Coding Account Resolution Specialist

Company Overview

HHS is a private, family-owned business dedicated to caring for its team members and providing honest, quality-driven customer service. Founded in 1975, HHS now supports nearly 1,000 customers across various sectors including healthcare and hospitality.

Position Overview

The Coding Account Resolution Specialist II (CARS-II) is responsible for resolving outpatient coding-related alerts and edits for Same Day Surgery (SDC), Observation (OBV), Wound Care, and Outpatient Cardiology accounts, primarily post initial / final coding. This role ensures accurate account resolution, compliance with coding standards, and timely communication to prevent billing delays.

Key Responsibilities

• Compile and manage daily worklists from eRequest, CRT, and / or other alert / edit systems.
• Review and resolve alerts / edits for : Same Day Surgery (SDC), Observation (OBV), Wound Care, and Outpatient Cardiac Cath.
• Provide backup coverage for Emergency Department (ED), Recurring (RCR), Clinical (CLI), and Provider Office Visit (POV) accounts.
• Document detailed notes in eRequest when alerts / edits cannot be resolved or need rerouting.
• Escalate issues as necessary to avoid billing delays.
• Monitor aging accounts, prioritize resolutions, and report trends to leadership.
• Collaborate with billing, revenue integrity, and Medicare Service Center teams to resolve complex edits.
• Communicate coding revisions to appropriate stakeholders.
• Assist Coding Leads / Managers with unbilled reason codes (URCs).
• Complete MOCK abstracts when required.
• Maintain compliance with CMS, AHA, and company coding / billing guidelines.
• Participate in ongoing education to maintain current coding knowledge.
• Perform additional duties as assigned.

Required Knowledge, Skills & Abilities

Qualifications