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Coding Integrity Specialist III - Work From Home in Richmond at Parallon

Date Posted: 1/7/2019

Job Snapshot

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Job Description

Coding Integrity Specialist - 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.
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.Parallon is an affiliate of Hospital Corporation of America (HCA Holdings, Inc.) and is a leading provider of healthcare business and operational services. Parallon supports healthcare providers in the area of revenue cycle (billing, collections, denial management), technology, patient registration, insurance verification and health information management.
DUTIES (included 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:
  • Diagnosis description with appropriate 3-7 digit code assignment with corresponding Present On Admission (POA)
  • Procedure description with appropriate 7 digit ICD-10-PCS code, date and surgeon
  • Admitting Diagnosis
  • Discharge disposition
  • 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
  • Follows all applicable coding guidance in assigning, sequencing, validation, and/or editing of codes/DRGs
  • Meets all educational requirements as stated in current Company and HSC policy
  • Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
  • Other duties as assigned

Job Requirements

High School graduate or GED equivalent required, undergraduate (associates or bachelors) degree in HIM/HIT preferred.
Minimum 1 year of acute care hospital inpatient coding required, 3 years preferred.

RHIT, RHIA 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.