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**Fully Remote position**
Virtual Outpatient Coding Specialist - Full Time
Parallon is an industry leader in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare, has been consistently named a World’s Most Ethical Company by Ethisphere and is ranked in the Fortune 100. We are dedicated to ensuring our patients have the best experience even after they leave our facilities.
Job Summary:
As part of the hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position.
Job Responsibilities:
- Verifying accuracy of assigned CPT codes for complex and/or error prone procedures
- Verifying the diagnosis coding accuracy for complex and/or error prone encounters
- Validating certain discharge dispositions
- Reviewing charge and procedure mismatches
- Reviewing codes with revenue integrity for NCD/LCD coverage
- Reviewing invalid codes, code conflicts, and missing modifiers
- Working with other team members in billing, revenue integrity, etc. to route or resolve alerts/edits
- Combining codes for payment window encounters
- Initiating rebills for miscoded encounters
- Assisting with resolution of accounts with HIM/Coding unbilled hold reasons preventing final billing
Qualifications:
- Undergraduate (Associate's or Bachelor's) degree in HIM/HIT required
- Ambulatory or hospital acute care coding experience working with same day surgeries and outpatient observation coding.
- Minimum 1 year hospital, acute care same day surgery outpatient coding and auditing experience required
- RHIA, RHIT or CCS preferred
- Payer focused, quality edits and customer complaints
- Surgical/OBS coding experience and documented billing edit experience is a MUST
- Coding experience in wound care, interventional radiology, or ED a plus
- Experience in multi-facility or large hospital a plus
Req# 621259
