Coding Integrity Spec III

HCA Richmond , VA 23234

Posted 7 days ago

Coding Integrity Specialist III Work From Home Full Time

Parallon believes that organizations that continuously learn and improve will thrive. That's why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry's leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services.

Job Summary

Reviews and evaluates hospital inpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and ICD-10- PCS codes. Performs coding and/or code/DRG validation across multiple entities. Applies all appropriate coding guidelines and criteria for code selections. Adheres to Company and HSC Coding Compliance policies and procedures for the assignment of complete, accurate, timely, and consistent codes for diagnoses and procedures.

Duties (including but not limited to)

  • Assigns, sequences, validates, and/or edits codes/DRGs and abstracted data (e.g., physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCS to include:

o Diagnosis description with appropriate 3-7 digit code assignment with corresponding Present On Admission (POA)

o Procedure description with appropriate 7 digit ICD-10-PCS code, date and surgeon

o Admitting Diagnosis

o Discharge disposition

o Where applicable, completes the coding portion of the IRF-PAI

  • Maintains or exceeds established accuracy standards

  • Maintains or exceeds established productivity standards

  • Utilizes the complete patient medical record documentation in code/DRG assignment, validation, and/or editing of codes/DRGs

  • Initiates, reviews, and/or edits physician queries in compliance with Company and HSC policy where appropriate

  • As needed, may periodically be asked to perform Coding Account Resolution Specialist III (CARS III) duties

  • Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current

Education

High School graduate or GED equivalent required, undergraduate (associate or bachelors) degree in HIM/HIT preferred.

Experience
1-year acute care inpatient coding experience required with 3 years' experience preferred.

Certificate/License

RHIA, RHIT and/or CCS preferred.

We offer training support, competitive salary and excellent benefits to include several insurance package options for Medical, Dental and Vision; Paid Time Off for vacation, sick leave and holidays, Employer-paid Short Term Disability, Company matching 401K and more!

Parallon is an Equal Opportunity Employer (EOE), minority/ female/ veteran/ disabled, offering a great work environment, challenging career opportunities, and competitive compensation.

#ParallonBCOM


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Coding Integrity Spec III

HCA