Facility Outpatient Coding Editor

HCA Healthcare-posted 6 months ago

Full-time • Entry Level

Remote • Hopewell, VA

Hospitals

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As a work from home Outpatient Coder, you will work outpatient coding related alerts/edits for same day surgery, observation, wound care, emergency department, and/or diagnostic areas predominately post initial/final coding. You will also perform the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked and corrected according to the established procedures and thresholds and communicated as appropriate.

Compiles daily work list from eRequest, CRT and/or other alert/edit systems
Enters detailed notes to update eRequest to provide details if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution
Escalates alert/edit resolution issues as appropriate to minimize final billing delays
Monitors the aging of accounts held by an alert/edit, prioritizes aged accounts first, and reports to leadership
Works with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits
Communicates coding revisions to the applicable party (e.g., CIS, lead, manager, international log)
Completes MOCK abstracts as necessary (e.g., combining the codes for outpatient claims subject to the payment window)
Assists the Coding Leads and/or Coding Managers in resolving unbilled reason codes (URC)/Hold Reasons
As needed, may periodically be asked to perform Coding Integrity Specialist II (CIS-II) duties
Periodically works with their Manager to review individual work accomplishments, discuss work problems/barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progression

Undergraduate (associates or bachelors) degree in HIM/HIT preferred
2+ years of acute care, observation and/or same day surgery hospital outpatient coding experience required
RHIA, RHIT and/or CCS preferred

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 (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

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