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Inpatient Coding Resolution Specialist Jobs in Alabama

Billing Specialist

Birmingham, AL

$18 - $24.25/hr

... claim resolution and maximize collections. The Billing Specialist II also supports team training ... coding policies. * Reviews and corrects claim filing edits in electronic health record (EHR) and ...

$125K - $135K/yr

Problem solve and provide solutions and resolution of EHR gaps * Identify workflow barriers and ... Share insights around optimizing EHR systems to address gaps in patient care including Inpatient ...

New

... P - Certified Coding Specialist-Physician Based - American Health Information Management ... Inpatient Code - American Academy of Professional Coders Upon Hire or • COC - Certified ...

New

They provide crisis intervention and resolution, including symptomatic relief, de-escalation or ... Adheres to customer service standards and professional code of ethics * Seeks supervision and ...

They provide crisis intervention and resolution, including symptomatic relief, de-escalation or ... Adheres to customer service standards and professional code of ethics * Seeks supervision and ...

Denials Specialist II

Tuscaloosa, AL · Hybrid

$16.75 - $22.25/hr

Track, document, and report denial reasons, resolution actions, and outcomes, identifying patterns ... Familiarity with payer requirements, denial codes, and appeals processes for a range of insurance ...

Denials Specialist II

Tuscaloosa, AL · On-site

$16.75 - $22.25/hr

Track, document, and report denial reasons, resolution actions, and outcomes, identifying patterns ... Familiarity with payer requirements, denial codes, and appeals processes for a range of insurance ...

Showing results 21-40

Inpatient Coding Resolution Specialist information

What is an inpatient coding resolution specialist?

Inpatient Coding Resolution Specialists are healthcare professionals who review, analyze, and resolve discrepancies or issues in medical coding for inpatient hospital stays. They ensure that diagnoses, procedures, and services are accurately coded according to regulatory and payer requirements, which helps maximize reimbursement and maintain compliance. These specialists often collaborate with physicians, clinical staff, and other coding professionals to clarify documentation and resolve coding denials or audits. Their expertise is crucial for the financial health of healthcare organizations and for maintaining accurate patient records.

What are the key skills and qualifications needed to thrive as an inpatient coding resolution specialist?

To excel as an Inpatient Coding Resolution Specialist, you need a solid understanding of medical terminology, ICD-10-CM/PCS coding systems, and healthcare reimbursement methodologies, often backed by a certification such as CCS or RHIA/RHIT. Familiarity with electronic health record (EHR) systems, coding software, and compliance tools is crucial for accurate data entry and audit processes. Strong analytical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These skills are vital to ensure coding accuracy, regulatory compliance, and optimal reimbursement for healthcare organizations.

What are some common challenges faced by inpatient coding resolution specialists, and how are they typically addressed?

Inpatient Coding Resolution Specialists often encounter challenges such as interpreting complex medical records, keeping up with frequent coding updates, and resolving discrepancies between clinical documentation and coding guidelines. To address these, specialists regularly collaborate with physicians and clinical staff to clarify documentation, participate in ongoing training to stay current with coding standards (like ICD-10 and DRG classifications), and utilize coding software to ensure accuracy. Effective communication and strong attention to detail are essential for successfully navigating these challenges within a hospital or healthcare system setting.

What is the difference between Inpatient Coding Resolution Specialist vs Medical Coder?

AspectInpatient Coding Resolution SpecialistMedical Coder
CertificationsAHIMA or AAPC credentials, coding certificationsSimilar certifications, often AHIMA or AAPC
Work EnvironmentHospitals, inpatient facilities, coding departmentsClinics, outpatient facilities, various healthcare settings
Job FocusResolving inpatient coding discrepancies, ensuring accurate DRG assignmentGeneral coding tasks across inpatient and outpatient records
Employer & Industry UsageHospitals, health systems, inpatient coding teamsMedical practices, outpatient clinics, coding companies

The Inpatient Coding Resolution Specialist primarily focuses on resolving inpatient coding issues, ensuring accurate DRG assignments, and working within hospital settings. In contrast, Medical Coders handle a broader range of coding tasks across inpatient and outpatient records. Both roles require similar certifications and often work in healthcare environments that demand precise coding skills, but their specific responsibilities and work settings differ.

