Remote Senior CVIR Revenue Integrity Coder Cath Lab/IR

HCA Healthcare; Gainesville (FL); Remote; USD 90,000 - 120,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

Paid time off

401(k) match

Education support

Charitable/career support

Job summary

Parallon, a part of HCA Healthcare, seeks a Senior CVIR Revenue Integrity Coding Specialist to lead coding accuracy in Cath Lab, IR, and EP service lines. The role educates physicians and departments on coding practices and coordinates with IT/SHI to ensure correct system setups and reimbursement.

The specialist collaborates with leadership to identify trends, optimizes processes, and monitors KPIs to drive RI initiatives while maintaining compliance across the portfolio.

Qualifications

• Outpatient coding experience or Cath Lab/Interventional Radiology experience.
• RHIA/RHIT/CPC/COC/CCS/CIRCC certifications required (must obtain within 1 year of start).
• Associates degree or equivalent work experience accepted.
• Minimum 1 year coding/HIM experience.
• Minimum 3 years healthcare experience (hospital operations, clinical operations, etc.)

Responsibilities

• Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines.
• Coordinates with facility/departments to obtain missing medical record documentation as needed.
• Coordinates with department leaders to identify trends and address issues related to charge capture.
• Understand/apply National and Local Coverage Determination and educate facility departments regularly.
• Performs in-depth reviews and verifies the appropriateness of patient charges and Chargemaster (CDM) assignments.
• Supports the Revenue Integrity team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance.
• Provides focused education to clinical and coding stakeholders as needed.
• Participates to ensure CDM/system updates result in appropriate reimbursement.
• Monitors KPIs to identify new RI initiatives applicable to assigned facility.

Skills

Outpatient coding

Cath Lab/IR experience

Education

RHIA/RHIT/CPC/COC/CCS/CIRCC certifications

Job description

Parallon, a part of HCA Healthcare, seeks a Senior CVIR Revenue Integrity Coding Specialist to lead coding accuracy in Cath Lab, IR, and EP service lines. The role educates physicians and departments on coding practices and coordinates with IT/SHI to ensure correct system setups and reimbursement.

The specialist collaborates with leadership to identify trends, optimizes processes, and monitors KPIs to drive RI initiatives while maintaining compliance across the portfolio.