Inpatient Coding Editor

MountainStar Healthcare - Ogden, UT

Part-time,Full-time - Entry Level

Remote - Ogden, UT

10,001+ employees

Ambulatory Health Care Services

About the position

The Inpatient Coding Editor position at MountainStar 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, collaborating with various teams to minimize billing delays, and maintaining compliance with established procedures.

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
• Additional options for dental and vision benefits
• 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
• Colleague recognition program
• Time Away From Work Program
• Employee Health Assistance Fund