Vendor Resource Management Coding Team Lead
About the position
Responsibilities
• Actively participates in the review and improvement of processes and services
• Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder/auditor that need to be addressed
• Prepares and presents coder education as needed based on trends and/or problematic areas identified by Parallon HIM back office coding staff
• Collates and presents quality trends and findings to the VRM management team, Vendor teams, and Parallon stakeholders
• Monitors and ensures vendor staff adhere with coding guidelines and policies
• Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy
• Assists in managing coding vendor daily workflow (e.g., work queues,/worklists, turnaround times, quality)
• Performs quality reviews of inpatient and/or outpatient records as needed (including concurrent coding); where applicable, validates physician queries, ICD-10-CM, ICD-10-PCS, CPT/HCPCS level II Codes as well as facility E/M levels and injection/infusion procedure codes assigned by vendor coders
• Performs operational reviews of inpatient and/or outpatient records as needed
• Validates accuracy of codes assigned by CAC (Computer Assisted Coding) tool; assists in monitoring coders CAC adoption behavior; assists in identifying precision and recall improvement opportunities
• Monitors and assists the vendors in the monthly random, focus, prebill review, and Ad Hoc quality review process
• Submits and reviews coding appeals as appropriate
Requirements
• High School diploma required
• Undergraduate degree in HIM/HIT preferred
• Management/Supervisory experience in healthcare related field preferred
• Minimum of 2 years acute care inpatient and/or outpatient coding experience required
• Coding auditing/monitoring experience strongly preferred
• RHIA, RHIT and/or CCS required
Benefits
• Comprehensive medical coverage that covers many common services at no cost or for a low copay
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans
• 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
Apply Now
Apply Now
Responsibilities
• Actively participates in the review and improvement of processes and services
• Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder/auditor that need to be addressed
• Prepares and presents coder education as needed based on trends and/or problematic areas identified by Parallon HIM back office coding staff
• Collates and presents quality trends and findings to the VRM management team, Vendor teams, and Parallon stakeholders
• Monitors and ensures vendor staff adhere with coding guidelines and policies
• Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy
• Assists in managing coding vendor daily workflow (e.g., work queues,/worklists, turnaround times, quality)
• Performs quality reviews of inpatient and/or outpatient records as needed (including concurrent coding); where applicable, validates physician queries, ICD-10-CM, ICD-10-PCS, CPT/HCPCS level II Codes as well as facility E/M levels and injection/infusion procedure codes assigned by vendor coders
• Performs operational reviews of inpatient and/or outpatient records as needed
• Validates accuracy of codes assigned by CAC (Computer Assisted Coding) tool; assists in monitoring coders CAC adoption behavior; assists in identifying precision and recall improvement opportunities
• Monitors and assists the vendors in the monthly random, focus, prebill review, and Ad Hoc quality review process
• Submits and reviews coding appeals as appropriate
Requirements
• High School diploma required
• Undergraduate degree in HIM/HIT preferred
• Management/Supervisory experience in healthcare related field preferred
• Minimum of 2 years acute care inpatient and/or outpatient coding experience required
• Coding auditing/monitoring experience strongly preferred
• RHIA, RHIT and/or CCS required
Benefits
• Comprehensive medical coverage that covers many common services at no cost or for a low copay
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans
• 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
Apply Now
Apply Now