Inpatient Coding Resolution Specialist

HCA Healthcare; Nashville (TN); Remote; USD 50,000 - 70,000; Full time

Job summary

Join a leading healthcare provider as an Inpatient Coding Specialist, where you will manage coding alerts and collaborate with teams to ensure accurate billing. Enjoy a remote work environment and a comprehensive benefits package that supports your health and career growth.

Benefits

Comprehensive medical coverage

401(k) Plan with a 100% match

Employee Stock Purchase Plan

Education assistance

Time Away From Work Program

Qualifications

• 1-year acute care inpatient coding experience required.
• Preferred RHIA, RHIT, and/or CCS certifications.

Responsibilities

• Resolve inpatient coding related alerts/edits daily.
• Compile daily work list from alert/edit systems.
• Collaborate with billing and revenue integrity teams.

Skills

Attention to Detail

Collaboration

Education

Undergraduate degree in HIM/HIT

Job description

Description

Introduction

This is a remote/work from home position.

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 Specialist today with Parallon.

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, including prescription drug and behavioral health coverage, 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 loans, 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.

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

As an Inpatient Coding Specialist, you will be responsible for working inpatient coding related alerts/edits, predominantly post initial/final coding. You will also perform alert/edit resolution activities in applicable systems. Alerts/edits are to be worked according to 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 if the alert/edit cannot be resolved or must be rerouted for further research/resolution.
• Escalate alert/edit resolution issues as appropriate to minimize final billing delays.
• Monitor account aging, prioritize aged accounts, and report to leadership.
• Collaborate with billing, revenue integrity, and Medicare Service Center teams to resolve alerts/edits.
• Assign interim DRGs for in-house patients at month end.
• Complete MOCK abstracts as necessary, e.g., combining codes for outpatient and inpatient claims within the payment window.
• Assist Coding Leads/Managers in resolving unbilled reason codes (URC)/Hold Reasons.
• Communicate coding revisions to relevant parties (e.g., CIS, lead, manager).
• Periodically review individual work accomplishments with the manager, discuss work barriers, progress, and training needs.

What qualifications you will need:

• Undergraduate (associate or bachelor’s) degree in HIM/HIT preferred.
• RHIA, RHIT, and/or CCS preferred.
• 1-year acute care inpatient coding experience required; 3 years' experience preferred.

Parallon provides full-service revenue cycle management, including scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, and more. We serve nearly 1,000 hospitals and 3,000 physician practices nationwide with over 17,000 colleagues.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies by the Ethisphere Institute multiple times. We also invested approximately 3.7 billion dollars in charitable care and community support in recent years.

"The great hospitals will always put the patient and the patient's family first, and truly great institutions will provide care with warmth, compassion, and dignity for the individual." - Dr. Thomas Frist, Sr., HCA Healthcare Co-Founder

If you seek a role that offers satisfaction and growth, apply now for our Inpatient Coding Specialist position. We review applications promptly; qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

We are an equal opportunity employer. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability.