Description

Introduction

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a VRM Profee Coding Team Lead today with Parallon.

Benefits

Parallon, 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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

Note: Eligibility for benefits may vary by location.

Come join our team as a(an) VRM Profee Coding Team Lead. We care for our community! Just last year, HCA Healthcare and our colleagues donated $13.8 million dollars to charitable organizations. Apply Today!

Job Summary and Qualifications

The Vendor Resource Management Pro-Fee Team Lead supports the vendor production teams to ensure, proper workflow, consistency, and efficiency in relation to code assignment for reimbursement and reporting purposes. The Team Lead monitors and performs inventory reviews for vendor coding staff in order to validate inventory is completed within the Service Level Agreement (SLA) timeframe. The Lead also assists the VRM Manager with vendor management including monitoring processes and services for improvement, coding quality, trending/analyzing data, creating and presenting education, answering coding questions, and account follow up/resolution.

Duties (included but not limited to)

• Assists in managing coding vendor daily workflow (e.g., work queues, worklists, turnaround times)

• Daily PRP review and resolution

• Attends and/or leads meetings as needed.

• Investigate and provide feedback on Vendor and Team access issues

• Pre-Inventory Review of Upcoming Vendor Supported Go Lives

• Works in conjunction with Central Coding Unit on follow up and resolution of coding related denials and rejections to address any issues.

• Assists in performing chart reviews for providers and coders as needed.

• Keep manager informed regarding any billing issues and updates on charge entry

• Actively participates in the review and improvement of processes and services

• Prepares and presents coder education as needed based on trends and/or problematic areas identified by practices or the PSC.

• Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy

• Communicates as appropriate with the vendor staff and CCU to ensure proper account resolution

• Answers coding, abstracting, and process questions from vendors

• Fosters an environment of teamwork and work excellence within the vendor coding teams.

• Meets all educational requirements as stated in current Company policy

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

• Performs related work and projects as required.

• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”.

• Other duties as assigned.

Knowledge, Skills & Abilities

• Coding Technical skills ‐ extensive regulatory coding (ICD‐10‐CM/PCS, CPT/HCPCS, and professional E/M level) 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

• Initiative ‐ independently takes prompt proactive steps toward problem resolution

• Organization – establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task resources

• Communication - communicates professionally, clearly, proactively and concisely with all key stakeholders, both individually and in group settings

• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations

• Building and Maintaining Strategic Working Relationships – develops collaborative relationships to facilitate the accomplishment of work goals. Possesses good interpersonal skills in building, negotiating, and maintaining crucial relationships

• PC skills - demonstrates proficiency in Microsoft Office applications and others as required

• Leadership - guides individuals and groups toward desired outcomes

• Policies & Procedures – articulates knowledge and understanding of organizational policies, procedures, and systems

• 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 – is self‐supporting; not needing to rely on others to complete a job

• Mentor and Educate – provides timely guidance and feedback to help strengthen the knowledge/skill set of others to accomplish a task or solve a problem

• Managing conflict – dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people

Education

• High school diploma or GED required

Experience

• Minimum two years Inpatient/Outpatient and/or professional fee coding experience required.

• Experience in multi-specialty coding preferred.

• Supervisory experience in healthcare related field preferred

Certificate / License

• Coding certification through AHIMA or AAPC (CCS or CPC) preferred

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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.

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"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our VRM Profee Coding Team Lead opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and 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.