Vendor Resource Profee Coding Team Lead

Full Time
Nashville, TN 37203
Posted
Job description

This position is incentive eligible.


Introduction

Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Virtual Vendor Resource Management Team Lead opening with Parallon today and find out what it truly means to be a part of the HCA Healthcare team.

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 medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Fertility and family building benefits through Progyny
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • Family support, including adoption assistance, child and elder care resources and consumer discounts
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan
  • Retirement readiness and rollover services and preferred banking partnerships
  • Education assistance (tuition, student loan, certification support, dependent scholarships)
  • Colleague recognition program
  • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)


Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.


We are seeking a(an) Virtual Vendor Resource Management Team Lead for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply!

Job Summary and Qualifications

The Vendor Resource Management Pro-Fee Team Lead supports 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.

In this role you will:

  • 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

Qualifications:

  • High school diploma or GED required Experience
  • 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 Certificate / License
  • Coding certification through AHIMA or AAPC required, CCS or CPC preferred

"

Parallonprovides 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.

"

"Across HCA Healthcare’s more than 2,000 sites of care, our nurses and colleagues have a positive impact on patients, communities and healthcare.
Together, we uplift and elevate our purpose to give people a healthier tomorrow."- Jane Englebright, PhD, RN CENP, FAAN
Senior Vice President and Chief Nursing Executive

If you find this opportunity compelling, we encourage you to apply for our Virtual Vendor Resource Management Team Lead 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 and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.


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