HCA Healthcare

Vendor Resource Management Profee Team Lead

HCA Healthcare • $75K — $95K *
Nashville, TN 37211In-Person
Healthcare
Less than 5 years of experience
1 week ago
Job Overview by Ladders

Qualifications

  • Minimum two years coding experience in Inpatient/Outpatient or professional fee settings required
  • Experience in multi-specialty coding is preferred
  • Supervisory experience in healthcare is preferred
  • Current coding certification through AHIMA or AAPC required, CCS or CPC preferred

Responsibilities

  • Manage vendor coding daily workflow, including work queues and turnaround times
  • Review and resolve daily PRP tasks
  • Lead and participate in meetings as needed
  • Investigate and address vendor access issues
  • Conduct pre-inventory reviews for upcoming vendor-supported projects
  • Collaborate with the Central Coding Unit on coding-related denials and rejections
  • Perform chart reviews for providers and coders as necessary
  • Keep management informed about billing issues and updates
  • Participate in process improvement initiatives
  • Prepare and present coder education based on identified trends
  • Ensure vendors comply with coding guidelines and policies
  • Communicate effectively with vendor staff and Central Coding Unit
  • Provide coding and process support to vendors
  • Encourage teamwork and high standards within vendor coding teams
  • Stay current with coding standards and federal regulations

Benefits

  • Comprehensive benefits for medical, dental, vision, and mental health services
  • Wellbeing support including free counseling and referral services
  • Paid time away from work programs
  • 401(k) Plan with a 100% match on certain contributions
  • Education support including tuition assistance and certification support
  • Resources for family building and fertility support
  • Additional benefits like life insurance and identity theft protection
Full Job Description
This position is incentive eligible.

Job Summary and Qualifications

What qualifications you will need:

As a work from home Vendor Resource Management Pro-Fee Team Lead, you will support the vendor production teams to ensure, proper workflow, consistency, and efficiency in relation to code assignment for reimbursement and reporting purposes. The Team Lead monitors and performs inventory reviews for vendor coding staff in order to validate inventory is completed within the Service Level Agreement (SLA) timeframe. The Lead also assists the VRM Manager with vendor management including monitoring processes and services for improvement, coding quality, trending/analyzing data, creating and presenting education, answering coding questions, and account follow up/resolution.

What you will do in this role:

  • Assists in managing coding vendor daily workflow (e.g., work queues, worklists, turnaround times)
  • Daily PRP review and resolution
  • Attends and/or leads meetings as needed.
  • Investigate and provide feedback on Vendor and Team access issues
  • Pre-Inventory Review of Upcoming Vendor Supported Go Lives
  • Works in conjunction with Central Coding Unit on follow up and resolution of coding related denials and rejections to address any issues.
  • Assists in performing chart reviews for providers and coders as needed.
  • Keep manager informed regarding any billing issues and updates on charge entry
  • Actively participates in the review and improvement of processes and services
  • Prepares and presents coder education as needed based on trends and/or problematic areas identified by practices or the PSC.
  • Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy
  • Communicates as appropriate with the vendor staff and CCU to ensure proper account resolution
  • Answers coding, abstracting, and process questions from vendors
  • Fosters an environment of teamwork and work excellence within the vendor coding teams.
  • 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 include relevant federal regulations, to assure coding knowledge and skills remain current


Qualifications:

  • Minimum two years Inpatient/Outpatient and/or professional fee coding experience required
  • Experience in multi-specialty coding preferred
  • Supervisory experience in healthcare related field preferred
  • Current coding certification through AHIMA or AAPC required, CCS or CPC preferred


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.

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Vendor Resource Management Profee Team Lead opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!

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.

Stay Connected

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Job Alert Emails

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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