Coding Account Resolution Specialist-Outpatient

Description

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:
Coding Account Resolution Specialist-Outpatient Parallon

We are seeking a Coding Account Resolution Specialist-Outpatient for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do.

We want you to apply!

Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• 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 Air Med 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.

Learn more about Employee Benefits ()

Note:
Eligibility for benefits may vary by location.

The Coding Account Resolution Specialist-II (CARS-II) works outpatient coding related alerts/edits for SDC, OBV, and Wound Care, accounts, predominately post initial/final coding. The CARS-II performs 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.

What you will do in this role:

• Compiles daily work list from eRequest, CRT and/or other alert/edit systems.
• Takes action and resolves alerts/edits for the following patient types:
  Same Day Surgery (SDC), Observation (OBV), Wound Care, Outpatient Cardiac Cath.
• Provides backup coverage as needed for Emergency Dept (ED), Recurring (RCR), Clinical (CLI), Provider Office Visit (POV), as applicable.
• 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…