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Coding Quality Reviewer/Auditor

Parallon Nashville Full-Time
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Description

SHIFT: Work From Home

SCHEDULE: Full-time

As a Coding Quality Reviewer (CQR) you will perform internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with coding guidelines.  Coding quality is crucial to ensure the best patient experience and to provide appropriate reimbursement for services rendered.  You will operate in a work from home environment.

We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include work from home, 401k, PTO, medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.


We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now.


What you will do in this role:
  • You will lead, coordinate and perform all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven)for inpatient and outpatient coding across multiple HSCs 
  • Assist in ensuring HSC coding staff adherence with coding guidelines and policy
  • Demonstrate and apply expert level knowledge of medical coding practices and concepts
  • You will participate on special reviews or projects
  • Maintain or exceed 95%productivity and 95% accuracy standards
  • Review all official data quality standards, coding guidelines, company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current

Qualifications

Attributes you should have:
  • Coding Technical/Professional Knowledge and Skills- extensive regulatory coding, (ICD-10-CM, ICD-10- PCS, CPT-4, Modifiers, MS-DRGs, POA assignment and where applicable APR-DRGs and APCs) and associated reimbursement knowledge 
  • Effective Decision Making - relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values
  • Work Standards – setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self- imposing standards of excellence rather than having standards imposed
  • Leadership - leads individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
  • Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time
  • Work Independently in a Remote Environment - is self-supporting; not needing to rely on others to complete a job
EDUCATION
  • Undergraduate degree in HIM/HIT preferred 
  • Equivalent work experience may substitute degree requirement
EXPERIENCE
  • Minimum of 3 years' acute care inpatient/outpatient coding experience preferred
  • Minimum of 3 years' coding auditing/monitoring experience strongly preferred
CERTIFICATE/LICENSE 
  • RHIA, RHIT and/or CCS preferred 

We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now.


Parallon is a division of HCA Healthcare which ranks on Fortune’s list of Most Admired and HCA ranks in the top 100 on the Fortune 500 list. In addition, Ethisphere named HCA as one of the World’s Most Ethical Companies. We want you to join our tradition of excellence. Intrigued? We’d love to hear from you.


If you find this opportunity compelling, we encourage you to apply. We promptly review all applications. If you are highly qualified, you will hear from one of our managers. We are actively interviewing so apply today!


We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


 

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Job ID: 03416-164044

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Parallon’s corporate offices located just outside of Nashville, Tenn., have career opportunities to support the full portfolio of unique healthcare business solutions including group purchasing, staffing management, supply chain, project management, revenue cycle, technology solutions, consulting, sales, management engineering and other business processes.

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