Coding Account Resolution Specialist in Richmond at Parallon

Date Posted: 7/25/2019

Job Snapshot

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  • Experience:
    At least 3 year(s)
  • Date Posted:

Job Description

Coding Account Resolution Specialist III – Work From Home – FT
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
The Coding Account Resolution Specialist-III (CARS-III) works inpatient coding related alerts/edits, predominately post initial/final coding. The CARS-III performs the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked according to the established procedures and thresholds, and communicated as appropriate. 
Duties (including but not limited to)
  • Compiles daily work list from eRequest, CRT and/or other alert/edit systems
  • Takes action and resolves alerts/edits daily following established procedures and thresholds
  • Enters detailed notes to update eRequest to provide details if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution
  • Escalates alert/edit resolution issues as appropriate to minimize final billing delays
  • Monitors the aging of accounts held by an alert/edit, prioritizes aged accounts first, and reports to leadership
  • Works with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits
  • Assigns interim DRGs for in-house patients at month end
  • Completes MOCK abstracts as necessary (e.g., combining the codes for outpatient and inpatient claims subject to the payment window)
  • Assists the Coding Leads and/or Coding Managers in resolving unbilled reason codes (URC)
  • Communicates coding revisions to the applicable party (e.g., CIS, lead, manager, international log)
  • Periodically works with their Manager to review individual work accomplishments, discuss work problems/barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progression
  • Adheres to all applicable coding and billing regulations and guidance, including but not limited to, CMS, AHA and HCA policies and guidelines
  • As needed, may periodically be asked to perform Coding Integrity Specialist III (CIS-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

Job Requirements

High School graduate or GED equivalent required, undergraduate (associate or bachelors) degree in HIM/HIT preferred. 
1-year acute care inpatient coding experience required with 3 years’ experience preferred. 
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.