Virtual Outpatient Coding Team Lead in Nashville, Tennessee, United States
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Virtual Outpatient Coding Team Lead

HIM BO/FO Health Information
Nashville, TN, United States
Full-time • Work From Home
Supervisors Team Leaders and Coordinators   Job ID: 27084-209775
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Description

SHIFT: Work From Home
SCHEDULE: Full-time


This is a remote/ work from home postion. 

Do you want to be a part of a family and not just another employee? Are you looking for a work environment where diversity and inclusion thrive? Submit your application today and find out what it truly means to be a part of a team. 

 We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. Your benefits include 401(k), PTO, medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. In addition to base salary, this position is also eligible for an annual incentive. Incentive measures may include HCA financial performance, line of business financial performance, quality, operational indicators or performance goals.


We value your contributions. Our employee recognition programs encourage our teams to raise the bar. Come be a part of the change!

The Coding Lead performs as the daily contact for outpatient coding operations.  Including ICD-10 CM and CPT code validation for all outpatient patient types, resolution of billing edits, operational, and general questions from the coding staff, Health Information Management Service Center (HSC) staff, and shared service center departments. The Coding Lead provides support to coding leadership by coordinating coding, education, and revenue cycle activities within the HSC. The Coding Lead works to achieve and maintain overall company-defined department goals. The Coding Lead works to ensure compliance with national coding guidelines, HSC coding policies, and Company coding policies. The Coding Lead verifies complete, accurate, and consistent coding validation resulting in appropriate reimbursement, data integrity, and minimal variation in coding practices.

  • You will lead, coordinate, and perform HSC coding quality reviews for outpatient coding. The reviews can be routine, policy driven, performance driven, incentive plan driven, customer needs, identified trends, RAC, payer, among others as needed. Review scope will include outpatient coding, ER E/M Charge and query validation
  • You will lead, coordinate and perform edit resolution for all outpatient coding edits
  • You will provide timely feedback and education as it relates to issues or trends found during the review of accounts to coding staff and report to Coding Manager on this activity
  • You will monitor work queues and allocate resources, including staff, appropriately
  • You will occasionally provide back up for coding staff due to absences and business needs
  • You will perform outpatient code assignment and initiate physician queries where appropriate
  • You will ensure rebill requests are entered timely through the system and process outlined in company and HSC policy
  • You will answer coding related questions and assist any coding staff with day-to-day operations, timely and appropriately
  • You will assist the Coding Manager in verifying and reporting staff productivity
  • You will assure accounts that cannot be coded are held for valid reasons and documented accurately utilizing Unbilled Reason Codes (URCs)

Qualifications

• High school graduate or GED required
• Associate's degree or higher in HIM/HIT strongly preferred
• Extensive regulatory coding (ICD-10-CM, CPT/HCPCS) and associated reimbursement knowledge required
• Management and supervisory experience in healthcare-related field preferred
• Minimum of 5
years of acute care outpatient coding experience required
• Minimum of 3 years coding auditing experience strongly preferred
• RHIA, RHIT, 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.

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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Details

HIM BO/FO Health Information
Full-time • Work From Home

COVID-19 Vaccination

In compliance with the emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) dated November 4, 2021, and company policy, this role MAY require you to be fully vaccinated for COVID-19 based on local, state and /or federal law or regulations, or to have applied for a medical or religious exemption (including booster for California). (For further clarification, please ask your recruiter.)

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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