What are popular job titles related to Inpatient Coding Resolution Specialist jobs in Alabama?

For Inpatient Coding Resolution Specialist jobs in Alabama, the most frequently searched job titles are:

Inpatient Professional Fee, Profee Medical Coder - Remote/Nationwide

Signature Performance

Birmingham, AL • On-site

$17.50 - $23.50/hr

Other

Medical, Life, Retirement, PTO

Posted 19 days ago


Signature Performance rating

6.6

Company rating: 6.6 out of 10

Based on 8 frontline employees who took The Breakroom Quiz

318th of 495 rated business services


Job description

This is a remote based position. Applicants can be located nationwide

Back Inpatient Professional Fee, Profee Medical Coder #2848 United States Apply X Facebook LinkedIn Email Copy Position Description

About You

You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type.

  • Tell us about your experience with Medical Coding.
  • Are you a team player and a self-motivator?
  • What is your experience with conducting business in a way that is credit to a company?
  • We are counting on you to manage multiple projects using your problem-solving skills.
  • We are looking for someone UNCOMMON. What is uncommon about you?

Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you.

About The Position

  • Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical record utilizing knowledge of anatomy, physiology, medical terminology, and pathology.
  • Review the discharge summary, history and physical, physician progress notes, consultation reports, radiology, laboratory, pathology, operative records, emergency room record to accurately assign diagnosis and / or procedure. Determine diagnoses that were treated, monitored, and evaluated and procedures done during the episode of care and assign appropriate codes.
  • Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations.
  • Ensure the diagnoses and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG, APC or payment tier under the Prospective Payment system to guarantee accurate reimbursement.
  • Review coding for accuracy and completeness prior to submission to billing.
  • Abstract required medical and demographic information from the medical record and enter the data into the system to ensure accuracy of the database. Responsible for correcting any data found to be in error after reviewing the medical record and comparing with system entries.
  • Ensures all required component parts of the medical record that pertain to coding are present, accurate and comply with CMS, JCAHO, and client requirements. Identify incomplete or conflicting documentation in the medical record and formulate a physician query to obtain missing documentation and/ or clarification to accurately complete the coding process. Utilize computer applications and resources essential to completing the coding process efficiently.
  • Meets coding quality and quantity expectations

Minimum Requirements:

  • Minimum 2 years of Medical Coding experience required
  • Experience with Professional Fee Coding
  • Experience with EHR systems
  • Education, Experience & Certification Requirements vary based on coding assigned. Accepted certifications from American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) include:

    • Registered Health Information Management Technician (RHIT)
    • Registered Health Information Administrator (RHIA)
    • Certified Coding Associate (CCA) * Certified Coding Specialist (CCS)
    • Certified Coding Specialist- Physician-Based (CCS-P)
    • Certified Professional Coder (CPC)


About Us

You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.

About the Benefits

When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. Our performance-driven philosophy boasts competitive pay and additional position specific incentives, where world-class training and development, resources, and events drive our award-winning culture where everyone thrives.

  • Health Insurance
  • Fully Paid Life Insurance
  • Fully Paid Short- & Long-Term Disability
  • Paid Vacation
  • Paid Sick Leave
  • Paid Holidays
  • Professional Development and Tuition Assistance Program
  • 401(k) Program with Employer Match

Security Requirements
  • U.S. Citizenship or naturalized citizenship required for this position.
  • All work on all position at Signature Performance must be completed in the continental United States, Alaska, or Hawaii.

Work Schedule Training: Monday - Friday 8:00a - 5:00p CST
Standard Work Schedule: Monday - Friday 8:00a - 5:00p local time Compensation Range $26.00 - $28.00/Hour Position Type Full Time

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