Coding Account Resolution Specialist

Company OverviewHHS is a private, family-owned business dedicated to caring for its team members and providing honest, quality-driven customer service. Founded in 1975, HHS now supports nearly 1,000 customers across various sectors including healthcare and hospitality.Position OverviewThe Coding Account Resolution Specialist II (CARS-II) is responsible for resolving outpatient coding-related alerts and edits for Same Day Surgery (SDC), Observation (OBV), Wound Care, and Outpatient Cardiology accounts, primarily post initial/final coding. This role ensures accurate account resolution, compliance with coding standards, and timely communication to prevent billing delays.Key ResponsibilitiesCompile and manage daily worklists from eRequest, CRT, and/or other alert/edit systems.Review and resolve alerts/edits for: Same Day Surgery (SDC), Observation (OBV), Wound Care, and Outpatient Cardiac Cath.Provide backup coverage for Emergency Department (ED), Recurring (RCR), Clinical (CLI), and Provider Office Visit (POV) accounts.Document detailed notes in eRequest when alerts/edits cannot be resolved or need rerouting.Escalate issues as necessary to avoid billing delays.Monitor aging accounts, prioritize resolutions, and report trends to leadership.Collaborate with billing, revenue integrity, and Medicare Service Center teams to resolve complex edits.Communicate coding revisions to appropriate stakeholders.Assist Coding Leads/Managers with unbilled reason codes (URCs).Complete MOCK abstracts when required.Maintain compliance with CMS, AHA, and company coding/billing guidelines.Participate in ongoing education to maintain current coding knowledge.Perform additional duties as assigned.Required Knowledge, Skills & AbilitiesStrong knowledge of ICD-10-CM, CPT/HCPCS, and reimbursement methodologies.Proficiency with Meditech/Meditech Expanse, 3M/Solventum encoder, HPF/MPF, and Microsoft Office (Excel proficiency required).Ability to manage multiple priorities efficiently and work independently.Strong analytical and problem-solving skills.Excellent communication, organization, and decision-making abilities.Demonstrated ability to collaborate effectively with cross-functional teams.QualificationsEducation: High school diploma or GED required; Associate or Bachelor's in HIM/HIT preferred.Experience: Minimum of 3 years of facility outpatient coding, including SDC, OBV, IVR, Cardiology, and Wound Care.Certification: RHIA, RHIT, or CCS preferred.

Created: 2025-10-01