A Brief Overview Responsible for accurately and timely coding of moderate to complex community or tertiary inpatient encounters independently following established coding, CMS regulations and hospital guidelines. Accurately codes diagnostic and procedural information following official coding guidelines, facility specific guidelines and federal regulations. What You Will Do - Reviews moderate to complex medical records to identify sequence, code diagnoses and procedures according to established coding, CMS and hospital guidelines in order to accurately code inpatient encounters. - Coding Technical Skills- ICD-10-CM, ICD-10-PCS, MS-DRG's, APR-DRG's, ROM, SOI, and POA Assignment. Understanding of CC/MCC's, HCC's, HAC's, PSI's, and impacts on quality reporting. - Collaborates with and supports the Clinical Documentation Integrity Team. Follows Facility query policy and DRG Reconciliation process. - Maintains or exceeds productivity and quality rate according to established standards. - Works within UH Billing time frames. - Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars. Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department. Maintains up to date credentials. - Utilizes critical thinking/problem solving processes. - Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). - Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail. - Consistently follow coding guidelines and uses coding references to accurately select the appropriate principle diagnosis, secondary diagnosis(s) and procedure(s). - Demonstrates proficiency in reviewing moderate to complex cases. - Demonstrates effective time management skills by completing assignments within time constraints and calendar schedule. Additional Responsibilities - Participates in educational and informational activities as required. - Performs other duties as assigned. - Complies with all policies and standards. - For specific duties and responsibilities, refer to documentation provided by the department during orientation. - Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace. Education - Associate's Degree preferably in HIM (Required) - Bachelor's Degree (Preferred) Work Experience - 2+ years ICD-10 CM and ICD-10-PCS coding experience (Required) Knowledge, Skills, & Abilities - Medical terminology, anatomy/physiology, pathophysiology and pharmacology knowledge (Required proficiency) - Individual must be detail-oriented and organized, with good analytic and problem solving ability. (Required proficiency) - Self-motivated with ability to function independently and as a team player in a fast-paced environment. (Required proficiency) - Must have strong written and verbal communication skills. (Required proficiency) - Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). Must be able to proficiently work within with multiple systems. (Required proficiency) Licenses and Certifications - Certified Professional Coder (CPC) (Required) or - Certified Coding Specialist (CCS) (Required) or - Registered Health Information Technologist (RHIT) (Required) or - Registered Health Information Administration (RHIA) (Required) or - Certified Inpatient Coder (CIC) (Required) Physical Demands - Standing Occasionally - Walking Occasionally - Sitting Constantly - Lifting Rarely up to 20 lbs - Carrying Rarely up to 20 lbs - Pushing Rarely up to 20 lbs - Pulling Rarely up to 20 lbs - Climbing Rarely up to 20 lbs - Balancing Rarely - Stooping Rarely - Kneeling Rarely - Crouching Rarely - Crawling Rarely - Reaching Rarely - Handling Occasionally - Grasping Occasionally - Feeling Rarely - Talking Constantly - Hearing Constantly - Repetitive Motions Frequently - Eye/Hand/Foot Coordination Frequently Travel Requirements - 10%25

Now Hiring: Remote Medical Records Specialist Join a leading nationwide revenue cycle organization through TEKsystems! Are you detail-oriented, tech-savvy, and passionate about healthcare operations? We’re looking for a Client Coordinator/Medical Records Specialist to support medical data workflows and ensure accurate, timely case processing through CMS portals. 📝 Key Responsibilities - Navigate CMS portals to process and enter case data into internal systems. - Review medical records for eligibility and completeness. - Upload and organize documentation from external client sites into internal databases. - Ensure all medical record components are accurate and complete before routing to clinical reviewers. - Support insurance claim decisions by preparing records for clinical insight and review. - Respond promptly to client inquiries via email regarding case status, documentation, and general information. - Maintain compliance with regulatory and company standards while delivering exceptional customer service. 