Outpatient Coding Resolution Specialist

Outpatient Coding Resolution Specialist – HCA Healthcare

Hourly Wage Estimate: $21.87 - $32.81 per hour

• Comprehensive medical coverage including prescription, behavioral health, telemedicine, and air transport
• Dental, vision, life, disability, FSA, supplemental health protection, auto/home insurance, identity theft protection, legal counseling, long‑term care, moving assistance, pet insurance, and more
• Free counseling services and resources for emotional, physical and financial wellbeing
• 401(k) plan with 100% match 3%–9% of pay
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
• Family support benefits (fertility, adoption assistance)
• Referral services for child, elder, pet care, home/auto repair, event planning
• Consumer discounts through Abenity
• Retirement readiness and rollover assistance
• Education assistance (tuition, loan, certification, scholarships)
• Colleague recognition program
• Time Away From Work program (paid time off, family leave, disability coverage)
• Employee Health Assistance Fund

As a work‑from‑home Outpatient Coder, you will resolve outpatient coding related alerts/edits for same‑day surgery, observation, wound care, emergency department, and diagnostic areas primarily post initial/final coding.

• Compile daily work list from eRequest, CRT and other alert/edit systems
• Enter detailed notes into eRequest to provide resolution details or reroute for research
• Escalate alert/edit resolution issues to minimize billing delays
• Monitor aging of accounts, prioritize aged accounts, and report to leadership
• Work with billing, revenue integrity, and Medicare Service Center to resolve alerts/edits
• Communicate coding revisions to applicable parties
• Complete mock abstracts as needed (combining codes for outpatient claims within payment window)
• Assist Coding Leads and Managers in resolving unbilled reason codes (URC)/hold reasons
• Perform Coding Integrity Specialist II duties as needed
• Periodically review work accomplishments and discuss progress and training needs with Manager

• Undergraduate (associate or bachelor’s) degree in HIM/HIT preferred
• 2+ years of acute care, observation and/or same‑day surgery outpatient coding experience
• RHIA, RHIT and/or CCS preferred

HCA Healthcare is one of the world’s most ethical companies and has spent an estimated $3.7 billion on charitable care and discounts. Our services include scheduling, registration, insurance verification, billing, revenue integrity, collections, compliance, credentialing, health information management, customer service, payroll, and physician billing.

Entry level

Full‑time

Health Care Provider

Hospitals and Health Care

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.