• Code the most complex inpatient and/or outpatient service types and resolve any associated edits • Respond to coding related questions from other departments • Review and respond to denials • Represent coding in meetings as needed • Review work queue assignments and prioritize work to meet revenue cycle goals • Assign and sequence diagnosis and procedure codes using appropriate classification systems • Initiate physician query in compliance with Company policy when appropriate

Title: Certified Tumor Registrar Parallon San Antonio, TX, United States Full-time; Work From Home HIMS and Health Informatics Job ID: 4329619 Job Description: Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below: Certified Tumor Registrar Fully Flexible Schedule Sunday-Saturday!!! Sign-on bonus eligible!!!!* Job Summary and Qualifications As a Certified Cancer Registrar, work from home, you will be responsible for case finding and abstraction of cancer data for HCA hospitals. In this role you will: Completes case-finding for assigned facilities, including review of pathology reports, the disease index, suspense list in Meditech and merging appropriate cases into Metriq Responsible for reviewing medical records to abstract information according to the standards of the American College of Surgeons (ACOS) and the appropriate State Central Cancer Registry Performs timely abstraction of assigned cases to ensure compliance with ACOS standards, i.e. within six months of patient contact Completes edit checks and makes appropriate changes on a timely basis Follow ACOS and state data standards and coding instructions to abstract all reportable cases Attend state and national educational activities as approved by Director Submit data to the National Cancer Data Base (NCDB) in accordance with the annual Call for Data Submit data monthly to the appropriate State Central Cancer Registry Resolve errors resulting in the rejection of records from the NCDB and the state data systems What you will need: Oncology Data Specialist (ODS) certification required 1-3 years of Cancer Data Abstraction experience required 3-5 years of Cancer Data Abstraction or Medical Records experience preferred 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 - 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. 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. "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 If you find this opportunity compelling, we encourage you to apply for our Certified Tumor Registrar opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. We are interviewing. 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. Eligibility requirements apply!*

Role Description Responsible for upholding the standard for code review functions in the setting of business/industry/legislative issues relating to, and impacting, quality coding audit and compliance issues. Identify inconsistencies and coding compliance risks between EH reimbursement policies and claims which directly impact claim payment (i.e. authorizations) and responsible for working with leadership to bring to resolution. Audit inpatient and outpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Principal Accountabilities - Audit internal and external business partners (processes and results) for accurate claim coding reviews for various programs, pre- and post-payment. - Review reporting for outlier provider claims; request patient medical records to assign diagnoses, treatments, and surgical and non-surgical procedures for facility and medical services for coding and payment integrity. - Analyze and audit claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. - Identify potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs). - Provide audit reporting, results, and recommendations to management and SIU as appropriate. - Analyze results to assess compliance with regulations, identify procedural weaknesses and education needs that contribute to instances for non-compliance both to business, external business partners, and providers. - Prepare formal written reports summarizing current state (findings), desired future state, and critical success factors. - Perform audits of changes to coding introduced by new medical policies, reimbursement policies, regulatory changes, and business requirements on a quarterly basis. - Participate in RPC, RPCW, Medical Policy Committee (MPC) and Medical Policy Committee Workgroup (MPCW) as added Coding Integrity representation at meetings; ensure that decisions are appropriate and will result in accurate claim reimbursement. - Identify reimbursement and coding variances from industry standards and brings to leader’s attention. - Continuously gains knowledge of CPT, ICD, HCPCS and business/industry/legislative issues relating to and impacting Quality Coding Audit and Compliance issues. - Perform related tasks as directed or required. Qualifications - Bachelor’s degree, preferably in a healthcare, quantitative/analytical, or business-related field of study. - AAPC CPC (AAPC Certified Professional Coder) & AAPC CIC (Certified Inpatient Coder)/or CCS (AHIMA Certified Coding Specialist). - AAPC CPMA (AAPC Certified Professional Medical Auditor). - 4 – 6+ years of coding experience. - 1+ year auditing experience. - Extensive knowledge of inpatient DRG clinical documentation review. - Additional related work experience/specialized training may be considered in lieu of educational requirements. - Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.). - Attention to detail; and ability to communicate or escalate issues in a timely manner. - Ability to independently prioritize and complete multiple tasks with competing priority levels and deadlines. - Ability to perform effectively in a fast-paced work environment. - Excellent communication skills (verbal, written, presentation, interpersonal) with all types and levels of audiences.

Overview Under general supervision, the Hospital Billing and Follow-Up Specialist handles essential billing and insurance follow-up functions. This role requires a fundamental understanding of insurance claim processing, knowledge of UB and HCFA claim forms, and the ability to interpret insurance explanation of benefits (EOBs), handle denials, and perform follow-up with insurers to ensure claims resolution. The position encompasses business office responsibilities related to patient accounts, including charge import, diagnostics and procedural coding, and claim follow-up with third-party payers to achieve a zero-balance resolution. Special Instructions This position has to possibility of being remote after 6 months, per managers discretion Responsibilities Promote the mission, vision, and values of the organization · Import charges from queues in a timely manner and append modifiers or any required information for claim transmission · Review daily accounts that are ready to be billed in Waystar from Meditech · Initiate correction on all claims with errors by the designated time · Follow up on any correspondence that may have been received on that day or the previous day · Cross train on billing all lines of business to the different payers · Pull listing of all accounts assigned to be follow up by specific payer · Diagnostic and procedural coding Follow-Up Responsibilities · Responsible for the resubmission of primary, secondary, and tertiary claims per respective regulations and policies. · Communicate with third-party representatives as necessary to complete claims processing and /or resolve problem claims. · Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, and rebilling, and denied claims for accounts. · Maintain accounts receivable detail of their accounts through tasking. · Maintains standards per payer for percentage accounts >90 days. · Works minimum standard number of accounts per payer per day. · Meets or exceeds collection goals by payer each month. · Works all assigned accounts as assigned, depending on balance. · Participates in educational activities and attends monthly department staff meetings. · Maintains confidentiality: adheres to all HIPAA guidelines/regulations. · Other duties as assigned from time to time. · Attend educational activities and monthly department staff meetings · Perform other duties as assigned Qualifications Education · High School Diploma or GED Minimum Work Experience · Six months previous experience in hospital registration, billing and collections, financial counseling, or customer service preferred Required Skills, Knowledge, and Abilities · Knowledge of medical terminology preferred · Basic computer proficiency · Typing speed: minimum 40 WPM · Familiarity with CPT and ICD-9 coding is helpful · Good written and verbal communication skills are essential for account follow-up