Job Details

Inpatient Coding Resolution Specialist

This is a fully remote/work from home position. Monday-Friday flexible schedule. This position requires acute care/facility based Inpatient Coding experience. 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 an Inpatient Coding Resolution Specialist today with Parallon.

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, additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans, 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, employee stock purchase plan, family support, referral services, consumer discounts, retirement readiness, education assistance, colleague recognition program, time away from work program and employee health assistance fund.

Come join our team as an Inpatient Coding Resolution Specialist. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply today!

Job Summary and Qualifications

In this work from home position as an Inpatient Coding Specialist, you will be responsible for working inpatient coding related alerts/edits, predominately post initial/final coding. You will also perform the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked according to the established procedures and thresholds and communicated as appropriate.

What you will do in this role:

• Compile daily work list from eRequest, CRT and/or other alert/edit systems
• Take action and resolve alerts/edits daily following established procedures and thresholds
• Enter detailed notes to update eRequest to provide details if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution
• Escalate alert/edit resolution issues as appropriate to minimize final billing delays
• Monitor the aging of accounts held by an alert/edit, prioritizes aged accounts first, and reports to leadership
• Work with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits
• Assign interim DRGs for in-house patients at month end
• Complete MOCK abstracts as necessary
• Assist the Coding Leads and/or Coding Managers in resolving unbilled reason codes/Hold Reasons
• Communicate coding revisions to the applicable party
• Periodically works with manager to review individual work accomplishments, discuss work problems/barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progression

What qualifications you will need:

• RHIA, RHIT, and or CCS required OR in process of receiving certification
• 1-year acute care inpatient coding experience required with 3 years' experience preferred
• Undergraduate (associate or bachelors) degree in HIM/HIT or related degree 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 Inpatient Coding Resolution Specialist 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.