Senior CVIR Revenue Integrity Coding Specialist

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

This Work from Home position requires that you live and will perform the duties of the position; within 60 miles of an HCA Healthcare Hospital (Our hospitals are located in the following states: FL, GA, ID, KS, KY, MO, NV, NH, NC, SC, TN, TX, UT, VA).

Do you want to join an organization that invests in you as a Senior CVIR Revenue Integrity Coding Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Candidate must have Outpatient Coding experience or experience in a Cath Lab/Interventional Radiology.

RHIA or RHIT or CPC or COC or CCS, or CIRCC certifications required

Job Summary and Qualifications

The Senior CVIR Revenue Integrity Coding Specialist plays a critical role in ensuring Cardiovascular and Interventional Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder in the Cath Lab, IR, and EP service lines. The Senior RI Charge Specialist educates specialty physicians and facility departments on coding and billing practices. Consults with IT&S, E.H.R. Specialists, and CDM Departments to ensure accurate CDM, Meditech, and Hemodynamic systems are set up appropriately in all clinical modules. Consults with Division and Corporate Leadership on charging and coding trends to identify financial opportunities.

What you will do in this role:

• 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
• Ability to 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 Key Performance Indicators (KPIs) to identify new RI initiatives that are applicable to their assigned facility

What qualifications you will need:

• 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).

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 benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

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.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Senior Revenue Integrity Charge Analyst opening. Qualified candidates will be contacted for interviews.

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.