Remote HIM Coding Editor | Denials & Edits Specialist I

Parkland Health; Florida; Remote; USD 70,000 - 90,000; Full time

Job summary

Parkland Health is seeking a skilled Coding Editor to review coding quality alerts and billing edits for hospital, outpatient, and ambulatory encounters. The role focuses on ensuring accurate CPT/diagnosis coding and improving revenue cycle processes in a fully virtual setting.

Candidates should have five years of acute care coding experience and hold or be eligible for RHIT, RHIA, CCS, CCS-P, CPC-H, or CPC certification. Remote work is available, with state-specific hiring limitations.

Qualifications

• Must have completed an approved coding program OR graduate of a Health Information Management program.
• Five years of coding experience in an acute care hospital environment.

Responsibilities

• Verifying accuracy of assigned CPT codes for complex procedures.
• Verifying diagnosis coding accuracy for complex encounters.
• Reviewing charge and procedure mismatches.
• Reviewing codes with revenue integrity edits for NCD/LCD coverage.
• Reviewing invalid codes, code conflicts and missing modifiers.
• Collaborating with billing, revenue integrity, coding operations and other revenue cycle teams.
• Assisting with resolution of accounts with HIM/Coding unbilled hold reasons.
• Validating certain discharge dispositions.
• Assigning diagnosis and procedure codes for inpatient/outpatient records per ICD-9-CM/ICD-10 conventions.
• Assisting with coding training and inquiries; improving coding accuracy and reimbursement.

Skills

Advanced coding

Abstracting skills

Coding test 85%

Reimbursement principles

Medical terminology

Anatomy & physiology

Organizational skills

Leadership

Communication

MS Office

Education

Coding program

HIM program

Job description

Parkland Health is seeking a skilled Coding Editor to review coding quality alerts and billing edits for hospital, outpatient, and ambulatory encounters. The role focuses on ensuring accurate CPT/diagnosis coding and improving revenue cycle processes in a fully virtual setting.

Candidates should have five years of acute care coding experience and hold or be eligible for RHIT, RHIA, CCS, CCS-P, CPC-H, or CPC certification. Remote work is available, with state-specific hiring limitations.