k, PTO, medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.

 

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 currently looking for an ambitious Coding Quality Reviewer to help us reach our goals. Unlock your potential here!


As a Coding Quality Reviewer, you will perform internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate, and consistent coding which result in appropriate reimbursement data integrity.

 

 What you will do in this role:

  • Lead, coordinate and perform all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and outpatient coding across multiple HSCs 
  • Assist in ensuring HSC coding staff adherence with coding guidelines and policy
  • Demonstrate and apply expert level knowledge of medical coding practices and concepts
  •          
  • Review all official data quality standards, coding guidelines, company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current

 

Qualifications





EDUCATION
  • Undergraduate degree in HIM/HIT preferred 
  • Equivalent work experience may substitute degree requirement
EXPERIENCE
  • Minimum of 3 years of acute care inpatient/outpatient coding experience preferred
  • Minimum of 3 years of coding auditing and monitoring experience strongly preferred
  • Coding Technical/Professional Knowledge and Skills- extensive regulatory coding, (ICD-10-CM, ICD-10- PCS, CPT-4, Modifiers, MS-DRGs, POA assignment and where applicable APR-DRGs and APCs) and associated reimbursement knowledge 
CERTIFICATE/LICENSE 
  • RHIA, RHIT and/or CCS required 


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.


If you find this opportunity compelling, we encourage you to apply. We promptly review all applications. If you are highly qualified, you will hear from one of our managers. We are actively interviewing so 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.


Notice

Our Company’s recruiters are here to help unlock the next possibility within your career and we take your candidate experience very seriously. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Gmail or Yahoo Mail. If you feel suspicious of a job posting or job-related email, let us know by clicking here.

For questions about your job application or this site please contact HCAhrAnswers at 1-844-422-5627 option 1.

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Parallon
Facility: Parallon
Job ID: 03416-164044
Category: HIMS and Health Informatics
Contract: Full-time
Shift: Work From Home
Job Class: Regular

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