Inpatient Coding Editor

HCA Healthcare - Gainesville, FL

Part-time,Full-time - Mid Level

Remote - Gainesville, FL

10,001+ employees

Hospitals

About the position

The Inpatient Coding Editor at HCA Florida North Florida Hospital is responsible for ensuring high-quality and efficient patient care through accurate inpatient coding. This role involves resolving coding-related alerts and edits, collaborating with various departments, and maintaining compliance with established procedures. The position offers a work-from-home option and is part of a supportive team dedicated to patient care.

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