Coding Specialist III
Parkland Community Health Plan, Inc.
- # Coding Specialist IIIApplylocations: Virtual Employeetime type: Full timeposted on: Posted Yesterdayjob requisition id: 988117Inpatient Experience Required - Remote work for TX, AR, WI and FL ONLYPrimary PurposeThe primary purpose of the Coding Specialist III is to code and verify data necessary to ensure correct coding, abstracting, and billing on inpatient (IP) encounters. This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS. HCC, HEDIS CAT II and modifier codes for both professional and hospital charging, coding and billing. 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 SpecificationsEducation* High school diploma required.* Must have successfully completed an approved coding program.* OR Must be a graduate of a health Information Management program.Experience* Must have three (3) years of coding experience in an acute care Level I trauma hospital environment.* Physician office coding, charging and billing experience preferredEquivalent 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* 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 as one of the following:* Registered Health Information Management Technician (RHIT)* Registered Health Information Management Administrator (RHIA)* Certified Coding Specialist (CCS) - (Most desired of the certifications)* OR Must be certified through the American Association of Procedural Coders (AAPC) as one of the following:* Certified Inpatient Coder (CIC)## Required Tests for Placement* Must score a minimum of 85% 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.## Skills or Special Abilities* Must be able to demonstrate advanced knowledge of ICD-9/ICD-10-CM/PCS coding and abstracting, MS-DRG classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage. Also prefer knowledge to apply CPT, HCPCS, HCC, HEDIS CAT II and modifier code assignment.* Must score a minimum of 85% 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.* Demonstrate knowledge of reimbursement (Medicare and Medicaid) principles.* Advance knowledge of medical terminology, the human disease process, anatomy and physiology.* Demonstrate good organizational and leadership skills.* Must be able to effectively communicate, both orally and in writing.* 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* Assigns appropriate principle and secondary diagnosis and procedures codes for all episodes of care on inpatient encounters ensuring appropriate DRG assignment according to ICD-10-CM/PCS conventions, guidelines and hospital policy.* Achieve and maintain 95% accuracy on quality reviews and meet assigned productivity standards.* Abstract statistical data from the medical record and enter information according to Parkland's guidelines, policies and procedures* Demonstrate knowledge of billing, charging and coding requirements for governmental guidelines and private insurance payers. May verify, edit and/or enter charges based on documentation or insurance requirements reporting any discrepancies in a timely manner.* Coach other coders by training and advising on coding and abstracting according to ICD-10-CM/PCS conventions and guidelines, responding to coding inquiries, reviewing and noting coded charts, providing feedback and monitoring chart corrections to ensure that noted changes have been made to facilitate coding consistency, accuracy, efficiency and appropriate billing and reimbursement.* Contributes with work flow, priorities for work completion, and communicating workflow issues to the supervisor. Identifies ways to improve work processes and improve customer satisfaction. Make recommendations to supervisor, implements and monitors results as appropriate in support of the overall goals of the department and Parkland.* Collaborates with physicians and nurses by telephone or in writing to clarify or complete records by obtaining missing diagnoses, procedures or information, resolving ambiguous coding episodes to ensure that missing information is corrected and resubmitted for payment.* Facilitate a positive working relationship with management, coders, physicians, nurses, medical staff, COPCs, Financial Control, Business Services and hospital employees, to ensure that medical record information is documented and coded according to established conventions and Parkland's policies and guidelines.* Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding and abstracting of medical records. 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.* Audits error reports and maintains departmental quality standards, prepares and submits productivity logs to supervisor, as required.* Stays abreast of the latest developments, advancements, and trends in the field of coding and abstracting of health information management by attending workshops, reading professional journals, actively participating in professional organizations, and integrates knowledge gained into current work practices.* 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.## ## Job Accountabilities* Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.* Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.* 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.
- J-18808-Ljbffr Parkland Community Health Plan, Inc.
Vacancy posted 23 hours ago
Similar jobs that could be interesting for youBased on the Coding Specialist III in Florida, NY vacancy
$35 - $65 per hour
...Overview CDI Specialist III - REMOTE. This Jobot Job is hosted by Daylen Quichocho. Salary $35 - $65 per hour. Are you a fit? Easy Apply now... ...will work closely with physicians, healthcare providers, and coding professionals to ensure the correct documentation of patient conditions...SuggestedHourly payLocal areaRemote workJobot
Florida, NY2 days ago$35 - $65 per hour
A leading healthcare organization is seeking a knowledgeable CDI Specialist III to work remotely. This role involves ensuring the quality and accuracy of patient documentation, collaborating with various healthcare professionals, and providing education on documentation...SuggestedRemote jobHourly pay- ...Teamwork Integrity in conduct Responsiveness to our customer’s mission Job Description DMS is seeking Armorer / Site Lead (OBMLS Specialist III/Site Lead) who will supervise and perform armory personnel who provide support for classroom and field laboratory instruction...SuggestedFull timeWork at officeNight shift
DMS International
Florida, NY10 hours ago - ...assignment lifecycle in the United States, from pre‑arrival through the completion of their work assignment. The Global Mobility Specialist III plays a vital role in preparing international healthcare professionals (HCPs) for successful transition and integration into...SuggestedFull timeWork at officeRelocationMonday to Friday
$54.08k - $56.16k
...Base pay range $54,080.00/yr - $56,160.00/yr Revenue Recovery Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL Salary: $2... ...appeals preferred Knowledge or willingness to learn fundamentals of coding CPT/HCPCS, ICD‑10, and DRG is preferred Willingness to submit...SuggestedHourly payWork at officeFlexible hoursExact Billing Solutions
Florida, NY2 days ago- ...Follows established rules, procedures and global policies. Vendor master file set-up and maintenance. Accounts payable data entry, coding and vouchering. Month-end activities participation. Entering vendor and employee expense reports into Costpoint. Purchase order vouchering...Weekly payPermanent employmentTemporary workWork experience placementLocal area
Kratos Defense & Security Solutions
Florida, NY2 days ago - ...Description Fully In Office Role Position Summary The Accounts Payable Specialist will be responsible for the day-to-day processing and management of firm accounts payable, including invoice entry, coding, approvals, vendor maintenance, payment processing, reconciliations,...Work at office
Leeds Professional Resources
Florida, NY10 hours ago - ...Agency: Department of Corrections Working Title: PAROLE/PROBATION SPECIALIST ADVERTISING TITLE: PAROLE/PROBATION SPECIALIST This open... ...role is crucial in enhancing public safety by interpreting and coding sentencing documents, verifying offender data, and preparing detailed...Work experience placementWork at officeRemote workTrial periodMonday to Friday
- ...Co. is hiring a Remote Clinical Documentation Improvement (CDI) Specialist to support their CDI program. This role requires proficiency in... ...with healthcare teams, and ensuring compliance with coding guidelines. The position offers flexibility with remote working...Remote jobFlexible hours
$26 - $27 per hour
Revenue Recovery Specialist - Exact Billing Solutions (EBS) | Lauderdale Lakes, FL Salary: $26.00 - $27.00 per hour Base pay range: $54,... ...preferred. Knowledge of or willingness to learn fundamentals of coding CPT/HCPCS, ICD‑10, and DRG is preferred. Willingness to submit...Hourly payFull timeWork at officeFlexible hours- ...A staffing solutions company in New York is seeking a Global Mobility Specialist III to support international healthcare professionals throughout their assignment lifecycle. This role entails preparing professionals for their transition into U.S. life, offering educational...Full time
Avant Staffing Professionals
Florida, NY10 hours ago $23 per hour
...regular basis and performs reconciliations to ensure accuracy. Independently reviews accounts to follow up on outstanding issues or coding irregularities on a regular basis. Responsible for tracking and reporting transactions in order to create concise managerial...Hourly payMonday to FridayAccess
Middletown, NY4 days ago$19 - $27 per hour
Broadband Specialist IV, Maintenance Since 1995, Mediacom Communications has become a coast-to... ...of service, while adhering to applicable codes, requirements, guidelines, company... ...months’ time spent as Broadband Specialist III or 5+ years’ equivalent cable technician...Hourly payWork experience placementFlexible hoursAfternoon shift- ...with the ultimate goal ofenabling human life on Mars. CANDIDATE SPECIALIST (RECRUITING) As a Candidate Specialist at the company, you will... ...(ii) U.S. lawful, permanent resident (aka green card holder), (iii) Refugee under 8 U.S.C. § 1157, or (iv) Asylee under 8 U.S.C. §...Permanent employmentLocal areaRelocationFlexible hoursShift workWeekend work
$19.08 - $21.84 per hour
...for future generations. Role Summary As an Adventure Readiness Specialist, you are a critical part of the Rivian Service team during our... ...application and conducting employment, background and reference checks; (iii) establishing an employment relationship or entering into an...Hourly payFull timeContract workTemporary workPart timeSeasonal workLocal areaFlexible hoursShift work$17 - $18.15 per hour
## Patient Access Associate Specialist - Full TimeApplylocations: Jupiter, FL: Jupiter - Breast Centertime type: Full timeposted on: Posted... ...system and appropriately selects the applicable insurance plan code, enters benefit data into system to support POS (Point of...Full timeWork at officeLocal areaRemote workShift work$32 per hour
...of English. Mindrift is looking for highly skilled Vibecode specialists to join the Tendem project ( and drive specialized data scraping... ...This is a freelance role for a Tendem project. As a Vibe Code specialist, you'll handle data scraping tasks requiring technical...Part timeFreelanceRemote workMind Rift
Florida, NY2 days ago- ...highly valued quality we're seeking in this new hire. SPECIFIC DUTIES PERFORMED ARE: Serve as the receptionist and “Information Specialist” for the Manatee Chamber of Commerce and United Way at the front desk, welcome visitors and guests, answer the phones, take RSVPs...Work at officeRelocation
Manatee Chamber of Commerce
Florida, NY10 hours ago - About this role Responsible for maintenance of landscaping around campus. Performs weed control and light maintenance duties, including routine equipment and building maintenance. Operates tractors, mowers, and other standard power equipment. Purchases landscape materials...Work at office
Palm Beach State College
Florida, NY1 day ago - Dealer Services Network in Town of Florida, NY is seeking an experienced Automotive Dealership Title Clerk to handle title processing for wholesale, dealer trade, and retail transactions, including out-of-state exports. The role requires strong attention to detail and ...Work at office
Dealer Services Network
Florida, NY2 days ago - ...the central point of coordination in the field, the Construction Specialist provides leadership, management, direction, coordination, and... ...reporting, safety regulations both companies and OSHA, various codes such as ASME, ACI, NEC, ANSI. Required skills Project management...Contract workFor contractorsNight shiftWeekend work
Bartech Staffing
Florida, NY10 hours ago - Responsibilities providing legal support for provider contract negotiations in multiple states Draft contract templates and amendments Responsible for filing of provider contract templates with state regulators Serves as a seasoned resource and may lead and/or coach other...Contract work
Jobtailor
Florida, NY1 day ago - Application close date:Applications will be accepted on an ongoing basis until the requisition is closed.At Blue Origin, we envision millions of people living and working in space for the benefit of Earth. We’re working to develop reusable, safe, and low-cost space vehicles...Permanent employmentTemporary workWork at officeLocal areaShift workDay shift
Blue Origin
Florida, NY1 day ago - Centene Corporation in the United States is seeking a Pharmacy Coordinator – Fraud, Waste, and Abuse (FWA) to support the Medical Management/Health Services team remotely. You will review FWA referrals, assist with regulatory requests, and help analyze and document investigations...Remote work
Centene Corporation
Florida, NY1 day ago $45.39k - $88.51k
Job Summary Provides senior level support for government contracts activities. Responsible for the development and administration of contracts with state and/or federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide ...Contract workWork experience placementWork at officeMolina Healthcare
Florida, NY1 day ago$80k - $93k
...Job Summary As an EHS Specialist you will be responsible for the implementation of the Environmental, Health, and Safety (EHS) program at the facility level. This position serves as a member of the site leadership team, requires strong cross‑functional partnership with...Full timeTemporary workLocal areaRelocation packageLatham Pool Products
Florida, NY4 days ago$500 per month
...About the Position: Do you have a passion for food? Are you committed to delivering an excellent experience for guests? As the Deli Specialist, you will provide deli department excellence, ensuring product freshness, merchandising accuracy, and compliance with food safety...Seasonal workFlexible hoursAfternoon shiftThe Fresh Market
Florida, NY3 days ago- ...At Marissa Collections, we believe the final detail is what defines the entire experience. The Alterations Specialist plays a key role in bringing our luxury garments to life for each client, ensuring every piece fits flawlessly, feels effortless, and reflects the level...Work at officeLocal area
Marissa Collections
Florida, NY2 days ago - ...ESSENTIAL JOB FUNCTIONS The Delivery Specialist will maintain and operate store vehicles to deliver parts and/or products to professional customers in a safe and efficient manner. This position will also collect money on C.O.D. deliveries and pick up customer returns....Local areaImmediate startFlexible hours
O'Reilly Automotive Stores
Florida, NY4 days ago - ...A leading eye care provider in New York is seeking a Front Office Specialist to be the first point of contact for patients and manage administrative responsibilities. The ideal candidate will have previous medical office experience, preferably ophthalmic, and be proficient...Work at office
EyeCare Partners
Florida, NY2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Coding Specialist III. Be the first to apply!
Related searches
- configuration specialist Florida, NY
- localization specialist Florida, NY
- intervention specialist Florida, NY
- investigations specialist Florida, NY
- ecommerce specialist Florida, NY
- workforce management specialist Florida, NY
- community health promotion specialist Florida, NY
- title specialist Florida, NY
- infectious disease specialist Florida, NY
- credit specialist Florida, NY