Medical coder jobs in Frisco, TX

This position will be functioning under minimal supervision while utilizing independent decision making. This position will assist the manager and supervisor in training new team members, coordinate inquiries from ancillary departments regarding DNFB and edit tasks. The Sr. Edit Coder will investigate and solve edit issues and communicate root cause data to management in order mitigate potential upstream and downstream impacts. Responsible for modifying and completing moderate to high complexity reviewing and resolving coding and charge edits using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Working in billing editor systems as required. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Performs claim edit reviews on outpatient encounters to validate appropriateness of the CPT codes, HCPCS Level II codes, and modifier assignments, APC group appropriateness, review for missed secondary diagnoses and/or procedures, and ensure compliance with all APC mandates and outpatient reporting requirements. Monitors medical visit code selection by departments against facility specific criteria for appropriateness. Assists in the development of such criteria as needed. Addresses CCI and LCD edits within the various billing editors while abiding by the Standards of Ethical Coding as set forth by the American Health Information Management Association. Meets and/or exceeds Conifer's Edit Coder productivity standards. * Runs and submits coding operational reports to leadership as requested, reviews data and identifies opportunities or trends. Demonstrates working knowledge of DNFB and uses data to drive performance excellence. Ability to analyze, display, and communicate data in meaningful manner. Ability to maneuver thru various electronic systems effectively. * Ability to deal with customer/partner issues and resolve conflict. Ability to multi-task and meet deadlines. Will act as a resource for Edit Coders. * Reviews claim denials and utilizes the medical record in determining accurate code assignment of all documented diagnoses and procedures adhering to the standards of ethical coding. * Monitors DNFB report for outstanding and/or uncoded encounters to ensure timeliness of coding completion. Brings identified issues to department managers for resolution. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Three years minimum hospital outpatient coding/edit experience * Advanced personal computing skills including MS Outlook, MS Word, MS Excel * Advanced technical skills required to learn and navigate a variety of software systems, trouble-shoot computer problems, and work efficiently in a virtual environment * Strong written and verbal communication skills * Ability to think/work independently, yet interact positively with team * Advanced problem-solving skills and ability to quickly analyze a situation. * Comprehensive knowledge of ICD-10 and CPT coding systems. * Strong knowledge base of changes in LCDs and NCDs. * Strong knowledge base of current NCCI and OCE guidelines * Attention to detail is critical to this position * Other functions as deemed necessary to complete and final bill claims accurately Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Previous auditing experience or strong training background in coding and reimbursement * Outstanding interpersonal communication skills as well as excellent oral and written communication skills * Comprehensive knowledge of the APC structure and regulatory requirements. * Knowledge of medical terminology, anatomy and physiology, disease process, and surgical procedures CERTIFICATES, LICENSES, REGISTRATIONS Required: AHIMA RHIT or RHIA or AAPC CCS, CPC approved credential PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Ability to lift 15-20lbs * Ability to sit and work at a computer for a prolonged period of time * Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Office/Hospital Work Environment * Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide OTHER Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $24.82 - $37.23 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********

Our client is a leading force in advancing safer, smarter AI technology. Their work has been featured in Forbes, The New York Times, and other major outlets for pioneering high-quality, human-verified data that powers today's top AI systems. They've built a global community of expert contributors and have already paid out more than $500 million to professionals worldwide who help train, test, and improve next-generation AI models. Why Join This Team? Earn up to $32/hr, paid weekly. Payments via PayPal or AirTM. No contracts, no 9-to-5. You control your schedule. Most experts work 5-10 hours/week, with the option to work up to 40 hours from home. Join a global community of experts contributing to advanced AI tools. Free access to the Model Playground to interact with leading LLMs. Requirements Bachelor's degree or higher in Computer Science from a selective institution. Proficiency in Python, Java, JavaScript, or C++. Ability to explain complex programming concepts fluently in Spanish and English. Strong Spanish and English grammar, punctuation, and technical writing skills. Preferred: 1+ years of experience as a Software Engineer, Back End Developer, or Full Stack Developer. What You'll Do Teach AI to interpret and solve complex programming problems. Create and answer computer-science questions to train AI models. Review, analyze, and rank AI-generated code for accuracy and efficiency. Provide clear and constructive feedback to improve AI responses. to help train the next generation of programming-capable AI models!

