Coding Account Resolution Specialist-Inpatient

Overview

Do you want to join an organization that invests in you as a Coding Account Resolution Specialist‑Inpatient? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

This position is a work from home position! Some flexibility in the schedule!

• 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.

Note:

Eligibility for benefits may vary by location.

The Coding Account Resolution Specialist‑III (CARS‑III) works inpatient coding related alerts/edits, predominately post‑initial/final coding. The CARS‑III performs the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked according to the established procedures and thresholds, and communicated as appropriate.

• Compile daily work list from eRequest, CRT and/or other alert/edit systems.
• Takes action and resolves alerts/edits daily following established procedures and thresholds.
• Enter 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.
• Escalate alert/edit resolution issues as appropriate to minimize final billing delays.
• Monitor the aging of accounts held by an alert/edit, prioritize aged accounts first, and report to leadership.
• Work with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits.
• Assign interim DRGs for in‑house patients at month end.
• Complete MOCK abstracts as necessary (e.g., combining the codes for outpatient and inpatient claims subject to the payment window).
• Assist the Coding Leads and/or Coding Managers in resolving unbilled reason codes (URC)/Hold Reasons.
• Communicate coding revisions to the applicable party (e.g., CIS, lead, manager, international log).
• Periodically work with your Manager to review individual work accomplishments, discuss work problems/barriers, discuss progress in mastering tasks and work processes, and discuss individual training needs and career progression.
• Adhere to all applicable coding and billing regulations and guidance, including but not limited to CMS, AHA and HCA policies and guidelines.
• As needed, may periodically be asked to perform Coding Integrity Specialist III (CIS‑III) duties.
• Meet all educational requirements as stated in Company and HSC policy.
• Review all official data quality standards, coding guidelines, Company policies and procedures and clinical/medical resources to assure coding knowledge and skills remain current.
• Practice and adhere to the Company’s Code of Conduct philosophy.
• Practice and adhere to the…