Vendor Resource Management Coding Lead

HCA Healthcare • Nashville, TN

77d • Remote

About The Position

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Vendor Resource Management Team Lead today with Parallon. This is a fully work from home position. This position has a specialization in Inpatient Coding.

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.

Responsibilities

• Perform concurrent and retrospective quality reviews of vendor ICD-10 Diagnosis and PCS Code/CPT/DRG/abstracting assignments.
• Compile and report results to enhance quality outcomes.
• Prepare and provide coder specific education based on audit outcomes and trends.
• Assist the VRM Manager with vendor management including monitoring processes and services for improvement.
• Analyze weekly/monthly quality data to identify trends by vendor and coder/auditor.
• Prepare and present coder education as needed based on trends and/or problematic areas.
• Collate and present quality trends and findings to the VRM management team, Vendor teams, and Parallon stakeholders.
• Monitor and ensure vendor staff adhere to coding guidelines and policies.
• Demonstrate and apply expert level knowledge of medical coding practices and concepts.
• Assist in managing coding vendor daily workflow.
• Perform quality reviews of inpatient and/or outpatient records as needed.
• Validate accuracy of codes assigned by CAC (Computer Assisted Coding) tool.
• Monitor and assist the vendors in the monthly random, focus, prebill review, and Ad Hoc quality review process.
• Submit and review coding appeals as appropriate.

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.
• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Hospitals
• Education Level: High school or GED