How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.
Work Shift
Day (United States of America)Job Summary:
The Coding Department Edit Resolution Analyst serves as a revenue cycle, technology and coding expert to the Coding team and leadership to answer questions, investigate accounts, identify system issues and test new functionality and updates, resolve billing/account edits and denials, and participate in improvement opportunities.
Core Responsibilities and Essential Functions:
Serves as a resource for Coding functions such as inpatient/outpatient coding, edits, and other work queues as needed during high volume, absenteeism and other times
Codes/abstracts accounts
Works edit work queues
Works on misc work queues such as missing, missing phys, ready to code Serves as a technology training resource for new contract and WellStar coders, mentoring them on processes and applications, and other questions as needed.
Ensures that new coders receive necessary Epic, 3M, tip sheets and other training and policies/procedures and other materials for reference.
Ensures that new coders have a resource they can reach out to with specific how-to questions about coding, the technology and other needs.
Provides Epic, 3M and other more detailed training such as webex training on various topics and procedures.
Participates in the development of communication and tools for all coders as needed.
Coordinates internal communications about downtimes, updates and new functionality and enhancements to the coders. Assists Manager and Director with miscellaneous projects and implementations to ensure smooth operations and customer service.
Participates in or represents Coding in Epic and other application discussions of issues, resolutions, communicating them as needed.
Serves on work teams as needed for operational and technical projects to provide coding point of view.
Represents the Coding Department on all coding-related IT projects, sitting on project teams, coordinating and performing testing, and communicating issues and resolution.
Completes monthly, quarterly and other coding application testing including reviewing documentation, preparing test plans, testing, validating, and preparing training materials and communications for the Coding and stakeholder departments. Supports coding operations by analyzing problem accounts and work queues for resolution for resolution.
Works the account work queues: Coding Supervisor Review, DNBS, Needs Coding Combined/Uncombined, Needs Coding Review, Denials, External Questions, and others as needed.
Works the edit work queues: Coding Manager WQ, Coding Review from RMD, and others as needed.
Monitors account and edit work queues for trends, past due, risks, backlogs or other problem accounts and reports to appropriate supervisor/manager as needed.
Works special reports such as no-work queue, high dollar, aging, etc.
Serves as a resource for other problem accounts and issues as needed.
Represents Coding on the daily CFB revenue cycle call as an active participant.
Required Minimum Education:
High school graduate Required or GED Diploma from an accredited program Required and Completed course in anatomy and physiology. Required
Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.
Additional License(s) and Certification(s):
AAPC Upon Hire Required
Required Minimum Experience:
Minimum 2 years of acute care coding experience Required and Minimum 1 year experience working and resolving coding/billing account edits and or/denials Required and Computer/data entry experience. Required
Required Minimum Skills:
Must have and maintain a or higher accuracy in abstracting, code and DRG assignment while meeting productivity requirements Ability to communicate with various members of the healthcare team. Ability to use EXCEL, Word and have basic computer operational knowledge.
Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.
Wellstar Health System is a healthcare organization dedicated to enhancing the health and well-being of every person they serve. The organization operates with a mission centered on compassion, excellence, and inclusive leadership. Wellstar manages revenue cycle operations including inpatient and outpatient coding, billing, and account management functions. The system utilizes healthcare technology platforms such as Epic and 3M to support their clinical and administrative operations.
