Coding Quality Reviewer Team Lead

Do you have the career opportunities as a Coding Quality Reviewer Team Lead you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare.

Job Summary and Qualifications

The Coding Quality Review Lead may assist with pulling random and focus review samples, reviewing medical records, monitoring, compiling and reporting out review results. The team lead may assist with providing auditor specific education and global coding education based on review findings and trends. The lead may be asked to perform coding quality reviews up to 50% of the time.

What you will do in this role:

• Assists the Coding Quality Review Manager with pulling extracts and populating the various tools to create the random, focus, Business, and AdHoc review chart selections for the HSCs and CCRM on a monthly basis
• Assists the Coding Quality Review Manager with monitoring overall review completion to established daily, weekly and monthly goals, identifying barriers and implementing appropriate resolutions.
• Assists the Coding Quality Review team in using coding quality review tools to enter the coding review results
• Assists the Coding Quality Review Manager with analyzing the coding quality review data, identifying and presenting HSC, CCRM, auditor and/or code/DRG error trends
• Assists the Coding Quality Review Manager with developing and presenting education to the CQR team based on quality review outcomes
• Assists in planning and budgeting of the Coding Quality Review team
• Performs coding quality reviews
• Maintains or exceeds 95% quality and productivity standards
• Identify trends and make recommendation for education to help the CQR team maintain and exceed 95% accuracy rate
• Reports to the Coding Managers periodically on team and individual work accomplishments, problems, progress in mastering tasks and work processes, and individual and team training needs
• Meets all educational requirements as stated in current Company policy
• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
• Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement”
• Assists in generating reports as needed by Coding Quality Management
• Serves as a liaison between HSC and CCRM managers and Coding Quality Management
• Oversight of Coding Quality Reviews to ensure deadlines are met and integrity of data entry is maintained
• Maintains annual workplan update process
• Maintains CQR recruitment reporting
• Maintains knowledge of tools and resources, and associated workflows to include Computer Assisted Coding (CAC), Electronic Health Records (EHR's), and data capture systems.
• Assists in the development, Maintenance, and Distribution of Operational and Outcome Reporting
• Other duties as assigned
• Generating reports as needed by Coding Quality Management
• Oversee Coding Quality reviews from review scope definition, account selection, data loading, reviews, appeals and final outcomes reporting
• Reconciling CQR & HSC/CCRM appeal responses Prepares meeting minutes
• Ensures coverage for essential tasks between normal working hours

Qualifications:

• Undergraduate degree in HIM/HIT required
• 2-years of equivalent HIM/HIT work experience may substitute degree requirement
• Management/Supervisory experience in healthcare related field preferred
• Minimum of 5 years acute care inpatient/outpatient coding experience required
• Minimum of 5 years coding auditing/monitoring experience required
• RHIA, RHIT and/or CCS required

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 benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

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Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

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"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Coding Quality Reviewer Team Lead opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

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.