SR RI Clinical CV IR Charge Coding Spec RN

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.

The Senior Revenue Integrity Clinical Charge Coding Specialist (RN) plays a critical role in ensuring Cardiovascular and Interventional Radiology (CVIR) services are charged and coded correctly. This position is a specialized senior medical coder with RN clinical expertise in the Cath Lab, IR, and EP service lines. The Senior RI Clinical Charge Coding Specialist (RN) educates specialty physicians and facility departments on coding and billing practices. Consults with IT&S, E.H.R. Specialists, and CDM Departments to ensure accurate CDM, Meditech, and Hemodynamic systems are set up appropriately in all clinical modules. Consults with Division and Corporate Leadership on charging and coding trends to identify financial opportunities.

Assigns/Codes Charges CPCS/CPT Coding based on medical record documentation for Cath Lab/IR/EP service lines Coordinates with facility/departments to obtain missing medical record documentation as needed Coordinates with department leaders to identify trends and address issues related to charge capture Ability to understand/apply National and Local Coverage Determination and educate facility departments routinely Performs in-depth reviews and verifies the appropriateness of patient charges and Chargemaster (CDM) assignments Supports the Revenue Integrity team by optimizing processes to ensure services rendered are accurately reported and reimbursed while maintaining compliance Provides focused education to clinical and coding stakeholders as needed Participates to ensure CDM/system updates result in appropriate reimbursement Monitors any applicable Key Performance Indicators (KPIs) to identify new RI initiatives that are applicable to their assigned facility