Home Health Coder II

Job Summary

The candidate must have Home Health Coding experience. As a Home Health Coder II, you will be responsible for reviewing and coding for home health and hospice utilizing clinical notes (i.e., H&P, recent Discharge summary progress notes, F2F notes, etc.). You will document recommendations for coding and OASIS edits. You will work with team lead and/or denials team to resolve coding related issues. You will serve as a key promoter of the Home Health and Hospice & Family Care and is responsible for setting the tone of Parallon coding as a service organization, continuously seeking to understand, meet and exceed customer expectations and needs.

What you will do in this role

• Reviews and codes from clinical notes
• Maintains or exceeds established productivity and quality standards
• Works in conjunction with A/R team on follow up and resolution of coding related denials/rejections including recommendation of new/updated coding edits
• Maintains current knowledge of coding guidelines and relevant federal regulations through pertinent materials
• Enhances professional growth and development through in-service meetings, educational programs, conferences, etc.
• Maintains accurate and timely review of OASIS time points and all related interdisciplinary documentation via the workflow in electronic medical record (EMR) for timely OASIS locks and submission to Center for Medicare and Medicaid Services (CMS)
• Utilizes available tools and develops training strategies to improve outcomes
• Addresses edits from Strategic Healthcare Programs (SHP) alerts, and SHP reports for specific outcomes, adverse events and utilization reports in conjunction with Quality Support Specialist (QSS) and/or Team Lead

What you will need

• A high school diploma or GED
• Minimum two years professional fee coding experience required with one-year minimum experience in coding the applicable specialties for Home Health and Hospice
• Relevant education may substitute experience requirement
• Knowledge of medical terminology and anatomy and physiology is preferred
• Knowledge of pathophysiology is preferred
• Coding certification required
• OASIS Certification preferred but not 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

Note

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.

About HCA Healthcare

HCA Healthcare is 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.