Coding Specialist II
Parkland Health and Hospital System
Location: Virtual Employee 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. MINIMUM SPECIFICATIONS 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.
- Must have two (2) years of coding experience in a acute care setting or diverse clinical specialties.
- Physician office coding, charging and billing experience preferred
- May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.
- Because of the lag in SCCE, HCCA, NCRA, and AHIMA updating the status of certifications, current employees whose certification is granted through one of these associations are allowed up to seven (7) calendar days, after expiration, to provide proof of renewal. Although an additional seven (7) calendar days is allowed to provide proof of renewal, there cannot be a lapse in the certification's 'active' status.
- 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)
- Certified Coding Associate (CCA) certification
- 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)
- Score a minimum of 80% on a pre-employment inpatient/outpatient coding test. Contract coders with a proven coding accuracy rate of 95% at Parkland Health and Hospital System are exempt from this requirement.
- 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.
- 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.
- 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.
- Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards.
- May verify, edit and/or enter charges based on documentation or payer/billing requirements reporting any discrepancies in a timely manner.
- Updates, as appropriate, patient database with classification codes and resolves conflicts or inconsistencies to provide sufficient patient health information according to Parkland's standards.
- 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.
- 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.
- Facilitate a positive working relationship with physicians, nurses, and medical staff and hospital employees to ensure that all work-related encounters are productive.
- 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.
- Maintains CE hours and renew annual coding credentials.
- Routine Screenings/Proof of Immunizations Exclusions: Virtual workforce employees as defined by Parkland's Virtual Work procedure, and as specified in their job descriptions, are not required to undergo routine screening for communicable diseases including TB, the flu vaccination, or the COVID-19 vaccination.
- 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. 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.
Vacancy posted 10 hours ago
Similar jobs that could be interesting for youBased on the Coding Specialist II in Dallas, TX vacancy
- ...QI Specialist II (HEDIS) Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic... ...for appropriate medical record documentation and appropriate coding. Candidate assists in resolving deficiencies impacting plan...SuggestedPermanent employmentTemporary workLocal area
- ...and FL ONLY Primary Purpose The primary purpose of the Coding Specialist III is to code and verify data necessary to ensure correct coding... ...assignment of ICD-10 CM, PCS, CPT, HCPCS. HCC, HEDIS CAT II and modifier codes for both professional and hospital charging...SuggestedContract workLocal areaRemote work
Parkland Health and Hospital System
Dallas, TX10 hours ago - ...OVERVIEW We are currently seeking a HSE Specialist II for our DFW Terminal F project, in Dallas, TX. The HSE Specialist II coordinates, implements and monitors all aspects of the health, safety and environmental (EHS) processes at various project locations. The HSE Specialist...SuggestedFor contractorsWork experience placementFor subcontractor
92 Archer Western Construction, LLC
Dallas, TX3 days ago - ...Job Summary The Credentialing Specialist II is responsible for managing the end-to-end credentialing and privileging process for physicians across a multi‑state hospital system. This mid‑level role requires strong knowledge of regulatory requirements and the ability to...SuggestedWork at officeEarly shift
Health Care Service Corporation
Dallas, TX4 days ago - Methodist Health System in Dallas, Texas is seeking a professional responsible for accurate CPT/HCPCS and ICD10 coding from medical record documentation for both outpatient and inpatient settings. The ideal candidate will have a Bachelor's or Associate's degree in Health...Suggested
$84.9k - $113.19k
...Optimization Specialist II - HROC page is loaded## Optimization Specialist II - HROClocations: Irving, TXtime type: Temps pleinposted on: Offre publiée hierjob requisition id: JR10014725Line of Business: Service & SupportHeidelberg Materials is one of the largest suppliers...Temporary workRemote workWorldwideFlexible hoursNight shiftRotating shiftHeidelberg Materials
Irving, TX23 hours ago- Job Description - Maintenance Specialist II, SE Multi-Skilled (260 Days) (RTP20260303-003) Job Description Maintenance Specialist II, SE Multi-Skilled (260 Days) - ( RTP20260303-003 ) Description Under general supervision, perform a variety of repairs and installations...Work at office
- ...Patient Access Specialist II Department: Amb Prearrival Svcs Location: Dallas, TX Shift: M-F 8:00a-4:30p Job Type: On-Site Why Children's Health? At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health...Work experience placementShift work
$19.8 - $24.4 per hour
...Impound Specialist II The Impound Specialist II will be responsible for monitoring, reviewing and processing required functions in accordance to Impound processes and requirements. Processes and functions should be performed in accordance to regulations, policy and...Hourly payWork at office- ...around the world. Responsibilities In the role of Specification Specialist II, we’ll count on you to: Prepare design development and... ...acceptable standards and existing laws, rules and regulations and codes Prepare bid sheet and measurement and payment section of specifications...Full timeContract workTemporary workPart timeWork at officeLocal area
- ...Records Management Specialist II Employment Type: Full-Time, Mid-Level Department: Office Support CGS is seeking an experienced Records Management Specialist to provide administrative support for a large Federal agency initiative. CGS brings motivated, highly...Full timeWork at officeFlexible hours
- ...approaches to care, Concentra colleagues provide exceptional service to employers and exceptional care to their employees. The Specialist II, Security - Identity and Access Management is responsible for delivering quality customer service. This position must coordinate...Local area
- ...our world class team and culture and contribute to our core mission which is enhancing our customer's experience. Repossession Specialist II is responsible for managing the repossession process for delinquent accounts, serving as a key liaison between borrowers and internal...Work at officeVisa sponsorshipWork visaMonday to FridayShift workWeekend work
- Stellantis Financial Services, Inc. is hiring a Repossession Specialist II in Dallas, Texas. The role involves managing the repossession process for delinquent accounts and acting as a liaison between borrowers and internal teams. A successful candidate will have 2-3 years...
