[Hiring] HIM Coding Editor Specialist I @Parkland Health

Role Description

As a part of our Coding Quality team, our coding editors play an integral role in reviewing coding quality alerts and/or billing edits for hospital, outpatient, and ambulatory encounters. They provide a great review and oversight of opportunities before final billing. This team will also review coding denials and evaluate areas of improvement throughout the revenue cycle process.

Qualifications

• Must have successfully completed an approved coding program OR be a graduate of a Health Information Management program.
• Must have five years of coding experience in an acute care hospital environment.
• May have an equivalent combination of education and experience in lieu of specific education and/or experience as stated above.
• Must be certified through the American Health Information Management Association or the American Association of Procedural Coders.

Requirements

• Must be able to demonstrate advanced knowledge of coding and abstracting skills.
• Applicants must pass applicable coding test with an 85% or above prior to placement into position.
• Must be able to demonstrate knowledge of reimbursement (Medicare and Medicaid) principles.
• Must have extensive knowledge of medical terminology, the human disease process, anatomy, and physiology.
• Must be able to demonstrate good organizational and leadership skills.
• Must be able to communicate effectively, both orally and in writing.
• Must be able to demonstrate knowledge of computer software applications including MS Office.

Benefits

• This position is 100% Virtual.
• Virtual employees must comply with all Parkland policies and procedures governing the use of Parkland information resources.
• Virtual employees must maintain all equipment lent by Parkland for performing the agreed upon job duties in good working condition.

Job Accountabilities

• Identifies ways to improve work processes and improve customer satisfaction.
• Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
• Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure.
• Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the area.
• Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans.
• Seeks advice and guidance as needed to ensure proper understanding.