INPATIENT CODING QUALITY REVIEWER

HCA Healthcare; Frisco (TX); Remote; USD 60,000 - 90,000; Full time

Job summary

Join a forward-thinking organization as an Inpatient Coding Auditor, where your expertise in coding will help ensure high-quality patient care. This remote position offers the chance to work with a dedicated team focused on compliance with national coding guidelines. You'll lead quality reviews, assist coding staff, and maintain high productivity and accuracy standards. With a commitment to professional growth and a comprehensive benefits package, this role is perfect for those passionate about making a difference in healthcare. Don't miss this opportunity to advance your career while contributing to a meaningful mission.

Benefits

Comprehensive Medical Coverage

401(k) Plan with Match

Employee Stock Purchase Plan

Education Assistance

Time Away From Work Program

Free Counseling Services

Flexible Spending Accounts

Colleague Recognition Program

Referral Services

Consumer Discounts

Qualifications

• 5+ years of acute care inpatient and outpatient coding experience.
• 3+ years of coding auditing/monitoring experience preferred.
• Expert knowledge of medical coding practices and concepts.

Responsibilities

• Perform quality reviews for inpatient and outpatient coding.
• Ensure adherence to coding guidelines and policies.
• Communicate outcomes to improve coding accuracy and integrity.

Skills

Inpatient Coding

Outpatient Coding

Coding Auditing

Medical Coding Practices

Health Information Management

Education

Undergraduate Degree in HIM/HIT

Associate's Degree

Bachelor's Degree

Job description

This is a remote / work from home position.

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below : as Work from Home Inpatient Coding Auditor

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 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.

We are seeking an Inpatient Coding Auditor for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!

Job Summary and Qualifications

As a n Inpatient Coding Auditor, you will be responsible for performing 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 and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments.

What you will do in this role : ?

• Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and / or outpatient coding across multiple HSCs
• Assists in ensuring HSC coding staff adherence with coding guidelines and policy
• Demonstrates and applies expert level knowledge of medical coding practices and concepts
• Participates on special reviews or projects
• Maintains or exceeds 95% productivity standards
• Maintains or exceeds 95% accuracy
• Meets all educational requirements as stated in current Company policy
• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical / medical resources to assure coding knowledge and skills remain current

Wha t qualifications you will need :

• Undergraduate degree in HIM / HIT preferred (Associate's or Bachelor's)
• Minimum of 5 years' acute care inpatient and outpatient coding experience required
• Minimum of 3 years' coding auditing / monitoring experience strongly preferred
• RHIA, RHIT and / or CCS preferred

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 Worlds 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.

There is so much good to do in the world and so many different ways to do it. - Dr. Thomas Frist, Sr.

If you find this opportunity compelling, we encourage you to apply for our Inpatient Coding Auditor opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing 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.

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Inpatient Coding Quality Reviewer • Frisco, TX, United States