Inpatient Coding Editor

HCA Healthcare - Frankfort, KY

Part-time,Full-time - Entry Level

Remote - Frankfort, KY

10,001+ employees

Hospitals

About the position

The Inpatient Coding Editor position at HCA Healthcare involves ensuring high-quality and efficient patient care through accurate inpatient coding. This role is primarily remote and focuses on resolving coding-related alerts and edits, ensuring compliance with established procedures, and collaborating with various teams to minimize billing delays. The position is integral to the revenue cycle management process, supporting the overall mission of providing excellent healthcare services.

Responsibilities

• 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)/Hold Reasons.
• 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.

Requirements

• Undergraduate (associate or bachelor's) degree in HIM/HIT preferred.
• RHIA, RHIT, and/or CCS preferred.
• 1-year acute care inpatient coding experience required with 3 years' experience preferred.

Nice-to-haves

• Experience with coding software and systems.
• Knowledge of medical terminology and coding guidelines.

Benefits

• 401(k) matching
• Adoption assistance
• Dental insurance
• Disability insurance
• Employee stock purchase plan
• Family leave
• Flexible spending account
• Comprehensive medical coverage
• Free telemedicine services
• Free AirMed medical transportation
• Life and disability coverage
• Supplemental health protection plans
• Auto and home insurance
• Identity theft protection
• Legal counseling
• Long-term care coverage
• Moving assistance
• Pet insurance
• Free counseling services
• 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 based on income.