The US Oncology Network is looking for a Coding Specialist to join our team at Texas Oncology! This full time hybrid remote will support our Surgery Urology Department at 3001 E President George Bush Hwy Richardson, TX 75082. This position will work Monday - Friday and also requires the candidate to live in the state of Texas. Note from Hiring Manager: This department offers a supportive, remote work environment with company-provided equipment and flexible scheduling. Team members benefit from continuing education through webinars and a corporate AAPC membership, available to all full-time employees upon conversion. We value strong communication, collaboration, and leadership, and are seeking experienced coders ready to contribute to a high-performing team. As a part of The US Oncology Network, Texas Oncology delivers high-quality, evidence-based care to patients close to home. Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Our mission is still the same today-at Texas Oncology, we use leading-edge technology and research to deliver high-quality, evidence-based cancer care to help our patients achieve “More breakthroughs. More victories.” in their fight against cancer. Today, Texas Oncology treats half of all Texans diagnosed with cancer on an annual basis. The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. What does the Coding Specialist do? Under direct supervision, performs all medical record coding activities. Assigns appropriate diagnostic codes to patient charts and reports as assigned. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards. Qualifications The ideal candidate for the position will have the following background and experience: Level 1 High school diploma or equivalent required. Completion of a course in medical record technology. Minimum one year of coding medical experience required, three years experience medical coding preferred. Applicable certification preferred. Knowledge of medical records coding procedures and knowledge of ICD-9 and CPT-4 Coding Systems highly desirable. Level Sr (in addition to level 1 requirements) Completion of a course in Medical Terminology Minimum five years medical coding experience, prior oncology experience preferred. Certification as RHIT preferred. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Responsibilities The essential duties and responsibilities: Abstracts relevant clinical and demographic information from the medical record to assign ICD-9 and CPT-4 codes in accordance with coding and reimbursement guidelines. Identifies principal and secondary diagnosis with minimal error based on the national based standards. Codes with an accuracy of 97% based on QA internal reviews. Records all diagnostic procedures and assigns appropriate procedure codes. Requests diagnosis from physicians when information is not recorded. Determines and records the required medical information. Updates coding procedures and guidelines. Works with medical assistants and other staff in coordinating medical information and patient charts. Maintains the confidentiality of the medical information contained in each record.

Introduction Do you have the career opportunities as a Clinical Denial Coding Review Specialist you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nations leading provider of healthcare services, HCA Healthcare. Benefits Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Free counseling services and resources for emotional, physical and financial wellbeing * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan with 10% off HCA Healthcare stock * Family support through fertility and family building benefits with Progyny and adoption assistance. * Referral services for child, elder and pet care, home and auto repair, event planning and more * Consumer discounts through Abenity and Consumer Discounts * Retirement readiness, rollover assistance services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) * Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Our teams are a committed, caring group of colleagues. Do you want to work as a Clinical Denial Coding Review Specialist where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Job Summary and Qualifications The Clinical Denials Coding Review Specialist is responsible for applying correct coding guidelines and payor requirements as it relates to researching, analyzing, and resolving outstanding clinical denials and insurance claims. This job requires regular outreach to payors and Practices. In this role you will: * Triage incoming inventory, validating appeal criteria is met in compliance with departmental policies and procedures * Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as appropriate * Compose technical denial arguments for reconsideration, including both written and telephonically * Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument * Identify problem accounts/processes/trends and escalate as appropriate * Utilize effective documentation standards that support a strong historical record of actions taken on the account * Post denials, post or correct contractual adjustments, and post other non-cash related Explanation of Benefits (EOB) information * Update patient accounts as appropriate * Submit uncollectible claims for adjustment timely and correctly * Resolve claims impacted by payor recoupments, refunds, and posting errors * Assist team members with coding questions and provide resolution guidance * Provide coding guidance and support to Practices * Meet and maintain established departmental performance metrics for production and quality * Maintain working knowledge of workflow, systems, and tools used in the department Qualifications: * Minimum two years related experience preferred, such as accounts receivable follow-up, insurance follow-up and appeals, insurance posting, professional medical/billing, medical payment posting, and/or cash application. * Prior experience reading and interpreting Explanation of Benefits (EOB) required * Coding certification through AHIMA or AAPC strongly preferred " Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Clinical Denial Coding Review Specialist opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description The role is responsible for execution of requests related to benefit maintenance, additions and changes across all business units within the RxClaim system. Review, analyze and handle client benefit information requests received via SalesForce.com or email. Assess completeness and accuracy of data, resolve issues based on acquired learning and tools and escalate issues on a timely basis. Ensure that individual, team-specific and site-wide metrics are achieved. Activities include but are not limited to manual coding, execution of macros and testing. Good interpersonal skills Analytical and fact-based decision-maker Ability to quickly identify issues and risks and provide recommendations High motivational skills Experience in team interactions and facilitation Fast, enthusiastic learner Open to change Receptive to feedback Team player Average communication skills Ability to do multiple tasks Details oriented Attention to accuracy and quality Basic PC knowledge Ability to prioritize 1-2 years of experience Qualifications RXclaim Additional Information Regards, Zoheb Ahmed Technical Recruiter Integrated Resources , Inc. IT Life Sciences Allied Healthcare CRO Certified MBE | GSA - Schedule 66 I GSA - Schedule 621I DIRECT # - 732-844-8722 LinkedIn: https://www.linkedin.com/in/zohebahmed121 Gold Seal JCAHO Certified ™ for Health Care Staffing “INC 5 0 0 0 's FASTEST GROWING, PRIVATELY HELD COMPANIES” (8th Year in a Row)

