Remote Coding Editor: Hospital Denials & Edits Specialist

Parkland Health; Wisconsin; Remote; USD 85,000 - 110,000; Full time

Job summary

Parkland Health is recruiting for a remote Coding Editor within the Coding Quality team. The role emphasizes reviewing coding quality alerts and billing edits for hospital, outpatient, and ambulatory encounters to ensure accurate and timely final billing.

Candidates should have five years of acute care hospital coding experience and hold AHIMA or AAPC certifications, with a strong grasp of Medicare/Medicaid reimbursement principles.

Qualifications

• Must have completed an approved coding program or graduated from an HIM program.
• Must have five years of coding experience in an acute care hospital.
• Must pass coding test with 85% or higher, for reassignment also on file.

Responsibilities

• Verify CPT codes for complex procedures and diagnosis coding accuracy.
• Review charge/procedure mismatches and HIM/coding edits.
• Assist with resolution of accounts with unbilled hold reasons.
• Collaborate with billing, revenue integrity, and coding teams to optimize reimbursement.

Skills

Five years coding experience

Advanced coding/abstracting knowledge

Reimbursement knowledge

Medical terminology/Anatomy/Physiology

Leadership/organization

Effective communication

MS Office

Education

Approved coding program

Health Information Management program

RHIT/RHIA/CCS/CCS-P or CPC-H/CPC certification

Tools

MS Office

Job description

Parkland Health is recruiting for a remote Coding Editor within the Coding Quality team. The role emphasizes reviewing coding quality alerts and billing edits for hospital, outpatient, and ambulatory encounters to ensure accurate and timely final billing.

Candidates should have five years of acute care hospital coding experience and hold AHIMA or AAPC certifications, with a strong grasp of Medicare/Medicaid reimbursement principles.