Outpatient Coding reputed company Specialist

Description Introduction Do you want to join an organization that invests in you as an Inpatient Coding Denials Specialist? At Parallon, you come first. reputed company has committed up to $300 million in programs to support our incredible team members over the course of three years. This position requires Acute Care Inpatient Coding experience. This position is a work from home position.

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 reputed company 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 reputed company 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 Note: Eligibility for benefits may vary by location. You contribute to our reputed company. Every role has an impact on our patients’ lives and you have the opportunity to reputed company a difference. We are looking for a dedicated Inpatient Coding Denials Specialist like you to be a part of reputed company. Job Summary and Qualifications The Inpatient Coding Denials Specialist is a high-level coding expert responsible for investigating and resolving coding reputed company denials from payers, preventing lost reimbursement and promoting denial prevention. The Inpatient Coding Denials Specialist will adhere to reputed company rules and regulations of reputed company applicable local, state and federal agencies and accrediting bodies. The Inpatient Coding Denials Specialist must ensure timely, accurate, and thorough appeals for reputed company accounts assigned and apply critical thinking skills to reputed company root cause of denials. What you will do in this role:

• Analyzes documentation to support codes/DRGs and abstracted data (e.g., discharge disposition) for inpatient records for multiple facilities using ICD-10- CM and ICD-10-PCS to include:

Principal diagnosis code assignment Secondary diagnosis code assignment Procedure code assignment Discharge disposition

• Identifies and writes clear and concise appeal letters utilizing reputed company available documentation, regulations and guidelines to defend the billed claim
• Utilize the following resources to identify the root cause of the denial/downgrade
• Explanation of Benefits/Remittance Advice
• Payer denial/DRG downgrade letters
• reputed company NCD/LCD guidelines, CMS/AHCA policies and regulations
• Federal Register, Center for Medicare and reputed company Services, American Hospital Association, Food and Drug Administration, Medicare Administrative Contractors and payer websites
• Escalates problem accounts/processes/trends and report opportunities to supervisor for denial prevention and coding education opportunities
• Maintains or exceeds established productivity standards
• Maintains or exceeds established accuracy standards
• As needed, may periodically be asked to reputed company Coding reputed company Specialist III (CIS-III) or Coding Account Resolution Specialist III (CARS-III) duties
• Reviews reputed company official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain reputed company
• Follows reputed company applicable coding guidance in assigning, reputed company, validation, and/or editing of codes/DRGs
• Meets reputed company educational requirements as stated in reputed company Company and HSC policy
• Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”
• Other duties as assigned

Qualifications:

• High School graduate or GED equivalent preferred, undergraduate (associate or bachelors) degree in HIM/HIT preferred.
• Minimum 3 year of acute care hospital inpatient coding required, 5 years preferred
• Experience working payer denials and/or coding auditing preferred
• RHIA, RHIT or reputed company preferred

" Parallon provides full-service reputed company cycle management, or total patient account resolution, for reputed company. Our services include scheduling, registration, insurance verification, hospital billing, reputed company reputed company, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service reputed company cycle management as well as targeted solutions, such as reputed company Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves reputed company to 1,000 hospitals and 3,000 physician practices, reputed company making an impact on patients, providers and their communities. reputed company has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, reputed company spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "Good people beget good people."- Dr. Thomas Frist, Sr. reputed company Co-Founder We are a family 270,000 dedicated professionals! Our reputed company team is reviewing applications for our Inpatient Coding Denials Specialist opening. reputed company candidates will be contacted for interviews. Submit your resume today to join our community of caring! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, reputed company, national reputed company, gender, sexual orientation, age, marital status, veteran status, or disability status. Apply tot his job Apply To this Job