Your Job: Responsible for assignment of accurate E/M, CPT/HCPCS, ICD-10-CM, and appropriate modifiers from medical record documentation (paper or electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation (paper or electronic) within the medical record. Aid in training and educating providers and staff on coding issues by sending coding queries. Your Job Requirements: * A minimum of 2 years recent experience in the profee coding setting * Minor procedural coding in any specialty preferred * Recent experience and knowledge regarding the new E/M guidelines required * Must hold Certified Professional Coder (CPC) or Certified Coding Specialist - Physician (CCS-P) with the appropriate level of experience Your Job Responsibilities: * Communicate clearly and openly * Build relationships to promote a collaborative environment * Be accountable for your performance * Always look for ways to improve the patient experience * Take initiative for your professional growth * Be engaged and eager to build a winning team Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 60 healthcare clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace: * 150 Top Places to Work in Healthcare by Becker's Hospital Review, 2023 * Top 10 Military Friendly Employer, Gold Designation, 2023 * Top 10 Military Spouse Friendly Employer, 2023

You will be able to work from your home location _within the United States_ PURPOSE AND SCOPE: Conducts data quality audits of outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology. Provides feedback and education to coders. Escalates compliance, risk-related issues to expedite mitigation. PRINCIPAL DUTIES AND RESPONSIBILITIES: + Consults facility leaders and staff on best practices, methodology, and tools for accurately coding. + Chart Analysis, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA/AAPC). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA). + Reviews medical records to determine accurate required abstracting elements (facility/client/payer specific elements) including appropriate ESRD designation. Reviews medical records for the determination of accurate assignment of all documented ICD-10 codes for diagnoses and procedures. + Uses discretion, experience and specialized coding training to accurately assign ICD-10 codes to patient medical records. + Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by Fresenius policy. + Reviews medical records to determine accurate required abstracting elements (clinic specific elements) including appropriate discharge disposition. + Identifies and communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow-up and resolution. + Evaluates and prepares as indicated daily, weekly and monthly reports indicating quality levels and opportunities for charge capture and revenue maximization. + Monitors, prepares and presents reports including, but not limited to, Medical Record Delinquency Rates, Clinical Pertinence, H & P Compliance, Operative Note Compliance + Develops and delivers education to horizontal and vertical audiences on coding and charge capture. + Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10 coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-10 and CPT updates) for outpatient coding. Quarterly review of AHA Coding Clinic. Attends or facilitates Quarterly Coding Updates and all coding conference calls. + Other duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: + Ability to sit for extended periods of time. + Must be able to efficiently use computer keyboard and mouse to perform coding assignments. + Capacity to work independently in a virtual office setting or in clinic setting if required to travel for assignment. + Duties may require bending, twisting and lifting of materials up to 25 lbs. + Duties may require travel via, plane, care, train, bus, and taxi-cab. EDUCATION: + AHIMA or AAPC Credentials + Associates degree in relevant field preferred or combination of equivalent of education and experience EXPERIENCE AND REQUIRED SKILLS: + 2+ years related experience. + Must be detail oriented and have the ability to work independently + Computer knowledge of MS Office + Extensive knowledge of medical record documentation requirements mandated by Medical Staff Bylaws, Rules and Regulations + State and federal regulations regarding patient confidentiality + Excellent verbal/written communication and interpersonal skills + Thorough/detailed knowledge of ICD-10 and CPT coding systems + Skilled in formulating and writing statistical reports + Skilled in performing quality assessment/analysis + Must display excellent interpersonal skills + Knowledge of disease pathophysiology and drug utilization + Knowledge of MSDRG classification and reimbursement structures + Knowledge of APC, OCE, NCCI classification and reimbursement structures **Fresenius Medical Care maintains a drug-free workplace in accordance with** **EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity** If your location allows for pay/benefit transparency, please click the link below to request further information on this position. Pay Transparency Request Form (******************************************************************* **EOE, disability/veterans**

Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. OUTPATIENT EXPERIENCE NEEDED Remote Must live in TX, AR, FL or WI Primary Purpose The primary purpose of the Coding Specialist II is to code and verify charge data necessary to ensure correct coding, abstracting, and billing on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS), specialty clinics and/or inpatient OB/newborn encounters. This role is also responsible for charge review on clinic and hospital visits to ensure accurate professional charging and billing. This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes. Demonstrates the ability to provide direction to coding staff as it relates to coding integrity, established coding guidelines and Parkland's policies to ensure accuracy of recorded patient medical information and appropriate reimbursement for services rendered. Education High school diploma required. Must have successfully completed an approved coding program. OR must be a graduate of a Health Information Management program. Must have strong knowledge of Anatomy and Physiology and possess strong application skills. Experience Must have two (2) years of coding experience in an acute care setting or diverse clinical specialties. Physician office coding, charging, and billing experience preferred Equivalent Education and/or Experience May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above. Certification/Registration/Licensure Must be certified through the American Health Information Management Association (AHIMA) as one of the following: Registered Health Information Management Technician (RHIT) Registered Health Information Management Administrator (RHIA) Certified Coding Specialist (CCS) Certified Coding Specialist Physician Based (CCS-P) OR Must be certified through the American Association of Procedural Coders (AAPC) as one of the following: Certified Professional Coder (CPC) Certified Professional Coder-Hospital (CPC-H) Certified Outpatient Coder (COC) Skills or Special Abilities Advance coding and charge review skills understanding the utilization of modifiers and other coding, charging and billing rules to include AMA and other state and federal organizations. Advanced knowledge of ICD-9/ICD-10-CM/PCS, CPT-4/HCPCS, HCC and HEDIS CAT II, E/M coding and abstracting, APC classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage for hospital and professional billing. Score a minimum of 80% on a pre-employment coding test. Contract coders with a proven coding accuracy rate of 95% at Parkland Health and Hospital System are exempt from this requirement. Must have knowledge of medical terminology, the human disease process, anatomy and physiology. Demonstrate proficiency in coding and encoder skills. Demonstrate knowledge of computer software applications including MS Office and Computer Assisted Coding (CAC). Knowledge of Epic EHR and 3M 360 coding and abstracting software is preferred. Responsibilities 1. Code, abstract and conduct charge quality review on all episodes of care on emergency department (ED), same day surgery (SDS), outpatient clinic (OPC), observation (OBS) and/or inpatient OB/newborn hospital and specialty clinic encounters according to coding conventions, guidelines, and hospital policy, analyzing questionable documentation to ensure to the accuracy of information and resolves identified issues. 2. Assigns appropriate diagnosis and procedures codes utilizing ICD 10-CM/PCS, CPT, HCPCS, HCC and HEDIS CAT II, E/M codes according to the Centers for Medicare & Medicaid Services (CMS) requirements for both professional and hospital billing. May assist in training and reviewing the work of other coders for accuracy and efficiency. 3. Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards. 4. May verify, edit and/or enter charges based on documentation or payer/billing requirements reporting any discrepancies in a timely manner. 5. Updates, as appropriate, patient database with classification codes and resolves conflicts or inconsistencies to provide sufficient patient health information according to Parkland's standards. 6. Stays abreast of the latest developments, advancements, and trends in the field of health information management by attending workshops, reading professional journals, actively participating in professional organizations, and integrates knowledge gained into current work practices. 7. 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. 8. Facilitate a positive working relationship with physicians, nurses, and medical staff and hospital employees to ensure that all work-related encounters are productive. 9. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the Coding 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. 10. Maintains CE hours and renew annual coding credentials. Job Accountabilities 1. 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. 2. 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. Integrates knowledge gained into current work practices. 3. 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. Parkland Community Health Plan (PCHP) prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Medical Coding, Emergency Medicine, Medicaid, Public Health, Medicare, Healthcare

Coder II (Denials) - FT - Days - (25010312) Description Coder IIAre you looking for a rewarding career with a top-notch health care company? We're looking for a qualified Coder II (Denials) like you to join our Texas Health family. Position HighlightsWork location: Remote work Work hours: Monday - Friday generally between 7:00 am - 6:00 pm HIMS Coding Department Highlights:· Flexible hours/scheduling once training is complete· Work life balance· Opportunities for advancement Qualifications Here's What You NeedEducationH. S. Diploma or Equivalent REQUIRED and Associates's Degree Related field preferred Experience2 Years Professional (Profee) Coding experience. Completion of advanced level training in medical terminology, anatomy and physiology, or similar REQUIREDLicenses and CertificationsCPC - Certified Professional Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty certification such as CGSC, COSC, CCC, etc. Upon Hire Preferred Required Skills· Advanced knowledge of procedural and clinical diagnosis coding pertaining to professional billing. · Knowledge of third-party regulations/ payor billing requirements. · Must be able to communicate effectively. · Must be detail oriented and have strong organizational skills. · Must possess a strong work ethic and a high level of professionalism. · Must have proficient computer skills, with the ability to learn internal application systems. What you will do· Accurately abstracts information from the medical records and assigns Profee codes using ICD-10-CM, CPT, and HCPCS in compliance with established guidelines. Provides codes to various departments upon request. · Reviews supporting medical record documentation to ensure accurate Profee code assignment (ICD-10-CM, CPT, HCPCS) of professional charges in compliance with third party payer, NCCI guidelines and THPG policies. Maintains documentation to record/track coding variance. · Performs charge reconciliation. · Performs charge reconciliation of facility charges posted against OR/scheduled procedures to identify missed charges. Notifies leadership regarding discrepancies, collaborates with practice staff and providers to obtain information needed to complete coding and enter appropriate Profee charges. · Participates in special projects and completes other duties as assigned (e. g. , Charge correction requests, research of payor policies, Accounts Receivable & Denials management of Profee charges) Additional perks of being a Texas Health Coder· Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits. · A supportive, team environment with outstanding opportunities for growth. · Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we've won and more. Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth. org. #LI-JT1 Primary Location: ArlingtonJob: Health Information ManagementOrganization: Texas Health Resources 612 E. Lamar TX 76011Job Posting: Oct 17, 2025, 6:27:06 PMShift: Day JobEmployee Status: RegularJob Type: StandardSchedule: Full-time

