Senior CVIR Revenue Integrity Coder - Remote/Hybrid

HCA Healthcare; Portsmouth (NH); Remote; USD 85,000 - 105,000; Full time

Benefits offered by this job

Comprehensive benefits

Wellbeing support

PTO and disability coverage

401(k) match

Tuition assistance

Life insurance

Employee discounts

Job summary

Parallon, part of HCA Healthcare, seeks a Senior CVIR Revenue Integrity Coding Specialist to ensure accurate charging and coding for Cardiovascular and Interventional Radiology services. This senior coder educates clinical departments on coding, collaborates with IT, EHR, and CDM teams, and helps optimize reimbursement strategies across Cath Lab, IR, and EP service lines.

The role emphasizes charge capture improvements, auditing Chargemaster assignments, and leading education for stakeholders

Qualifications

• Associates Degree Required. Equivalent work experience may substitute education requirements.
• Minimum 1 year coding/HIM experience.
• Minimum 3 years healthcare experience (hospital operations, clinical operations, etc.).
• RHIA or RHIT or CPC or COC or CCS, or CIRCC certifications required (must obtain certification within one year of start date).

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 routinely.
• 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 any applicable KPIs to identify new RI initiatives that are applicable to their assigned facility.

Skills

Coding/HIM experience

Healthcare operations

Education

Associates degree

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

Job description

Parallon, part of HCA Healthcare, seeks a Senior CVIR Revenue Integrity Coding Specialist to ensure accurate charging and coding for Cardiovascular and Interventional Radiology services. This senior coder educates clinical departments on coding, collaborates with IT, EHR, and CDM teams, and helps optimize reimbursement strategies across Cath Lab, IR, and EP service lines.

The role emphasizes charge capture improvements, auditing Chargemaster assignments, and leading education for stakeholders