Job Details
Inpatient Coding Quality Reviewer
2025-04-13 HCA Florida Ocala Hospital Ocala,FLDescription
Introduction
Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an Acute Care Outpatient Coder Team Lead with Parallon you can be a part of an organization that is devoted to giving back!
Benefits
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 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.
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Work from Home family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Outpatient Coder Team Lead to help us reach our goals. Unlock your potential!
Job Summary and Qualifications
As an Acute Care Outpatient Coding Lead, you will perform as the daily contact for coding, DRG/code validation, operational, and general questions from the coding staff, Health Information Management Service Center (HSC) staff, and shared service center departments. You will also provide support to coding leadership by coordinating coding and education activities within the HSC. You will work to achieve and maintain overall company-defined department goals. You will also verify complete, accurate, and consistent coding and DRG code validation resulting in appropriate reimbursement, data integrity, and minimal variation in coding practices.
What you will do in this role:
- Leads, coordinates and performs HSC coding quality reviews (e.g., routine, policy driven, performance driven, incentive plan driven, customer needs, identified trends, RAC, payer, etc.) for inpatient and/or outpatient coding (e.g., DRG/code validation, query validation)
- Provides timely feedback and education as it relates to coding opportunities found during the review of accounts
- Ensures rebill requests are entered timely through the system/process outlined in company/HSC policy
- Answers coding related questions and assists Coding Integrity Specialists (CIS), Coding Account Reimbursement Specialists (CARS), and/or CDI Liaisons with day-to-day operations
- Assists Coding Manager in the review and improvement of processes and services
- Ensures accounts are reviewed timely to ensure cashflow, sustain accuracy, and meet filing deadlines and claim submission deadlines utilizing various tools (e.g., eRequest, Bill 49 tool(s), HIM Coding Prebill Account Review Tool [C-PART))
- Coordinates activities in conjunction with the Coding Manager and SSC Education staff related to the development, education, training, and orientation of the CISs, CDI Liaison, and/or CARS team members
- Reports to the Coding Manager periodically on team and individual work accomplishments, problems, progress in mastering tasks and work processes, and individual and team training needs
- Coach, facilitate, solve work problems, and participate in the work of the team 2 Job Description
- Assists the Coding Manager in verifying and reporting staff productivity for Coding, DRG/Code Validation, Unbilled, CDI reconciliation and CARS functions