Remote Coding Quality Editor I

Parkland Health; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

Parkland Health is seeking a remote Coding Editor to review hospital, outpatient and ambulatory encounters for coding quality and billing edits. The role involves identifying opportunities before final billing and reviewing denials to improve revenue cycle outcomes.

Requires five years of acute care coding experience, AHIMA or AAPC certification, and strong knowledge of ICD-9-CM/ICD-10 conventions. 100% virtual work with candidate residency rules applying in select states.

Qualifications

• Must have finished an approved coding program or be a Health Information Management graduate.
• Must have five years of coding experience in an acute care hospital.
• Certification through AHIMA or AAPC is required or must be provided within timelines.

Responsibilities

• Verify accuracy of CPT codes for complex procedures.
• Verify diagnosis coding accuracy for complex encounters.
• Review charge and procedure mismatches and edits.
• Review codes with revenue integrity edits for coverage.
• Address invalid codes, conflicts, and missing modifiers.
• Collaborate with billing, coding operations, and revenue cycle teams.
• Assist with coding training and provide guidance to peers.
• Ensure coding aligns with ICD-9-CM/ICD-10 conventions and guidelines.

Skills

Coding knowledge

Abstracting skills

Communication skills

Organizational skills

Leadership skills

MS Office proficiency

Education

Approved coding program

Health Information Management degree

Tools

MS Office

Job description

Parkland Health is seeking a remote Coding Editor to review hospital, outpatient and ambulatory encounters for coding quality and billing edits. The role involves identifying opportunities before final billing and reviewing denials to improve revenue cycle outcomes.

Requires five years of acute care coding experience, AHIMA or AAPC certification, and strong knowledge of ICD-9-CM/ICD-10 conventions. 100% virtual work with candidate residency rules applying in select states.