Remote Hospital Coding Editor Specialist I

Parkland Health; Clifton (TX); Remoto; USD 65.000 - 90.000; Tempo pieno

Descrizione del lavoro

Parkland Health seeks a experienced coding editor to review hospital, outpatient and ambulatory encounters, ensuring accurate CPT coding and diagnosis coding. The role focuses on resolving edits and denials and improving revenue cycle processes in a fully virtual environment.

Ideal candidates have 5+ years in acute care coding, RHIT/RHIA/CCS/CCS-P or CPC(H)/CPC certifications, and strong knowledge of Medicare/Medicaid reimbursement.

Competenze

• Must have completed an approved coding program or be a HIM graduate.
• Must have five years of coding experience in an acute care hospital.

Mansioni

• 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 and coding teams.
• Assisting with discharge dispositions and APC/MS-DRG review as needed.
• Remote, 100% virtual work with adherence to Parkland policies.

Conoscenze

Advanced coding knowledge

Coding test 85%+

Reimbursement concepts

Medical terminology

Anatomy and physiology

Organizational leadership

Effective communication

MS Office

Formazione

Approved coding program

Health Information Management program

Descrizione del lavoro

Parkland Health seeks a experienced coding editor to review hospital, outpatient and ambulatory encounters, ensuring accurate CPT coding and diagnosis coding. The role focuses on resolving edits and denials and improving revenue cycle processes in a fully virtual environment.

Ideal candidates have 5+ years in acute care coding, RHIT/RHIA/CCS/CCS-P or CPC(H)/CPC certifications, and strong knowledge of Medicare/Medicaid reimbursement.