Vendor Resource Management Coding Team Lead

About the position Responsibilities • Actively participates in the review and improvement of processes and services • Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder/auditor that need to be addressed • Prepares and presents coder education as needed based on trends and/or problematic areas identified by Parallon HIM back office coding staff • Collates and presents quality trends and findings to the VRM management team, Vendor teams, and Parallon stakeholders • Monitors and ensures vendor staff adhere with coding guidelines and policies • Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy • Assists in managing coding vendor daily workflow (e.g., work queues,/worklists, turnaround times, quality) • Performs quality reviews of inpatient and/or outpatient records as needed (including concurrent coding); where applicable, validates physician queries, ICD-10-CM, ICD-10-PCS, CPT/HCPCS level II Codes as well as facility E/M levels and injection/infusion procedure codes assigned by vendor coders • Performs operational reviews of inpatient and/or outpatient records as needed • Validates accuracy of codes assigned by CAC (Computer Assisted Coding) tool; assists in monitoring coders CAC adoption behavior; assists in identifying precision and recall improvement opportunities • Monitors and assists the vendors in the monthly random, focus, prebill review, and Ad Hoc quality review process • Submits and reviews coding appeals as appropriate Requirements • High School diploma required • Undergraduate degree in HIM/HIT preferred • Management/Supervisory experience in healthcare related field preferred • Minimum of 2 years acute care inpatient and/or outpatient coding experience required • Coding auditing/monitoring experience strongly preferred • RHIA, RHIT and/or CCS required Benefits • Comprehensive medical coverage that covers many common services at no cost or for a low copay • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans • 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 Apply tot his job Apply To this Job