HCA Healthcare

Coding Quality Reviewer Team Lead

HCA Healthcare • $75K — $95K *
Nashville, TN 37211In-Person
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Undergraduate degree in Health Information Management (HIM) or Health Information Technology (HIT) required.
  • 2 years of equivalent HIM/HIT work experience may substitute degree requirement.
  • Management/Supervisory experience in a healthcare-related field preferred.
  • Minimum of 5 years acute care inpatient/outpatient coding experience required.
  • Minimum of 5 years coding auditing/monitoring experience required.
  • RHIA, RHIT and/or CCS certification required.

Responsibilities

  • Assist the Coding Quality Review Manager with extracting and populating coding review samples.
  • Monitor review completion and identify barriers to meeting goals.
  • Enter coding review results using quality review tools.
  • Analyze coding quality review data for trends and presenting findings.
  • Develop and deliver education based on quality review outcomes.
  • Perform coding quality reviews to maintain quality standards.
  • Serve as a liaison between different management teams regarding coding quality.

Benefits

  • Comprehensive benefits for medical, dental, vision, and behavioral health.
  • Wellbeing support including free counseling services.
  • Paid time away from work programs and disability coverage.
  • 401(k) Plan with a 100% match on contributions and employee stock purchase options.
  • Tuition assistance and certification support for educational growth.
Full Job Description
Job Summary and Qualifications

The Coding Quality Review Lead may assist with pulling random and focus review samples, reviewing medical records, monitoring, compiling and reporting out review results. The team lead may assist with providing auditor specific education and global coding education based on review findings and trends. The lead may be asked to perform coding quality reviews up to 50% of the time.

What you will do in this role:

  • Assists the Coding Quality Review Manager with pulling extracts and populating the various tools to create the random, focus, Business, and AdHoc review chart selections for the HSCs and CCRM on a monthly basis
  • Assists the Coding Quality Review Manager with monitoring overall review completion to established daily, weekly and monthly goals, identifying barriers and implementing appropriate resolutions.
  • Assists the Coding Quality Review team in using coding quality review tools to enter the coding review results
  • Assists the Coding Quality Review Manager with analyzing the coding quality review data, identifying and presenting HSC, CCRM, auditor and/or code/DRG error trends
  • Assists the Coding Quality Review Manager with developing and presenting education to the CQR team based on quality review outcomes
  • Assists in planning and budgeting of the Coding Quality Review team
  • Performs coding quality reviews
  • Maintains or exceeds 95% quality and productivity standards
  • Identify trends and make recommendation for education to help the CQR team maintain and exceed 95% accuracy rate
  • Reports to the Coding Managers periodically on team and individual work accomplishments, problems, progress in mastering tasks and work processes, and individual and team training needs
  • Meets all educational requirements as stated in current Company policy
  • Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
  • Practices and adheres to the "Code of Conduct" philosophy and "Mission and Value Statement"
  • Assists in generating reports as needed by Coding Quality Management
  • Serves as a liaison between HSC and CCRM managers and Coding Quality Management
  • Oversight of Coding Quality Reviews to ensure deadlines are met and integrity of data entry is maintained
  • Maintains annual workplan update process
  • Maintains CQR recruitment reporting
  • Maintains knowledge of tools and resources, and associated workflows to include Computer Assisted Coding (CAC), Electronic Health Records (EHR's), and data capture systems.
  • Assists in the development, Maintenance, and Distribution of Operational and Outcome Reporting
  • Other duties as assigned
  • Generating reports as needed by Coding Quality Management
  • Oversee Coding Quality reviews from review scope definition, account selection, data loading, reviews, appeals and final outcomes reporting
  • Reconciling CQR & HSC/CCRM appeal responses Prepares meeting minutes
  • Ensures coverage for essential tasks between normal working hours

Qualifications:

  • Undergraduate degree in HIM/HIT required
  • 2-years of equivalent HIM/HIT work experience may substitute degree requirement
  • Management/Supervisory experience in healthcare related field preferred
  • Minimum of 5 years acute care inpatient/outpatient coding experience required
  • Minimum of 5 years coding auditing/monitoring experience required
  • RHIA, RHIT and/or CCS required


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 benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

About HCA Healthcare

HCA Healthcare Careers

Join the dedicated team at HCA Healthcare, a leading provider in the medical field, and be part of a company known for its exceptional care and commitment to innovation. At HCA Healthcare, we offer a variety of job opportunities that allow professionals to grow their careers in a supportive and diverse environment.

Work You’ll Do

At HCA Healthcare, you will contribute to a culture that values patient care above all. Our team members are equipped with the skills and resources needed to provide outstanding healthcare services. With positions ranging from nursing to administrative roles, HCA Healthcare is actively hiring and offers a dynamic workplace where leadership and professional growth are encouraged.

Innovate and Lead

Join a team where innovation is at the heart of everything we do. HCA Healthcare is a place where you can lead efforts to improve patient outcomes using the latest technologies and practices in the healthcare industry. Our leadership is committed to fostering a culture of diversity and inclusion, ensuring all team members can thrive.

Professional Growth and Development

HCA Healthcare believes in nurturing the growth of its employees through robust professional development and training programs. Whether you are just starting your career or are a seasoned professional, we provide the tools and training necessary to advance your skills and take on new challenges. Explore our wide range of career paths and find the position that best suits your skills and passions.

Benefits and Culture

Our employees enjoy a range of benefits designed to support their physical, financial, and emotional well-being. From comprehensive health insurance to retirement plans and employee wellness programs, HCA Healthcare takes care of its team. Our inclusive culture and commitment to work-life balance make HCA Healthcare a desirable place to work.

Internship and Networking Opportunities

For those new to the healthcare field, HCA Healthcare offers internship programs that provide real-world experience and a pathway to full-time employment. Additionally, our extensive professional network allows for endless networking opportunities, helping you to build relationships and advance your career.

Join Our Team

Search open positions that match your skills and interests. We look for passionate, curious, creative, and solution-driven team players. Ready to start your journey with HCA Healthcare? Prepare your resume, sharpen your interview skills, and apply today to become part of a team that’s dedicated to improving lives.

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Personalize your subscription to receive job alerts, latest news, and insider tips tailored to your preferences. Discover the exciting and rewarding career opportunities that await at HCA Healthcare. Explore the possibilities with HCA Healthcare, where your career is nurtured, and your contributions are valued. Join us in our mission to deliver high-quality patient care through innovative practices and a compassionate approach.
Learn more about HCA Healthcare
Size
204,000 employees
Market Cap
$67.9 billion
Industry
Healthcare
Net Income
$3.7 billion
Founded
1968
5 Year Trend
+7.2%
Revenue
$51.5 billion
NASDAQ
HCA
* Ladders Estimates

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