Inpatient Coding Editor

HCA Healthcare - Hopewell, VA

Part-time,Full-time - Mid Level

Remote - Hopewell, VA

10,001+ employees

Hospitals

About the position

The Inpatient Coding Editor at TriCities Hospital is responsible for managing inpatient coding alerts and edits, ensuring accurate coding and billing processes. This role involves resolving coding issues, collaborating with various departments, and maintaining high standards of patient care through efficient coding practices. The position offers the flexibility of working from home and is part of a supportive team dedicated to quality healthcare delivery.

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

• Employee stock purchase plan
• Disability insurance
• Health insurance
• Dental insurance
• Flexible spending account
• Tuition reimbursement
• Paid time off
• Adoption assistance
• Family leave
• Work from home
• Vision insurance
• 401(k) matching
• Pet insurance