Outpatient Coder

HCA Healthcare • Las Vegas, NV

437d • Remote

About The Position

The Outpatient Coder position at Sunrise Hospital involves working with outpatient coding related alerts and edits for various medical services. The role is crucial in ensuring high-quality patient care by resolving coding issues and maintaining efficient billing processes. This position offers the flexibility of working from home and is part of a supportive team dedicated to patient care.

Requirements

• High School graduate or GED equivalent preferred, undergraduate (associates or bachelors) degree in HIM/HIT preferred
• One (1) year acute care observation and/or same day surgery hospital outpatient coding experience required
• RHIA, RHIT and/or CCS preferred

Responsibilities

• 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

Benefits

• Comprehensive medical coverage
• Dental and vision benefits
• Life and disability coverage
• Flexible spending accounts
• Supplemental health protection plans
• Auto and home insurance
• Identity theft protection
• Legal counseling
• Long-term care coverage
• Moving assistance
• Pet insurance
• Free counseling services
• 401(k) Plan with a 100% match on 3% to 9% of pay
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Fertility and family building benefits
• Adoption assistance
• Referral services for child, elder and pet care
• Consumer discounts
• Education assistance
• Colleague recognition program
• Time Away From Work Program
• Employee Health Assistance Fund

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 10,001+ employees