Vendor Resource Management Profee Team Lead

Title: Vendor Resource Management Profee Team Lead

Location:  Nashville, TN, United States

Schedule; Full-time • Work From Home

Business_center; HIMS and Health Informatics

Job ID: 3809688

Job Description:

Introduction

Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Vendor Resource Management Team Lead with Parallon you can be a part of an organization that is devoted to giving back!

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 free 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.

• Free counseling services and resources for emotional, physical and financial wellbeing

• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

• Employee Stock Purchase Plan with 10% off HCA Healthcare stock

• Family support through fertility and family building benefits with Progyny and adoption assistance.

• Referral services for child, elder and pet care, home and auto repair, event planning and more

• Consumer discounts through Abenity and Consumer Discounts

• Retirement readiness, rollover assistance 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)

• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Parallon family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic Vendor Resource Management Team Lead to help us reach our goals. Unlock your potential!

Job Summary and Qualifications

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

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.

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"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

Be a part of an organization that invests in you! We are reviewing applications for our Vendor Resource Management Team Lead 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.