Inpatient Coding Integrity Specialist

Salary : $80,579.20 - $120,868.80

Full-time Work From Home

Description

This position is incentive eligible.

Introduction

Do you have the career opportunities as a Coding Quality Review Manager you want with your current employer? We have an exciting opportunity for you to join Parallon, which is part of the nation's leading provider of healthcare services, HCA Healthcare.

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.

Our teams are a committed, caring group of colleagues. Do you want to work as a Coding Quality Review Manager where your passion for creating positive patient interactions is valued?

If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise!

Job Summary and Qualifications

As the Coding Quality Review Manager, you will be responsible for assisting in the development, evolution and implementation of the overall strategy for the Company’s centralized coding quality operations in the Shared Services Division (SSD).

You will work with all HIM Service Centers (HSCs) and VRM to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments.

You will also manage, direct and coordinate the HSC’s coding quality monitoring activities. You will plan, assign and direct the centralized coding quality monitoring program;

actively monitor employee performance and reward or discipline accordingly; address complaints and resolve problems; and actively oversee and manage production and quality control efforts.

In this role, you will :

• Provide direct managerial oversight to Coding Quality Reviewers, Team Leads, Specialists, and Coordinators in the management of coding data quality and education work processes, to include quality pre and post billing coding reviews and education for the HSCs and VRM
• Select, evaluate, train, and provide leadership and direction to reporting staff
• Coach and help develop team members; help resolve dysfunctional behavior and promote teamwork within functional area(s);

discipline and counsel staff as necessary

• Perform productivity monitoring and provide timely and consistent feedback to employees and Assistant Director and Director Coding Quality Review Responsible for ensuring employee work schedules sufficiently meet the HSCs / VRM coding quality monitoring requirements including reviews for VRM new hires
• Prepare coding benchmarking and coding quality monitoring reports for the SSD HIM Leadership, HSC Leadership, Market / Division leadership and Group leadership
• Coordinate work assignments to achieve operational goals
• Manage HSC / VRM customer (HSC COO, Coding Director, Coding Managers) expectations and ensure service is delivered accordingly

What qualifications you will need :

• Undergraduate degree required. Bachelor’s degree strongly preferred.
• Minimum 3 years’ health care management / leadership experience required
• Minimum 7 years’ recent inpatient / outpatient hospital coding experience required
• Experience managing a large coding team or coding review team strongly preferred
• RHIA, RHIT and / or CCS 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."

Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Coding Quality Review Manager 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 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.