Coding Account Resolution Specialist-Inpatient

Coding Account Resolution Specialist‑Inpatient

We are looking for a dedicated Coding Account Resolution Specialist‑Inpatient to join HCA Healthcare via Parallon. This work‑from‑home role requires autonomy, strong coding knowledge, and excellent communication skills.

• Comprehensive medical coverage with prescription drug and behavioral health coverage, 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.

• Compile daily work list from eRequest, CRT, and other alert/edit systems.
• Take action and resolve alerts/edits daily following established procedures and thresholds.
• Enter detailed notes into eRequest to explain unresolved or redirected alerts/edits.
• Escalate alert/edit resolution issues as appropriate to minimize final billing delays.
• Monitor aging of accounts held by an alert/edit, prioritize aged accounts first, and report to leadership.
• Work with 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 codes for outpatient and inpatient claims subject to the payment window).
• Assist Coding Leads and/or Managers in resolving unbilled reason codes (URC)/Hold Reasons.
• Communicate coding revisions to applicable parties (CIS, lead, manager, international log).
• Periodically review work accomplishments and discuss progress, challenges, training needs, and career progression with manager.
• Adhere to all applicable coding and billing regulations and guidance, including CMS, AHA, and HCA policies.
• May perform Coding Integrity Specialist III duties as needed.
• Meet all educational requirements as stated in Company and HSC policy.
• Review official data quality standards, coding guidelines, company policies, and clinical/medical resources to ensure current coding knowledge and skills.
• Practice and adhere to the company’s Code of Conduct, Mission, and Values.
• Perform other duties as assigned.

• High School graduate or GED equivalent preferred; undergraduate (associate’s or bachelor’s) degree in HIM/HIT preferred.
• 1 year of acute care inpatient coding experience required; 3 years’ experience preferred.
• RHIA, RHIT, and/or CCS preferred.

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.