Coding Quality Review Coordinator

Coding Quality Review CoordinatorExperience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized.Provides support assistance to the Coding Quality Review team. Assists with coordinating work flow, maintenance of internal schedules, assignments, and communication internally with vendors and/or HSCs and external customers. Assists with entry, tracking and compilation of data for productivity, quality scores, results reporting and education.What you will do in this role:Maintains schedule of coding quality review resource availability, both internally and vendor, according to established need.Assist with assignment of internal and vendor coding quality review resources.Assist with communication of internal and vendor work assignments.Assist with compilation of information for external audits.Compiles data and presentations for special reviews, AdHoc requests and projects (e.g. CAC, Cardiac, etc).Creates and utilizes review logs for data/updating reportingProvides status updatesCompiles review dataAssists with processing/data compilation for rebillsConducts quality control of internal productivity logs.Assists with maintenance of data and production of presentations for CQR MOR.Compiles weekly prebill and monthly target reportsAssists with maintenance of CQR modeler.Monitors prebill and 3rd party mailboxes and coordinates work efforts according to established processes and timelines.Distributes exception logs to CQRs and monitors for completion.Updates prebill log when education plans are received.Distributes Internal Audit review results to CQRs and monitors for completion.Maintains IA report status documentUpload Internal Audit initial communication tools, outcomes and accuracy results to manager/admin folder & individual CQRs' folder; create folders, set permission & site administratorProcess Internal QC rebills, follow up, and create and implement new spreadsheets for Internal QC processesMaintain, Validates and Distributes Internal QC Volumes reportingPulls and distributes monthly production reportingUploads review logs to team rooms.Monitors prebill workflow for meeting SLA terms.Reports on compliance with SLA terms.Assists with tracking and coordination of appeals responses and processes.Utilized raw data from data analyst and produces meaningful information for customers.Creates Excel workbooks.Creates PowerPoint presentations.Prepares reports as neededCreate and maintain CQR profileAssist with entry, calculation and tracking of productivity and/or quality data as neededAssist with tracking education requirements as neededTracks team adherence to CIA and Healthstream requirementsWorkflow queue and/or CQA tool monitoring and follow-upCompletes all required company educationPractice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"Maintains knowledge of tools and resources, and associated workflows to include: Computer Assisted Coding (CAC), Electronic Health Records (EHR's), and data capture systems.Ownership Revision Creation of Process Documentation Job Aides.Contributes support of the Current State Reporting.Quarterly review of job duties, reporting, process documentation.Other duties as assigned such as monitoring processes within the Remote Workforce ManagementMaintains team roster-updates monthlyMaintains a separate Outlook calendar of all birthdays and anniversaries and sends birthday and other important event announcementsMaintains org chart-updates monthlyMaintains onboarding/orientation checklists-leads updates by seeking input, creating drafts for mgmt.

review and input, finalizing, communicating, maintaining in central locationMaintains CQR shared driveMaintains CQR share point sitesUploads Internal Audit initial communication tools, outcomes and accuracy resultsCreates folders, sets permissions, and site administratorAssists with departure processesSummarizes time and activity trackingCoordinates the meeting of CQR due dates (reporting, process, workplan updates etc.)Maintains random, focus/benchmark and other review calendarsSchedules and maintains team call agendasSchedules and maintains CQR mgmt. call agendasMaintains CQR recruitment reportingPost 3M Nosology logs to team roomReview and maintenance, in coordination with others, of the CQR volume reporting listProvides supporting documentation for external reviewsQualifications:High school education preferred2-year degree or Microsoft Certification preferredPrior administrative support experience preferred. Minimum 1-year acute care hospital HIM experience preferred.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 servicesWellbeing support, including free counseling and referral servicesTime away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absenceSavings 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 counselingEducation support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of NursingAdditional 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 discountsLearn more about Employee BenefitsNote: Eligibility for benefits may vary by location.Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.

We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses."There is so much good to do in the world and so many different ways to do it." - Dr. Thomas Frist, Sr. HCA Healthcare Co-FounderIf you find this opportunity compelling, we encourage you to apply for our Coding Quality Review Coordinator opening.

We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing - apply today!We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.