Introduction
This is a work from home position.
DRG Auditing experience is required for this role.
Do you want to join an organization that invests in you as a Coding Quality Review Specialist? At Work from Home, 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.
Benefits
Work from Home, 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.
You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Coding Quality Review Specialist like you to be a part of our team.
Job Summary and Qualifications
As a Coding Quality Review (CQR) Specialist, you will be responsible for support all CQR team related systems and tools to include but is not limited to New Hire Quality Assurance (NHQA) tool, Coding Quality Assurance (CQA) tool, CQR Management tools, Review tools, and Productivity tools.
What you will do in this role:
- Supports all CQR team related systems and tools to include but is not limited to NHQA tool, CQA tool, CQR Management Tools, Review tools, and Productivity tools.
- Provides subject matter expertise to assist with development, refinement, testing and maintenance of CQR team tools
- Leads initial development and/or evolution of tools to end state, which includes coordinating and collaborating with appropriate personnel within and external to the Parallon HIM department
- Assists the CQR management team with operationalization of tools
- Develops and updates documentation to support the use of the tool (user guides, training manuals, policies and procedures, etc.)
- Responsible for educating and training on tools
- Creates and performs mechanisms to ensure data quality which may include review and understanding of technical coding, auditing and/or operational details
- Analyzes outcomes of data quality reviews and develops appropriate next steps based on needs.
- Works with the CQR management team to assess, design and implement effective and efficient workflow related to tool use.
- Functions as point of contact for tool issues, root cause identification and responsible for coordinating, collaborating, communicating to resolution
- Responsible for UAT (user acceptance testing)
- Maintains lists of all tool issues, enhancements, and development needs
What you will need in this role:
- Undergraduate degree in HIM/HIT preferred.
- Management/Supervisory experience in healthcare-related fields preferred
- Minimum of 5 years of acute care inpatient/outpatient coding experience required
- Minimum of 5 years of coding auditing/monitoring experience required
- RHIA, RHIT, and/or CCS preferred
“
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.
“