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Description

This position is incentive eligible.

Introduction

Do you want to join an organization that invests in you as a Vendor Resource Management Profee Coding Manager? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

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 (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

_Note: Eligibility for benefits may vary by location._

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated Vendor Resource Management Profee Coding Manager like you to be a part of our team.

Job Summary and Qualifications

The VRM Pro-fee Manager is responsible for assisting in the development and evolution of the overall strategy for the Company’s Vendor Resource Management pro-fee coding operations. The VRM Pro-Fee Manager manages, directs and coordinates the pro-fee coding activities for the Vendors in correlation with the Central Coding Unit (CCU). The VRM Pro-Fee Manager plans, assigns and directs the coding workflow between Vendors and CCU; actively monitors employee and vendor performance; addresses complaints and resolves problems; and actively monitors production and quality control efforts. The VRM Pro-Fee Manager is responsible for preparing/monitoring forecast volumes and scheduling/coordination/queue monitoring of production coding resources to assure accounts available for coding are coded within Service Level Agreement (SLA). The VRM Pro-Fee Manager ensures Vendor inventory is monitored daily; ensures queue concerns or resource changes are communicated to CCU as needed; ensures coder productivity and daily/weekly/monthly completion volumes are tracked and monitored. The VRM Pro-Fee Manager is expected to interact with PSC/CCU Leadership as well as VRM leadership for overall collaboration in regards to Vendor activities. The VRM Pro-Fee Manager is also actively engaged in continuous process improvement activities to enhance timely claims completion, financial performance, and corporate contribution.

What you will do in this role:

+ Provides direct managerial oversight to vendors and Team Leads in management of pro-fee coding functions, work queues, work processes, and overall work responsibilities.

+ Ensures complete, accurate, timely and consistent coding, while adhering to published coding guidelines and Company policies.

+ Coaches and helps develop team members; helps resolve dysfunctional behavior and promotes teamwork within functional area(s); disciplines and counsel staff as necessary

+ Proactively manages (including corresponding communications and escalation paths) significant issues in coding, status of projects, barriers and successes

+ Selects, evaluates, trains, and provides leadership and direction to reporting staff

+ Responsible for continuous review and improvement of processes and services

+ Responsible for ensuring employee work schedules sufficiently meet business and customer needs

+ Provides guidance and oversight in retrieving, organizing and reporting data

+ Facilitates problem solving and collaboration within functional area(s)

+ Works closely with other members of the Parallon Central Coding Leadership Team in addressing issues impacting accurate/timely coding and documentation

+ Responsible for ensuring staff/vendor coding personnel compliance with documented and established workflow guidelines as it relates to adding and reassigning accounts to work queues/worklists

+ Assists in identifying and implementing process improvements to decrease costs and improve service for applicable stakeholders

+ Performs productivity monitoring and provides timely and consistent feedback to vendor and VRM pro-fee staff

+ Monitors, escalates and assists in the resolution of system issues reported by the production coders

+ Manages tracking of vendor staff and maintains accurate vendor staff list

+ Manages all month end processes by ensuring month end volumes get pulled and sent to the vendors; month end stats are sent to leadership

+ Monitors vendor coders pended accounts in production to ensure timely turnaround per contract agreement

+ Provides timely follow-up to customer escalations related to coding quality and coding process issues

+ Responds to customer requests for action plans to improve coding quality and operational process concerns

+ Promptly reports issues or trends to the appropriate member of the Parallon Leadership team, or other appropriate party

+ Maintains up-to-date knowledge of regulatory changes impacting coding requirements and ensures VRM staff are appropriately educated

+ Reviews all official data quality standards, coding guidelines, company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current

+ Prepares and hosts weekly and/or ad hoc vendor conference calls

+ Coordinates work assignments to achieve operational goals

+ Manages the onboarding process for VRM support staff

+ Establishes and maintains good working relationships with the vendors

+ Coordinates and ensures completion of training and education for VRM staff and vendor coders

+ Works with multi-disciplinary teams in addressing issues related to coding and medical record improvement (as applicable)

+ Ensures safe, ergonomic, and confidentiality compliant practices are being followed within the work environment

+ Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement”

+ Other duties as assigned

Qualifications:

+ Undergraduate degree required. Bachelor’s degree strongly preferred

+ Inpatient/outpatient professional fee coding experience required

+ Minimum three years’ experience in related area preferred with two of these years being healthcare management experience

+ Experience managing multi-specialty coders strongly preferred.

+ RHIA, RHIT and/or CCS/CPC required

**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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"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Vendor Resource Management Coding Manager opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**

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.