Outpatient Coding Team Lead

HCA Healthcare; Nashville (TN); Remote; USD 60,000 - 100,000; Full time

Job summary

Join a leading healthcare provider as an Outpatient Coding Team Lead, where you will play a pivotal role in ensuring coding accuracy and operational excellence. This position allows you to work from home while leading a dedicated team, coordinating quality reviews, and providing essential education to enhance coding practices. With a commitment to community service and employee development, this innovative organization offers a supportive environment where your contributions can make a significant impact. If you are passionate about healthcare and coding, this is your opportunity to unlock your potential and grow within an esteemed company.

Benefits

Comprehensive medical coverage

401(k) Plan with matching

Employee Stock Purchase Plan

Education assistance

Time Away From Work Program

Free counseling services

Flexible spending accounts

Pet insurance

Legal counseling

Referral services for child and elder care

Qualifications

• 5+ years of outpatient coding experience required.
• Management experience in healthcare preferred.
• RHIA, RHIT, or CCS certification preferred.

Responsibilities

• Lead coding quality reviews and provide timely feedback.
• Coordinate coding education activities within the HSC.
• Ensure accurate coding and DRG validation for reimbursement.

Skills

Outpatient Coding

DRG/Code Validation

Management Skills

Auditing Skills

Communication Skills

Education

Associates degree in HIM/HIT

Bachelor's degree in HIM/HIT

Tools

eRequest

Bill 49 tool

HIM Coding Prebill Account Review Tool (C-PART)

Job description

Description

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Outpatient Coding Team Lead with Work from Home you can be a part of an organization that is devoted to giving back!

Benefits

Work from Home, 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.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Work from Home family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Outpatient Coding Team Lead to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

As an Outpatient Coding Lead, you will perform as the daily contact for coding, DRG/code validation, operational, and general questions from the coding staff, Health Information Management Service Center (HSC) staff, and shared service center departments. You will also provide support to coding leadership by coordinating coding and education activities within the HSC. You will work to achieve and maintain overall company-defined department goals. You will also verify complete, accurate, and consistent coding and DRG code validation resulting in appropriate reimbursement, data integrity, and minimal variation in coding practices.

What you will do in this role:

• Leads, coordinates and performs HSC coding quality reviews (e.g., routine, policy driven, performance driven, incentive plan driven, customer needs, identified trends, RAC, payer, etc.) for inpatient and/or outpatient coding (e.g., DRG/code validation, query validation).
• Provides timely feedback and education as it relates to coding opportunities found during the review of accounts.
• Ensures rebill requests are entered timely through the system/process outlined in company/HSC policy.
• Answers coding related questions and assists Coding Integrity Specialists (CIS), Coding Account Reimbursement Specialists (CARS), and/or CDI Liaisons with day-to-day operations.
• Assists Coding Manager in the review and improvement of processes and services.
• Ensures accounts are reviewed timely to ensure cashflow, sustain accuracy, and meet filing deadlines and claim submission deadlines utilizing various tools (e.g., eRequest, Bill 49 tool(s), HIM Coding Prebill Account Review Tool [C-PART]).
• Coordinates activities in conjunction with the Coding Manager and SSC Education staff related to the development, education, training, and orientation of the CISs, CDI Liaison, and/or CARS team members.
• Reports to the Coding Manager periodically on team and individual work accomplishments, problems, progress in mastering tasks and work processes, and individual and team training needs.
• Coaches, facilitates, solves work problems, and participates in the work of the team.
• Assists the Coding Manager in verifying and reporting staff productivity for Coding, DRG/Code Validation, Unbilled, CDI reconciliation and CARS functions.

What qualifications you will need:

• Associates degree or higher in HIM/HIT strongly preferred.
• Management and supervisory experience in healthcare-related field preferred.
• Minimum of 5 years of acute care outpatient coding experience required.
• Minimum of 3 years coding auditing experience strongly preferred.
• RHIA, RHIT, 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 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.

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

Be a part of an organization that invests in you! We are reviewing applications for our Outpatient Coding Team Lead opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

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.