Vendor Resource Management Team Lead

HCA Healthcare • Augusta, GA

109d • 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 D 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

• 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

Benefits

• Comprehensive medical coverage that covers many common services at no cost or for a low copay
• Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation
• 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

What This Job Offers

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