DRG Validation Auditor
for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title as heading. Must not include Job ID etc. Must preserve all substantive info, no invention. Remove boilerplate, navigation, legal, EEO, etc. Also remove duplicated lines, application instructions. We need to parse the posting. Key content: - Intro: "Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a DRG Validation Auditor with Parallon you can be a part of an organization that is devoted to giving back! Candidates must have a background in Facility Inpatient Coding and DRG Validation." - Job Summary And Qualifications: "As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments." - "What you will do in this role:" bullet list: - Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs - Assists in ensuring HSC coding staff adherence with coding guidelines and policy - Demonstrates and applies expert level knowledge of medical coding practices and concepts - Participates on special reviews or projects - Maintains or exceeds 95% productivity standards - Maintains or exceeds 95% accuracy - 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 - "What qualifications you will need:" list: - High school diploma and/or GED preferred - Undergraduate degree in HIM/HIT preferred - Minimum of 3 years acute care inpatient/outpatient coding experience preferred - Minimum of 3 years coding auditing/monitoring experience strongly preferred - RHIA, RHIT and/or CCS preferred - Then there is a line: "Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities. CLICK HERE for more information on Parallon HCA Coding Benefits" (application instruction? maybe we drop as it's navigation/application instruction). Also "Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:" then list of benefits. - Benefits list: 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. - Then description of Parallon: "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." - Quote: "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-Founder - Then: "Be a part of an organization that invests in you! We are reviewing applications for our Coding Quality Audit Reviewer opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care! 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." We need to remove EEO boilerplate and application instructions. Also remove duplicated lines. Also remove navigation like "Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities. CLICK HERE for more information on Parallon HCA Coding Benefits". Also remove "Learn More About Employee Benefits". Also remove "Note: Eligibility for benefits may vary by location."? That's a note about benefits; maybe we can keep as part of benefits section? It's a qualifier but not substantive detail; maybe we can keep but it's not specific benefit. The instruction says: include a section ONLY when posting has real, specific content for it — never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Benefits are stated (list). So we can include Benefits section with the list. The note about eligibility varying by location is not a benefit but a note; we could include it as a paragraph within Benefits? It's not a benefit but a note. Might be okay to include as a
after the list. But the instruction says never create Benefits sections unless posting actually states them. It does state benefits, so we can include Benefits section. The note about eligibility varying by location is not a benefit but a qualifier; we could include it as a
within Benefits. Pay and Schedule: Not mentioned. So we should NOT include Pay or Schedule sections. About the role: Could be a section summarizing the role. The posting includes a job summary and qualifications. We could have About the role (maybe a brief paragraph). Responsibilities: the "What you will do in this role:" list. Requirements/Qualifications: the "What qualifications you will need:" list. Skills: maybe we could extract skills from responsibilities? But we should not invent. The posting does not have a separate Skills section. Could we create Skills from the list? Might be considered inventing. Better to not create Skills unless explicit. The instruction: Prefer a few substantive sections over many thin ones. So we could combine Requirements and Qualifications into one section? But we have headings for Requirements and Qualifications separate. We could include both if they have content. The "What qualifications you will need:" list is qualifications. There's also earlier "Job Summary And Qualifications" which includes responsibilities. So we could have About the role (job summary), Responsibilities (what you will do), Requirements (maybe the education/experience preferences), Qualifications (certifications). But the list includes both education/experience and certifications. Could split: Requirements: education and experience; Qualifications: certifications. However the instruction says use headings for those categories if content exists. We have content for both. We need to avoid duplication. The "Job Summary And Qualifications" paragraph includes responsibilities; we already have Responsibilities list. So we can use that paragraph for About the role. Thus sections: - About the role: paragraph summarizing the role (work from home Inpatient Coding Auditor, responsible for performing internal quality assessment reviews...). - Responsibilities: ul list of the bullet points under "What you will do in this role:". - Requirements: maybe education and experience preferences: High school diploma and/or GED preferred; Undergraduate degree in HIM/HIT preferred; Minimum of 3 years acute care inpatient/outpatient coding experience preferred; Minimum of 3 years coding auditing/monitoring experience strongly preferred. - Qualifications: certifications: RHIA, RHIT and/or CCS preferred. - Benefits: ul list of benefits as described. We should not include Pay or Schedule. We must not repeat job title as heading. Not include Job ID. We must preserve all substantive information. Ensure we don't lose any details. Let's extract exact text for each. About the role paragraph: "As a work from home Inpatient Coding Auditor, you will be responsible for performing internal quality assessment reviews on Health Information Management Service Center (HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are communicated to the HSC team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and to improve the quality of physician documentation within the body of the medical record to support code assignments." Note: The sentence "You will review outcomes are communicated..." seems grammatically off but we keep as is. Responsibilities list items: - Leads, coordinates and performs all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and/or outpatient coding across multiple HSCs - Assists in ensuring HSC coding staff adherence with coding guidelines and policy - Demonstrates and applies expert level knowledge of medical coding practices and concepts - Participates on special reviews or projects - Maintains or exceeds 95% productivity standards - Maintains or exceeds 95% accuracy - 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 Requirements list: - High school diploma and/or GED preferred - Undergraduate degree in HIM/HIT preferred - Minimum of 3 years acute care inpatient/outpatient coding experience preferred - Minimum of 3 years coding auditing/monitoring experience strongly preferred Qualifications list: - RHIA, RHIT and/or CCS preferred Benefits list: need to capture each bullet. From text: "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" We could also include the note about eligibility varying by location as a
after list. We must not include "Learn More About Employee Benefits". Also not include the earlier line about "Please visit our Par