At our Hospital, we take immense pride in our Promise of taking care of our Healthcare Staff and our Patients. Joining our family of organizations means you'll receive unwavering support in your career, regardless of your role, as we walk alongside you to enable your capacity to care for others. Our commitment to fostering an inclusive workplace values diversity, ensuring that every individual is essential, heard, and respected, while offering best-in-class benefits. Together, our dedicated caregivers extend their expertise across many Hospitals, and a comprehensive range of health and social services. As a comprehensive healthcare organization, we strive to serve more people, advancing best practices and upholding our tradition of over 100 years in serving the needs of the poor and vulnerable. Job Description We are seeking a detail-oriented and experienced Medical Coder to join our healthcare team. As a Medical Coder, you will play a vital role in ensuring accurate and timely coding of medical diagnoses, procedures, and services. Your expertise in medical coding guidelines, documentation analysis, and coding systems will be crucial in supporting billing accuracy and compliance with healthcare regulations. With a focus on precision and data integrity, you will contribute to the smooth functioning of our healthcare organization and facilitate the appropriate reimbursement for medical services provided. Responsibilities: Medical Coding and Documentation: Assign appropriate diagnosis codes (ICD-10-CM) and procedure codes (CPT/HCPCS) to medical records and encounters. Review and analyze clinical documentation to ensure accurate code assignment and appropriate documentation specificity. Compliance and Regulatory Adherence: Stay current with coding guidelines and regulations to ensure compliance with healthcare coding standards. Implement coding changes based on updates and revisions to coding systems. Coding Audits and Quality Assurance: Conduct periodic coding audits to identify coding errors or discrepancies and recommend corrective actions. Participate in quality assurance programs to maintain accurate and consistent coding practices. Collaboration and Communication: Work closely with healthcare providers, billing specialists, and other healthcare professionals to resolve coding-related issues and discrepancies. Communicate coding updates and changes to the healthcare team effectively. Data Entry and Reporting: Accurately enter coded data into electronic health records (EHR) and billing systems. Generate coding-related reports and statistics to support decision-making and revenue cycle management. Working Environment: As a Medical Coder, you will work in a healthcare setting, such as a hospital, clinic, or healthcare billing company. The role typically involves daytime hours, and you may work in an office or remotely, depending on the organization's setup. Your expertise in medical coding will contribute to the accurate and efficient processing of medical data and billing, ensuring compliance with coding guidelines and supporting the financial well-being of our healthcare organization. Join our team of dedicated professionals and be an essential part of our healthcare organization's success in providing quality healthcare services and maintaining accurate coding practices. Apply now and play a significant role in the accurate and efficient coding of medical records and billing processes. Qualifications High school diploma or equivalent; Associate's degree in Health Information Management or related field is preferred. Certified Professional Coder (CPC) or similar coding certification is highly desirable. Minimum of 2 years of experience in medical coding in a healthcare setting. Strong knowledge of ICD-10-CM, CPT, HCPCS coding systems, and medical terminology. Familiarity with coding software and electronic health records (EHR) systems. Attention to detail and accuracy in coding assignments. Knowledge of healthcare reimbursement and billing processes. Excellent analytical and problem-solving skills. Ability to work independently and efficiently in a fast-paced environment. Commitment to confidentiality and adherence to ethical coding practices. Additional Information Benefits: Medical, dental and vision insurance Basic and supplemental life insurances and AD&D Disability benefits 401(k) plan All your information will be kept confidential according to EEO guidelines.