🕒 Schedule - Monday–Friday | 8:00am-4:30pm CST - 100% Remote – Must have reliable internet and a private, distraction-free workspace - needs to be HIPPA compliant ✅ Qualifications - Minimum 2 year of experience in medical records or medical claims - Strong attention to detail and organizational skills. - High school diploma or equivalent required. - Comfortable working independently in a remote environment **Applicants may NOT reside in the following locations due to employment laws: AZ, CA, CO, CT, Wash. DC, HI, ME, NJ, NY, RI, WA, Chicago Job Type & LocationThis is a Contract position based out of Dallas, TX. Pay and BenefitsThe pay range for this position is $15.00 - $15.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace TypeThis is a fully remote position. Application DeadlineThis position is anticipated to close on Mar 31, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Company Overview At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth. Be part of a team that makes a real difference. Job Description This is a full-time, field position, remote when not traveling locally. The candidate must be located in the Charlotte, North Carolina area due to regular local travel for in-person patient appointments. Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including laptop and desktop monitor, mileage and travel reimbursement, Employee Assistance and Referral Program, and hands-on workers’ compensation case management training. Join our compassionate team and help make a positive difference in an injured person’s life. As a Field Case Manager, you will work closely with treating physicians/providers, employers, customers, legal representatives, and the injured/disabled person to create and implement a treatment plan that returns the injured/disabled person back to work appropriately, ensure appropriate and cost-effective healthcare services, achievement of maximum medical recovery and return to an optimal level of work and functioning. In this role, you will: - Demonstrate knowledge, skills, and competency in the application of case management standards of practice. - Use advanced knowledge of types of injury, medications, comorbidities, treatment options, treatment alternatives, and knowledge of job duties to advise on a treatment plan. - Interview disabled persons to assess overall recovery, including whether injuries or conditions are occupational or non-occupational. - Collaborate with treating physicians/providers and utilize available resources to help create and implement treatment plans tailored to an individual patient. - Work with employers and physicians to modify job duties where practical to facilitate early return to work. - Evaluate and modify case goals based on injured/disabled person’s improvement and treatment effectiveness. - Independently manage workload, including prioritizing cases and deciding how best to manage cases effectively. - Complete other duties, such as attend injured worker’s appointments when appropriate, prepare status updates for submittal to customers, and other duties as assigned. Qualifications - Education: Associates Degree or Bachelor’s Degree in Nursing or related field. - Experience: 2+ years clinical practice preferred. Workers’ compensation-related experience preferred. - Skills: Ability to advocate recommendations effectively with physicians/providers, employers, and customers. Ability to work independently. Knowledge of basic computer skills including Excel, Word, and Outlook Email. Proficient grammar, sentence structure, and written communication skills. - Certifications, Licenses, Registrations: - Active Registered Nurse (RN) license required. Must be in good standing. - URAC-recognized certification in case management (CCM, CDMS, CRC, CRRN or COHN, COHN-S, RN-BC, ACM, CMAC, CMC). - Travel: Must have reliable transportation and be able to travel to and attend in-person appointments with injured workers in assigned geography. - Internet: Must have reliable internet. Benefits We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $71,000 - $75,000 annually. In addition to the base salary, you will be eligible to participate in our productivity-based bonus program. Your total compensation, including base pay and potential bonus, will be based on a number of factors including skills, experience, education, and performance metrics. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. #LI-VH1 #FCM Registered Nurse (RN), Nursing, Home Care Registered Nurse, Emergency Room Registered Nurse, Clinical Nurse, Nurse Case Manager, Field Case Manager, Medical Nurse Case Manager, Workers’ Compensation Nurse Case Manager, Critical Care Registered Nurse, Advanced Practice Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM, Certified Case Manager, CDMS, Certified Disability Management Specialist, CRC, Certified Rehab Certificate, CRRN, Certified Rehab Registered Nurse, COHN, Certified Occupational Health Nurse, CMC, Cardiac Medicine Certification, CMAC, Case Management Administrator Certification, ACM, Accredited Case Manager, MSW, Masters in Social Work, URAC, Vocational Case Manager

