What is Aspirion?

For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers’ compensation, Veterans Affairs, and out-of-state Medicaid.

At the core of our success is our highly valued team of over 1,400 teammates as reflected in one of our core guiding principles, “Our teammates are the foundation of our success.” United by a shared commitment to client excellence, we focus on achieving outstanding outcomes for our clients, aiming to consistently provide the highest revenue yield in the shortest possible time. 

We are committed to creating a results-oriented work environment that is both challenging and rewarding, fostering flexibility, and encouraging personal and professional growth. Joining Aspirion means becoming a part of an industry leading team, where you will have the opportunity to engage with innovative technology, collaborate with a diverse and talented team, and contribute to the success of our hospital and health system partners. Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor.

What do we need?

We are seeking a talented Medical Coder to assist with DRG auditing. Acting as an extension of a hospital’s business office, the ideal candidate will advocate for reimbursement for services provided by the hospital. Accountable for carrying an extensive caseload and responsible for review and analysis of complex coding issues. Review and analyze medical records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential rebills. Maintain a working knowledge and stay abreast of ICD-10-CM and ICD-10-PCS, CPT-4 coding principles, modifier usage, medical terminology, governmental regulations, protocols and third party payer requirements pertaining to billing, coding and documentation.

What will you provide?

• Maintains extensive caseload of coding denials
• Reviews insurance coding related denials, including but not limited to, DRG downgrade, DRG Validation, Clinical Validation, diagnosis codes not supported, incorrect or invalid CPT/HCPCS Codes, Modifier issues, and/or general coding error denials
• Responsible for reviewing assigned diagnostic and procedural codes against patient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations
• Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures
• Complies with timely filing deadlines for coding reviews
• Assists with short-notice timely filing deadlines for accounts with coding issues
• Formulates strategy for prioritizing cases and maintains aging within appropriate ranges with minimal direction or intervention from Managing Attorney
• Identifies issues and trends for reporting to the clients
• Research coding issues and provide extensive feedback via memorandums, articles, and training programs
• Formulates client friendly emails for Client Manager
• Contacts Insurance Carriers to resolve claim issues
• Prepares and submits appropriate appeals
• Maintains working knowledge of and adheres to assigned clients’ process and protocols
• Maintains working knowledge of and complies with applicable insurance carriers’ timely filing deadlines, claims submission processes, and appeal processes
• Maintains payer portal access and utilizes said portal to assist the team at large
• Escalates timely filing requests to Client Manager
• Escalates information requests to Client Manager
• Reviews extensive, high dollar claims and collaborates with Management in addressing the coding components of said claims
• Answers questions pertaining to coding analysis of accounts
• Advises Aspirion attorneys and employees about coding analysis
• Compiles training material and educational sessions associated with coding related topics and present such educational materials to Aspirion attorneys or other Aspirion team members
• Awareness of and adherence to Aspirion policy and procedures
• Researches complex issues
• Adheres to HIPAA compliance rules and regulations
• Responsible for reporting any violations relating to company policy protocol
• Responsible for escalating IT issues to Managing Attorney
• Performs additional duties as assigned

Requirements 

• Working knowledge of pertinent state and federal statutes
• Working knowledge of Uniform Hospital Discharge Data Set (UHDDS) definitions, ICD-10 CM and ICD-10 PCS Official Guidelines for Coding and Reporting, American Hospital Association (AHA) Coding Clinics and/or any CPT/HCPCS coding guidelines
• Experience in client systems

Education and Experience

• Inpatient Coding Certification is required
• CDI experience or CDIP certification is preferred
• Minimum of one (1) year of experience in revenue cycle management with a proven ability to consistently carry a robust caseload

Benefits

At Aspirion we invest in our employees by offering unlimited opportunities for advancement, a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, and incentive programs.

The US base pay range for this position starts at $75,000 annually. Individual pay is determined by a number of factors including, but not limited to, job-related skills, experience, education, training, licensure or certifications obtained. Market, location and organizational factors are also considered. In addition to base salary, a competitive benefits package is offered.  

AAP/EEO Statement

Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free Workplace Policy in effect that is strictly adhered to.