Who We Are JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people. Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time. Why JPS? We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road: 1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence. 2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity. 3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS. When working here, you're surrounded by passion, diversity, and dedication. We look forward to meeting you! For more information, visit ********************* To view all job vacancies, visit ********************* ***************************** or ******************** #supportfeaturedjob Job Title: CERTIFIED PHYSICIAN CODER II Requisition Number: 41082 Employment Type: Full Time Division: ACCLAIM ADMIN SERVICES Compensation Type: Hourly Job Category: Support Services Hours Worked: M-F 8AM-5PM Location: Acclaim Magnolia Shift Worked: Day Job Description: Description: The Certified Coder II assigns diagnosis and procedure codes to day surgery, observation, maternal and newborn medical records utilizing International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes. (Potential Remote). Typical Duties: * Assigns codes to diagnosis and procedures of Day Surgery, Outpatient Interventional Radiology, Outpatient Interventional Cardiology, and Observation patient records utilizing ICD and CPT codes in accordance with ICD Diagnosis Coding Guidelines, CPT Procedure Coding Guidelines, American Hospital Association (AHA) Coding Clinics and the JPS Outpatient Coding Procedures. * Assigns ICD diagnosis and procedure codes to all labor and delivery patients and all newborn records, including NICU, in accordance with the inpatient ICD Diagnosis and Procedure Coding guidelines, AHA Coding Clinics and the JPS Inpatient Coding Procedures. These patients are typically medium to complex clinically, and the coder must have an in-depth knowledge of anatomy, physiology, pharmacology, surgical instrumentation and maternal conditions and conditions of the newborn. * Confirms codes are sequenced correctly ensuring reimbursement is appropriate in accordance with government, insurance, and/or other payer regulations for Day Surgery, Interventional Radiology, Interventional Cardiology and Observation charts. * Ensures that the principle diagnosis is assigned and all secondary codes are sequenced appropriately to ensure the correct Medicare Severity Diagnosis Related Group (MSDRG) or All Payor Refined - Diagnosis Related Group (APRDRG) assignment in mother and baby charts. * Determines diagnosis present on admission status and assigns the appropriate Diagnosis Related Group (DRG) for admitted patients. * Verifies each record that patient status, admitting/attending physician, admission date and time, discharge date and time, death date and time is accurate before coding and finalizing the chart. Makes changes as necessary. * Identifies, investigates, and corrects or routes accounts on the coding and billing edit work queues. * Queries the provider when documentation is determined to be insufficient, conflicting or ambiguous to elicit documentation reflecting the most accurate and specific conditions or procedures. * Maintains productivity and quality standards set forth in the District's outpatient coding standards. * Demonstrates evidence of professional growth by attending coding workshops, conferences and or seminars, maintaining required C.E. requirements (departmental and professional), and individual study and education regarding coding, reimbursement, and HIM competencies. * Utilizes online and hard copy coding reference materials. * Performs other job related duties as assigned. Qualifications: Required Education and Experience: * Associate's Degree in Health Information Technology or a related field of study from an accredited college or university OR 5 plus years of outpatient coding experience in a hospital setting in lieu of Associate's Degree. * 2 plus years of outpatient coding experience in a hospital setting. Preferred Education and Experience: * Bachelor's Degree in Health Information Technology or a related field of study from an accredited college or university. * Inpatient, day surgery, and observation coding experience. Required Licensure/Certification/Specialized Training: * Current Medical Coding Certification through AAPC, American Health Information Management Association (AHIMA) and/or through an organization accredited by the National Commission for Certifying Agencies (NCAA) for Medical Coding. Location Address: 200 W. Magnolia Fort Worth, Texas, 76104 United States

Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging issues, denials, and physician documentation clarifications, to ensure accurate billing and reduce denials. Coder will also assist in other areas of the department as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM/Coding Director. Responsibilities: * Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. * Assign codes for diagnoses, treatments, and procedures according to the ICD-10-CM and CPT Official Guidelines for Coding and Reporting through review of coding critical documentation. * Extracts and abstracts required information from source documentation, to be entered into the appropriate CHRISTUS Health electronic medical record system. * Works from assigned coding queue, completing and re-assigning accounts correctly. * Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner. * Meets or exceeds an accuracy rate of 95%. * Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type. * Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). * Assists in implementing solutions to reduce backend errors. * Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists. * Participates in both internal and external audit discussions. * Has strong written and verbal communication skills. * Able to work independently in a remote setting, with little supervision. * All other work duties as assigned by the Manager. Job Requirements: Education/Skills * High school Diploma or equivalent years of experience required. * Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred. Experience * Two (2) years of Outpatient coding in an acute care setting preferred. Licenses, Registrations, or Certifications * None required. Work Schedule: 6:30AM - 3PM Work Type: Full Time

Job DescriptionDescription: As a Medical Device Quality Auditor, you will support various inventory activities within the company. In this role, you are responsible for inspecting and auditing/quality control of surgical instruments, researching discrepancies of inventory within the surgical kits using SAP. This is a high-energy, deadline-driven, and collaborative team that works together to meet daily deadlines to ship products. This position works from the direction of the Receiving Manager to process inventory. Your work ensures that only safe, functional instruments are reprocessed and redistributed, directly impacting patient safety and surgical outcomes. Work Schedule is Monday - Friday, 10:00 AM - 7:00 PM Audit returned surgical instruments for damage, missing components, functionality, or contamination Creating nonconforming and discrepancy reports using ERP software Cleaning of incoming surgical instruments Inspection of surgical instruments Receiving inventory and data input into SAP system Requirements: 1+ years of experience auditing or inspecting medical instruments preferred Familiarity with medical device handling, sterilization, or reprocessing workflows Strong attention to detail and documentation skills Experience with SAP or similar ERP systems Excellent computer skills; Windows, MS Excel, MS Word Excellent communication and organizational abilities Physical Requirements This position requires the ability to lift and carry boxes weighing up to 50 pounds on occasion Must be able to stand, bend, and walk for extended periods of time Must be able to reach, bend, push, lift, and climb continuously Reach with hands and arms; stoop, kneel, crouch or crawl

