Remote HIM Coding Editor Specialist I

Parkland Community Health Plan, Inc.; Dallas (TX); Remote; USD 60,000 - 75,000; Full time

Job summary

A healthcare organization seeks a HIM Coding Editor Specialist I to join their Coding Quality team. This 100% virtual role involves reviewing coding quality alerts, evaluating billing edits, and ensuring accurate coding for hospital encounters. Applicants must have at least five years of coding experience and relevant certifications. You will collaborate with billing, revenue integrity, and coding operations to improve processes and maintain coding accuracy while upholding department objectives.

Qualifications

• Must have five years of coding experience in an acute care hospital environment.
• Must be certified through relevant coding associations.
• Applicants must pass applicable coding test with a score of 85% or above.

Responsibilities

• Verifying accuracy of assigned CPT codes for complex procedures.
• Reviewing charge and procedure mismatches.
• Assisting with resolution of accounts with HIM/Coding unbilled hold reasons.

Skills

Advanced knowledge of coding and abstracting skills

Knowledge of reimbursement principles

Extensive knowledge of medical terminology

Good organizational and leadership skills

Effective oral and written communication skills

Education

Approved coding program or Health Information Management degree

Tools

MS Office

Job description

A healthcare organization seeks a HIM Coding Editor Specialist I to join their Coding Quality team. This 100% virtual role involves reviewing coding quality alerts, evaluating billing edits, and ensuring accurate coding for hospital encounters. Applicants must have at least five years of coding experience and relevant certifications. You will collaborate with billing, revenue integrity, and coding operations to improve processes and maintain coding accuracy while upholding department objectives.