About Abby Care Making family care possible. At Abby Care, we are tackling one of the most important and unsolved challenges of our time: family caregiving. Over 50 million Americans are family caregivers for loved ones without pay, tools, or support. Our mission is clear and ambitious: to train and employ family caregivers so they can get paid for the care they already provide at home. Abby Care is building a tech-powered, family-first care platform to efficiently deliver care, improve health outcomes, and provide the best-in-class experience nationwide. We are rapidly expanding our mission and looking for passionate team members to join. Abby Care has partnered with leading insurance plans, healthcare providers, and community organizations. We’re supported by top, mission-driven VCs to empower families throughout the country. The Role The Medical Claims Payment Posting, Reconciliation & Reporting Specialist is responsible for accurately posting insurance payments, reconciling daily deposits, resolving payment discrepancies, and generating financial and operational reports. This role ensures the integrity of revenue cycle processes and supports the organization’s financial performance through precise payment management and analysis. Key Responsibilities: - Accurately post insurance claim payments, adjustments, and denials into the practice management or billing system. - Review and interpret Explanation of Benefits (EOBs), Electronic Remittance Advices (ERAs), and correspondence from payers. - Apply correct contractual adjustments and identify underpayments, overpayments, or missing payments. - Perform daily reconciliation of posted payments against bank statements and deposits. - Investigate discrepancies between posted amounts and actual payments; escalate unresolved variances as needed. - Maintain accurate logs of deposits, remittances, and reconciliation summaries. - Conduct monthly reconciliation for internal financial reporting requirements. - Process payment batches and reconcile payment uploads to bank deposits. - Identify claim denials, partial payments, or payer inconsistencies. - Communicate with billing team members or payers to resolve payment issues. - Track recurring denial trends and recommend corrective actions to improve clean-claim rates. - Produce daily, weekly, and monthly payment and reconciliation reports. - Generate operational reports such as payment trends, payer performance, denial summaries, and accounts receivable insights. - Provide analysis supporting month-end closing and financial reviews. - Assist leadership with customized reporting requests. - Ensure compliance with HIPAA, payer guidelines, and internal financial protocols. - Maintain accurate and organized documentation of payments, remittances, and reconciliation records. - Support audit requests by supplying detailed payment and reporting documentation. The Requirements: - High school diploma or equivalent; associate degree or business/healthcare coursework preferred. - 3-5 years of experience in medical billing, payment posting, or healthcare revenue cycle operations. - Proven experience working with EOBs, ERAs, CPT/ICD-10 codes, and insurance payer processes. - Strong experience in payment reconciliation and financial reporting. - Proficiency with billing systems (e.g., Epic, Athena, NextGen, eClinicalWorks, Kareo, etc.) and Excel/Google Sheets. (CollaborateMD experience is highly preferred). - Hands-on experience navigating multiple insurance portals. - Prior experience managing or supervising a team. - Background in accounting or finance is a strong plus. - Strong proficiency in billing platforms and revenue cycle systems. - Experience with Excel or Google Sheets for reporting and reconciliation. - Comfortable learning and working within multiple healthcare technology platforms. Our Values - Families First Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?” - Urgency with Precision Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand. - Relentlessly Resourceful As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity. - Purpose with Positivity We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve. - Driven to Redefine What’s Possible We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care. Benefits: - Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – full-time employees are eligible for an annual company performance bonus. - Comprehensive health coverage that works for you. We cover 90% of your premiums and 70% for your dependents, with multiple PPO plan options to choose from for medical, vision, dental, life, and short-term disability. - Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays. - Team bonding. We love bringing our teams together. As a full-time employee, you’ll get to connect, collaborate, and have fun through team activities and our annual company retreat. - Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered). - Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows. We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.