- Integrative Emergency Services, LLC ("IES") is seeking a Coding Specialist with emphasis on surgical services. The Coding Specialist is responsible... ...evaluates medical records to ensure proper CPT, HCPCS Level II, and ICD‑10‑CM code assignment in accordance with payer...Work at officeLocal areaRemote workFlexible hoursNight shift
- Hillcrest Bank is seeking a Relationship Banker II in Dallas, Texas. This role involves building relationships with clients, ensuring effective communication, and performing detailed tasks accurately while adhering to established guidelines. Ideal candidates will have...
- 92 Archer Western Construction, LLC is seeking an HSE Specialist II for our DFW Terminal F project in Dallas, TX. The role includes coordinating and monitoring health, safety and environmental processes across project sites while providing guidance and training. The ideal...
- Job Description - Coding Specialist III - Inpatient (935620) The Coding Specialist III is responsible for reviewing and coding inpatient and outpatient... ...mentor and proctor employees at the Coding Specialist I and II levels. Benefits PPO medical plan, available day one at no...Full timeReliefRemote work
- Stellantis Financial Services, Inc. is seeking a Lease Processor II in Dallas, TX. The role includes verifying and processing lease contracts, ensuring accuracy, and maintaining confidentiality of sensitive information. A minimum of 2 years' experience in loan processing...Shift work
- A state department of transportation is hiring Transportation Specialists II, III, and IV for the Bridge Section in Mesquite, Texas. The role includes preparing plans for bridge design and repair, ensuring compliance with current standards, and assisting with field inspections...
- UT Southwestern Medical Center in Dallas is hiring a Technical Denials Management Specialist II within the Revenue Cycle Department. This role involves reviewing, researching, and resolving insurance claim denials to maximize collections. The ideal candidate should have...Remote job
$19 - $24 per hour
...Titles Specialist II Join Ironhorse Funding LLC as a Full Time Titles Specialist II and immerse yourself in a vibrant, energetic work environment right in the heart of Irving, Texas! This onsite role not only offers a competitive pay range of $19-24 per hour but also...Hourly payFull timeWork experience placementImmediate startMonday to FridayFlexible hours$26.66 per hour
A public school district in Dallas seeks a Maintenance Specialist II for full-time work. Responsibilities include performing repairs and installations across various crafts including carpentry, flooring, and painting. The ideal candidate should have a high school diploma...Hourly payFull time- ...Job Description - RN II - ECMO Specialist RN Team Lead (Nights) 7p-7a (898843) WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas... ...ECMO circuitry Round on high‑risk patients in CUH, to include code blue activations, ECMO watch patients and patients on mechanical...Full timeNight shift
The University of Texas Southwestern Medical Center
Dallas, TX4 days ago $51.16k
Job Overview Transportation Specialist - Drafter - Bridge Inspection II, III, or IV. Dallas District is hiring Transportation Specialist II, III, IV for the... ...Applicable industry safety standards, guidelines, and codes Reading and interpreting plans, schematics, blueprints...Permanent employmentFull timeTemporary workCurrently hiringImmediate startLong distanceMonday to FridayFlexible hoursShift work$51.16k - $81.35k
Job Description Transportation Specialist - Drafter - Bridge Inspection II, III, or IV (Job ID: 2600855) Overview Dallas District is hiring Transportation Specialists for the Mesquite Bridge Section. The role involves preparing plans, specifications, estimates (PS&E) and...Permanent employmentFull timeTemporary workPart timeImmediate startFlexible hoursDay shift$23.19 - $25.89 per hour
RPC Company is seeking a Healthcare Insurance AR Specialist II for an onsite role in Dallas, TX. The ideal candidate will have at least 5 years of experience in healthcare accounts receivable and dental insurance. Responsibilities include identifying problem accounts, researching...- A technology staffing company is seeking a Cut Tech II/VOIP Technician Systems for a 9-month role in Dallas, with potential extensions. The role involves installing and managing VOIP services, troubleshooting, and router configuration. Candidates must have 4-5 years of...
- Job Description - RN II - ECMO Specialist Program (Part time) 7a-7p (937195) Job Summary This position works under the general supervision of... ...on high‑risk patients in the critical care units, including code blue activations, ECMO watch patients, and patients on mechanical...Full timePart time
- Integrative Emergency Services, LLC seeks a Coding Specialist in Dallas, Texas to ensure accurate coding for surgical services. This role includes... ...medical records for CPT, ICD-10-CM, and HCPCS Level II codes, supporting documentation integrity, and compliance with...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Coding Specialist II. Be the first to apply!
Related searches
- mental health specialist Dallas, TX
- cash reconciliation specialist Dallas, TX
- instructional technology specialist Dallas, TX
- channel specialist Dallas, TX
- privacy specialist Dallas, TX
- assessment specialist Dallas, TX
- asset protection specialist Dallas, TX
- sourcing specialist Dallas, TX
- program specialist Dallas, TX
- title specialist Dallas, TX