Overview This position offers flexibility with remote work and is authorized within approved states only (FL, GA, MO, PA, SC, NC, TN, or TX). Reviews and analyzes medical records to assign accurate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards, including ICD, CPT, and HCPCS, and supports the billing process by providing precise coding for claims submission. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement. Responsibilities Key Responsibilities: • Reviews and analyzes medical records to assign accurate diagnostic and procedural codes• Ensures compliance with coding guidelines and organizational policies• Collaborates with healthcare providers to clarify documentation and resolve discrepancies• Maintains the integrity of coded data for billing and reporting purposes• Supports the billing process by providing accurate coded information for claims submission• Conducts audits and monitors productivity and quality metrics to drive performance improvement• Assists in training staff on coding procedures and updates Qualifications Education: - High School Diploma – Required Certification / Licensure: - Certified Professional Coder (CPC) – Required at time of hire - Please note: CPA-A does not meet the certification requirements for this role. • 3+ years of experience in medical coding or health information management • Knowledge of ICD-10-CM, CPT, and HCPCS coding standards • Experience reviewing medical records and assigning accurate codes • Strong attention to detail with a focus on compliance and regulatory requirements • Ability to collaborate with healthcare providers to clarify documentation and resolve discrepancies

Coding Educator Location:Remote, Florida Remote Job:Remote Job: Yes widget:Full time Category:Clinical Support CenterWell Senior Primary Care Job ID:R-407558 Description Become a part of our caring community and help us put health first The Coding Educator identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. The Coding Educator work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. As a Coding Educator you will identify opportunities to improve provider documentation and create an education plan tailored to each assigned provider. Job Functions - Satisfies training and development needs by researching, designing, and learning training programs. - Presents training and development programs by identifying learning objectives, selecting instructional methodologies. - Reinforces learning by selecting and utilizing training media. - Evaluates training and development effectiveness by assessing application of learning to job performance, recommending future training and development programs. - Counsel individual managers and employees by identifying learning requirements; designing an individual training or development program; coaching to improve performance. - Prepares training and resource manuals by identifying purpose, assembling, and composing information. - Maintains knowledge of instructional technologies by attending workshops; reviewing professional publications; establishing personal networks; participating in professional societies. - Contributes to team effort by accomplishing related results as needed. **PLEASE MAKE SURE YOU ATTACH A RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT)** Use your skills to make an impact Required Qualifications - Candidates must reside within the state of Florida to be eligible for this remote role. - A minimum of two years of medical coding experience - AAPC or AHIMA Coding Certification - Ability to guide business and leadership in process improvement - Comprehensive knowledge of MS Word, Excel and PowerPoint - Ability to problem solve complex issues - Must be a motivated and able to work independently - Must be able to communicate professionally and remain organized - Medical record review knowledge - Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications - Bachelor's Degree - 1+ years facilitation or training experience Additional Information - Hours: 8-5 / M-F (CST or ET) - Remote Role - Must be able to travel for in person training in markets (Florida , Virginia, Indiana, and/or Kentucky); majority of the training will take place virtually. <20% travel annually. This role is considered patient-facing and is part of the company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Interview Format: HireVue: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. WAH Internet Statement: To ensure Home or Hybrid Home/Office employees&rsquo; ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Benefits: Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security&mdash;both today and in the future, including: - Health benefits effective day 1 - Paid time off, holidays, volunteer time and jury duty pay - Recognition pay - 401(k) retirement savings plan with employer match - Tuition assistance - Scholarships for eligible dependents - Parental and caregiver leave - Employee charity matching program - Network Resource Groups (NRGs) - Career development opportunities #LI-BL1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $59,300 - $80,900 per year

Employment Type: Full timeShift: Day Shift Description: POSITION PURPOSE Work Remote Position (Pay Range: $19.2123-$28.8184) Performs the day-to-day billing and follow-up activities within the revenue operations for an assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts. Provides training and guidance to lower level colleagues and provide problem resolution as needed. This position reports directly to a Supervisor Billing & Follow-Up. ESSENTIAL FUNCTIONS Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions Performs daily activities as part of the billing and follow-up team in support of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates issues affecting accurate billing and follow-up activities. Adheres to proactive practices which includes contacting the payer directly for payment due on accounts and reviewing and responding to all mail correspondence in a timely and accurate manner. Communicates with appropriate hospital departments to clarify billing discrepancies, and obtain demographic, clinical, financial, and insurance information. Performs all follow-up functions which includes the investigation of overpayments, underpayments, credit balances and payment delays. Tasks will be routed to the correct workflows with the objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and accurate manner. Researches claim rejections, make corrections, take corrective actions, and/or refer claims to appropriate colleagues to ensure timely and accurate claim resolution. Proactively follow up on delayed payments by contacting patients and third-party payers and determining the cause for delay and supplying additional data as required. May prepare special reports as directed by the Supervisor Billing and Follow-Up to document follow-up services, e.g., number of claims and dollars billed, claims edited, claims unprocessed, etc. Assists in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as new systems, processes or payers are created. Provides problem resolution to billing and follow-up issues as needed. Other duties as needed and assigned by the supervisor. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Integrity and Compliance Program and Code of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. MINIMUM QUALIFICATIONS High school diploma or Associate's degree in Accounting or Business Administration or related field, and a minimum of three (3) or more years' of direct experience and relevant knowledge of revenue cycle functions and systems working within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel. Completion of regulatory/mandatory certifications and skills validation competencies preferred. Excellent verbal and written communication and organizational abilities. Strong interpersonal skills are necessary in dealing with internal and external customers. Accuracy, attention to detail and time management skills. Ability to work independently. Ability performs billing and follow-up activities in a prompt and accurate manner in order to reduce potential financial loss to the patient and the Ministry Organization. Must be comfortable operating in a collaborative, shared leadership environment. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health. PHYSICAL AND MENTAL REQUIREMENTS AND WORKING CONDITIONS This position operates in a typical office environment. The area is well lit, temperature controlled and free from hazards. Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues. Manual dexterity is needed in order to operate a keyboard. Hearing is needed for extensive telephone and in person communication. The incumbent is subject to eyestrain due to the many hours spent looking at a CRT screen. The noise level is low to moderate. Must be able to set and organize own work priorities and adapt to them as they change frequently. Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles. Must possess the ability to comply with Trinity Health policies and procedures. The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification. They are not to be construed as an exhaustive list of duties so assigned Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

About Us Welcome to Hudson Regional Health Technology Transforming Care Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. Together, these hospitals form a single, integrated system with a shared vision—to deliver modern, patient-first care supported by innovation. From robotic-assisted surgery and AI-powered diagnostics to real-time monitoring and precision neurosurgery, HRH is redefining what’s possible in community healthcare. Patients across the region now have access to state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care first. Our Services We focus on the care our patients need most, delivered with precision, innovation, and a commitment to excellence. - Advanced Emergency Services - 24/7 emergency departments across all four hospitals - Robotic-Assisted Surgery - featuring the Da Vinci XI and ExcelsiusGPS systems - Neurosurgery & Spine Care - including Stealth Navigation and precision-guided treatment - Women’s Health & Maternity -comprehensive services tailored for every stage - Imaging & Diagnostics - AI-enhanced systems for faster, more accurate results - Outpatient & Specialty Care - coordinated care across multiple disciplines Our Hospitals Explore our hospitals and discover care that’s high-tech, high-touch, and close to home: - Secaucus University Hospital, Flagship campus featuring the Robotic Surgery Institute and modernized emergency care. - Bayonne University Hospital, A full-service community hospital offering personalized acute care. - Hoboken University Hospital, A local leader in women’s health, family medicine, and outpatient services. - The Heights University Hospital (Jersey City), Expanding access to state-of-the-art care in the heart of Jersey City. What You'll Be Doing Remote Senior Inpatient Coder Specialist is the coding and reimbursement expert for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex inpatient acute care discharges. This person possesses a strong foundation in coding conventions, instructions, Official Guidelines for Coding and Reporting, and Coding Clinics. - Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. - Thoroughly reviews the provider notes within the health record and clinical documentation. - Efficiently review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features. - Review Discharge Planning and nursing documentation to validate and correct when necessary. - Collaborate with CDI on discharges regarding the final MS or APR DRG and comorbidity diagnoses. - Educates CDI on regulatory guidelines, Coding Clinics, and conventions to report appropriate ICD-10-CM diagnoses. - Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine the Principal Diagnosis, secondary diagnoses, and procedures. - Meets established coding productivity and quality standards. What We're Looking For - 3+ years of inpatient coding experience. - RHIA, RHIT or CCS credential required - Ability to work from home with hard-wired internet and designated office space Fully remote7:30 am - 4:00 pm / 8:00 am - 4:30 pm What We Offer What We Offer - Competitive compensation based on experience and qualifications: When determining the compensation, several factors may be considered including, years of relevant experience, credentials, union contracts, education, and internal equity. - Comprehensive health, dental, and vision insurance - 401K, Retirement savings plan with employer contribution - Generous Paid Time Off (PTO) and paid holidays - Tuition Reimbursement - Opportunities for professional growth, development, and continuing education - Employee wellness programs and resources Influenza Vaccinations are a requirement for employment. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date, during the influenza season, if you are offered employment, unless you request and receive an approved medical exemption. We are an Equal Opportunity Employer encouraging diversity in the workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, gender, age, religion, disability, sexual orientation, veteran status, marital status, or any other characteristic protected by law.