Our patients are our number one priority! We're committed to giving children back their childhood! Job Posting Title: EMR Analyst II Additional Posting Details: Monday - Friday 8:00am - 5:00pm Job Description: Duties/Responsibilities Provides regular status reports to management as required. Attends meetings as required, and participates on committees as directed. Participates in customer discussion offering suggestions and recommendations. Maintains a positive image when dealing with deadlines and demanding, highly stressful situations Work with all IT and Empower teams to identify appropriate solutions for various operational and technical needs Analyzes Level 1, 2, and 3 customer-reported problems to determine corrective action and provides timely feedback. Ensures department documentation is at current levels. Performs application and integrated testing for assigned module(s). Tests build in a specified testing environment and performs validation testing with end user Participates in operational discovery sessions to identify the needs of the organization Supports integration with 3rd party applications, when applicable. Required Skills/Abilities Bachelor's degree or commensurate experience in health care preferred Master's degree preferred Epic certification required or attained within 9 months of hire Previous experience in the build, training, and support of the Epic Systems electronic health record suite is preferred Maintain a positive image when dealing with deadlines and demanding, highly stressful situations Working Environment Working Conditions: Inside Working Position: Sitting Physical Demands: Light Physical Requirements: Repetitive Movement An Individual in this position will be required to lift or carry weight in this group: Up to 10lbs Sensory/Communicative activities essential to the performance of this position: Feeling, Hearing, Seeing, Speaking An Individual in this position will be exposed to: Inside environment

Out of Network Medical Biller/Coder experience! This is NOT an entry level position. This position would be ideal for someone looking to go back into the workforce and work in a family run medical practice long term. Our client is a small surgical practice looking for someone to help the Practice Administrator with day-to-day clerical tasks Our ideal candidate is someone that is reliable, dependable, and very loyal. They have a strong sense of doing the right thing and should be passionate about helping others. Resourcefulness and strong attention to detail are vitally important for this role. Position: Prefer individuals from a OON billing background Multi trained office staff person for back-office role, billing and coding, front office, and MA task. Offering a competitive pay rate with generous benefits package. Seeking medical billing and coder person who has experience with out of network billing in General Surgery and experience. Must have a pleasant and friendly demeanor with a well-groomed appearance. Required English skills both written and spoken must be able to communicate without a detectable accent. Must be flexible and able to fill roles in patient intake, office operations and billing for a low volume office of multi-specialty surgeons. Must be capable of managing intake process for in office patients and remote visits. Must be highly organized and computer literate in all basic operating systems, Word, Microsoft office, electronic fax, EMR, excel, Google dive, Google DOCs, multi phone lines business phone, availity, payor access portals, optum, TriZetto. Own reliable form of transportation and be available for early hours and periotic weekend schedule. Must have completed an accredited program in Medical Billing and Coding. Must have a current certification from the state of Texas. Must have recommendations and work experience in out of network billing , appeals and collections. Preferred: Seasoned, mature, and stable person who has worked in medicine for several years with availability and willingness to keep a consistent work schedule. This is a quiet and well-maintained office environment. Due to the nature of the providers specialty, there is significant focus on communication skills and follow through of the staff with providers. Daily task requires dedication to follow through and completion. Benefits: 401(k) Dental insurance Health insurance Life insurance Paid time off Professional development assistance Retirement plan Vision insurance Schedule: Monday to Friday

Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Responsibilities/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records to determine accurate required abstracting elements (facility/client/payer-specific elements) including appropriate discharge disposition · IP, OP Coding: Reviews medical records for the determination of accurate assignment of all documented ICD-10-CM codes for diagnoses and procedures. Abstracts accurate required data elements (facility/client specific elements) including appropriate discharge disposition. · Coding: Uses discretion and specialized coding training and experience to accurately assign ICD-10, CPT-4 codes to patient medical records. · Abstracting: Reviews medical records to determine accurate required abstracting elements (client specific elements) including appropriate discharge disposition. · Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by SOW. · Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on an annual basis (IPPS and OPPS, ICD-10-CM, and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls · Create audit schedules and manage workflows to adhere to the audit schedule. · Develop methods to effectively communicate information through presentations, graphs, reports, educational materials, etc. · Develop, establish, and review policies and objectives consistent with those of the organization to ensure efficient departmental operations. · Performs charge audits by comparing itemized bills to medical record documentation to ensure appropriate charging. · Review, assess, study, and analyze the overall coding, billing, documentation, and reimbursement system for potential compliance problems. · Performs all other duties as assigned. Qualifications & Experience: · Ability to consistently code at 95% accuracy and quality while maintaining client-specified production standards · Must successfully pass a coding test · Knowledge of medical terminology, ICD-9-CM and CPT-4 codes · Must be detail-oriented and can work independently · Computer knowledge of MS Office · Must display excellent interpersonal skills · The coder should demonstrate initiative and discipline in time management and assignment completion · The coder must be able to work in a virtual setting under minimal supervision · Intermediate knowledge of disease pathophysiology and drug utilization · Intermediate knowledge of MS-DRG classification and reimbursement structures · Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures EDUCATION / EXPERIENCE · Associate degree in a relevant field preferred or a combination of the equivalent of education and experience · Three years of coding experience including hospital and consulting background CERTIFICATES, LICENSES, REGISTRATIONS · AHIMA Credentials, and or AAPC · Certified Professional Medical Auditor by AAPC PHYSICAL DEMANDS · Requires visual acuity to inspect and analyze work close to the eyes and ability to hear sound with or without correction; Ability to climb, stoop, kneel, reach, stand, walk pull, push lift, and able to exert up to 40 pounds of force occasionally and/or up to 10 pounds of force constantly to move objects. · Moderate physical activity performing somewhat strenuous daily activities of a primarily administrative nature. · The physical demands for this position include adequate vision, hearing, and repetitive motion. · Ascending or descending stairs, ramps, and the like, using feet and legs and/or hands and arms. · Substantial movements (motion) of the wrist, hands, and/or fingers in a repetitive manner - Bending legs downward and forward by bending leg and spine - Standing, particularly for sustained periods of time. Using upper extremities to exert force to draw, drag, haul or tug objects in a sustained motion. · Raising objects from a lower to a higher position or moving object horizontally from position to position WORK CONDITIONS • While performing the duties of this job, the employee is frequently required to stand, walk, sit, reach with hands and arms, and talk or hear. • The employee is occasionally required to stoop, kneel, crouch, or crawl and taste or smell. • The employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures, transcribing, and viewing a computer terminal.

Description We are looking for a skilled EMR Analyst to join our healthcare technology team in Dallas, Texas. In this role, you will focus on supporting and enhancing Epic Resolute applications to optimize revenue cycle operations. You will work closely with stakeholders and IT teams to implement solutions that improve efficiency and contribute to quality patient care. Responsibilities: - Provide consistent status updates and actively participate in meetings and relevant committees. - Investigate and resolve customer-reported issues across Level 1-3, ensuring timely feedback and solutions. - Conduct thorough application and integrated testing for assigned modules, including validation with end users. - Facilitate seamless integration with third-party applications when necessary. - Develop and maintain detailed documentation for all processes and workflows. - Lead operational discovery sessions to identify organizational needs and propose effective solutions. - Collaborate with cross-functional teams to implement technical and operational enhancements. Requirements - Bachelor's degree in healthcare, IT, or a related field; Master's degree preferred. - Epic Resolute certification or ability to obtain certification within three months of starting the position. - Minimum of 2 years of experience with Epic Systems build, training, and support. - Proficiency in Advanced Business Application Programming (ABAP) and Epicor. - Strong skills in creating Business Requirement Documents and managing change processes. - Familiarity with Oracle NetSuite Technologies. - Ability to perform under deadlines and manage high-pressure situations with professionalism. Technology Doesn't Change the World, People Do. Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) .

Sign On Bonus: $1,000 Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law This position is not eligible for employment based sponsorship. Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. PRIMARY DUTIES: * Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. * Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. * Translates medical policies into reimbursement rules. * Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. * Coordinates research and responds to system inquiries and appeals. * Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. * Perform pre-adjudication claims reviews to ensure proper coding was used. * Prepares correspondence to providers regarding coding and fee schedule updates. * Trains customer service staff on system issues. * Works with providers contracting staff when new/modified reimbursement contracts are needed. Minimum Requirements: Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. Preferred Skills, Capabilities and Experience: * CEMC, RHIT, CCS, CCS-P certifications preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Job Description CERIS is seeking a Certified Coder. The CERIS Certified Coder reverse code previously coded medical bills to determine coding accuracy. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determine validity and compensability of the claim using CorVel proprietary programs Make recommendations to referring office Communicate claim status with referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (“IIPP”), as well as, maintain HIPAA compliance KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practice Strong organizational skills Ability to meet or exceed performance competencies Effective and professional communication skills Ability to handle stressful situations, and use critical and strategic thinking Demonstrated outstanding leadership, problem solving, and analytical skills Ability to think and work independently, while working in an overall team environment Proficient in Microsoft Office Suite, especially Excel and Outlook EDUCTION & EXPERIENCE: High School diploma, or equivalent Current AAPC certification (which must be maintained throughout employment as current and active status) Certification as CPC with the AAPC for more than 2 years (w/ surgical or office experience) Current or recent orthopedic billing/coding experience E/M coding/down-coding experience EncoderPro software experience Texas workers compensation experience is preferred Pain Management/Anesthesia/General Surgery coding experience is preferred PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $42,899 - $64,162 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CERIS: CERIS, a division of CorVel Corporation, a certified Great Place to Work Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote