Methodist Health System

Role Description Your Job: - ODS Certification required. - We need high-performing, experienced Clinical Data Specialist that is responsible for the abstraction, analysis, investigation, reporting and follow-up for quality indicators/measures from internal and external initiatives to improve patient care, processes of care and outcomes. 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. Qualifications - Associate or Bachelor's degree, science emphasis or commensurate healthcare experience. - CPHQ or other quality certification preferred. - Current license in the State of Texas as a registered or licensed vocational nurse preferred. - 3 – 5 years clinical experience preferable in general medical/surgical nursing or patient care; or 3-5 years experience as a healthcare professional. Company Description Methodist Dallas Medical Center is one of North Texas’ best places to work. And it keeps getting better. The flagship hospital of Methodist Health System, Methodist Dallas is a 595-bed acute care teaching and referral hospital. It is home to the only adult Level I Trauma Center in southern Dallas, the first and only Certified Comprehensive Stroke Center in southern Dallas, and the newly renovated Linda and Mitch Hart Breast Center. Celebrating more than 90 years of service, we strive to have a diverse workforce that reflects the communities we serve and welcomes the skills and talents of all groups. - Magnet®-designated hospital - 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 - Level III Neonatal Intensive Care Unit - Liver, kidney, and pancreas transplantation programs

Title: AR II Specialist - Hybrid Position Location: Dallas United States Job Description: time type Full time job requisition id JR1000034386 Hours of Work : 40 Days Of Week : Monday through Friday Work Shift : Job Description : We are seeking an experienced Accounts Receivable II (AR II) Specialist specializing in Professional Billing to join our team at our Central Business Office (CBO) location. The ideal candidate will possess a strong background in A/R follow up for family and multi-specialty claims, able to identify, address, and resolve no response claims, denied claims, and correspondence. As an AR II Specialist, you will play a crucial role in optimizing revenue flow by effectively managing outstanding accounts receivable and ensuring timely reimbursement. Job Requirements: - High School Diploma required - College degree preferred - Two to four years of experience in healthcare revenue cycle management. - Proficiency in medical billing software EPIC and electronic health record (EHR) systems. - Strong knowledge of healthcare billing processes, medical terminology, CPT, ICD-10 coding, and billing regulations. - Excellent analytical skills with the ability to identify patterns, trends, and discrepancies in claims. - Effective communication and interpersonal skills, with the ability to interact professionally with internal and external stakeholders. - Detail-oriented with a focus on accuracy and thoroughness in claim analysis, documentation, and reporting. - Ability to prioritize tasks, meet deadlines, productivity goals and work efficiently in a fast-paced environment. - Certification in medical coding (e.g., CPC) or revenue cycle management (e.g., CRCR) is a plus. - Position requires 90-day probationary period to be successfully completed before being approved to work from home. WFH schedule based on business needs. Job Responsibilities: - Analyze and review outstanding claims, focusing on those with no response or denials. Identify and rectify errors, discrepancies, and missing information to resubmit claims promptly and accurately. - Investigate and address claim denials promptly. Utilize knowledge of payer policies, medical coding guidelines, and billing regulations to appeal denials and secure rightful reimbursement. - Manage all incoming correspondence related to accounts receivable, including explanation of benefits (EOBs), remittance advice (RA), and other payer communications. Take necessary actions based on correspondence received, such as claim corrections, appeals, or adjustments. - Conduct thorough follow-up on aging accounts receivable, prioritizing those with no response or denied claims. Utilize various communication channels to contact payers, patients, and other relevant parties to resolve outstanding balances and secure payment. - Stay up-to-date with changes in healthcare regulations, coding guidelines, and billing requirements. Ensure compliance with HIPAA, CMS, and other regulatory standards governing healthcare billing and reimbursement. - Collaborate closely with internal departments, including providers, coders, and billing staff, to resolve complex billing issues and streamline revenue cycle processes. Communicate effectively with external stakeholders, such as payers and patients, to facilitate resolution of outstanding accounts receivable. - 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 Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: - Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers - 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 Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: - Great Place to Work Certified 2026-2027 - Glassdoor’s Best Places to Work 2025 & 2026 - Glassdoor’s Best Places to Work in Healthcare, Biotech & Pharma 2026 - TIME’s Best Companies for Future Leaders 2025 & 2026 - Newsweek’s America’s Most Admired Workplaces 2026 - Glassdoor’s Best-Led Companies 2025 - Fortune Best Workplaces in Health Care 2025 - Military Friendly Gold Employer 2025 - Becker’s Hospital Review 150 Top Places to Work in Healthcare 2025 - Newsweek’s Americas Greatest Workplaces 2025

Hours of Work : 7:00-3:30Days Of Week : M-FWork Shift : Job Description : Your Job: The ability to work all facets of an accounts receivable management system including but not limited to billing, claim corrections, reconciliation, payment posting, refunds/credit balances, customer service, and follow-up in accordance with Departmental protocol with an emphasis on maximizing patient satisfaction and profitability. Also depending upon assigned role may be responsible for reviewing claim information to ensure accuracy and provide feedback to the clinical and non-clinical areas regarding claim errors and/or denials, and for providing cross coverage for areas not primarily assigned as required to ensure efficient and professional operations and maximum patient satisfaction. Your Job Requirements: • Associate Degree or High School Diploma with (4) four years as an Account Receivable analyst in a Hospital setting. • Professional Certification through AAHAM, HFMA, or EPIC preferred. • Thorough knowledge of and demonstrated proficiency in Microsoft Excel, & other MS software and computerized patient accounting applications. • Experience in medical terminology required. 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 Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: - Great Place to Work Certified 2026-2027 - Glassdoor’s Best Places to Work 2025 & 2026 - Glassdoor’s Best Places to Work in Healthcare, Biotech & Pharma 2026 - TIME’s Best Companies for Future Leaders 2025 & 2026 - Newsweek’s America’s Most Admired Workplaces 2026 - Glassdoor’s Best-Led Companies 2025 - Fortune Best Workplaces in Health Care 2025 - Military Friendly Gold Employer 2025 - Becker’s Hospital Review 150 Top Places to Work in Healthcare 2025 - Newsweek’s Americas Greatest Workplaces 2025

Hours of Work : 8a-430pDays Of Week : M-FWork Shift : Job Description : Location: Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job Relationships: Reports to Coding Manager Certification Requirements: Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; COBGC preferred Skills, Credentials, Professional Qualifications High school diploma or equivalent; Associate degree is an asset A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies Independently disciplined in time management and productivity Experience in electronic medical record software, preferably Epic Microsoft Office proficient Ability to communicate written and oral coding information to healthcare professionals Job Summary: Responsible for the review of medical record documentation for accurate and compliant assignment of CPT®, HCPCS and ICD-10 codes for professional services. Engages in research and educational opportunities with the MMG healthcare provider community to advance the accuracy and payment of professional services. Primary Responsibilities: Will primarily review charges for Maternal Fetal Medicine and OB/GYN clinic Read and interpret medical record documentation in support of surgical procedures, office encounters, diagnostic and pathological services and assign accurate and complete CPT®, HCPCS and ICD-10 codes, as well as modifiers and units to the source document for claim submission. The coder will be responsive to provider questions by performing the necessary research into coding inquiries and follow through with written communication to educate the provider in correct coding and documentation. The coder will be assigned specialty specific work queue(s) to include Trauma, Orthopedics, GI/Bariatrics, Transplant, Cardiology, ENT, Radiation Oncology, or General Surgery. Charge Review work queues containing CPT®, HCPCS and ICD-10 codes from current patient encounters will be assigned for the coder’s pre-claim review. This work queues contain charges that require a coder’s astute and detailed review to determine accuracy of assigned codes, missing codes, the need for modifiers and other coding-related deficiencies. Will be responsible for specialty specific claim edit work queues to review and correct edits for timely submission to the payer. Participates in education programs and monthly department meetings. Maintains 90% or higher coding accuracy. Maintains department required production. Other duties as assigned. - #LI-NP1 Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 92 MMG ambulatory 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: - Newsweek’s America’s Most Admired Workplaces 2026 - Glassdoor’s Best-Led Companies 2025 - Fortune’s Best Workplaces in Health Care 2025 - Great Place to Work Certified 2026-2026 - Glassdoor’s Best Places to Work 2025 - TIME’s Best Companies for Future Leaders 2025 - Military Friendly – Gold Employer 2025 - Newsweek’s America’s Greatest Workplaces for Mental Well-Being 2025 - Becker’s Healthcare Top Places to Work in Healthcare 2025 - Newsweek’s Greatest Workplaces 2025