Role Description This position is responsible for the timely coding of professional services based on provider documentation, ensuring that all services are in compliance with the Tulane University Medical Group (TUMG) Guidelines. - Maintain knowledge base relative to billing functions, internal and external regulations, and documentation issues. - Work independently and process large quantities of data. - Communicate clearly and professionally with providers, administrators (DBON), and TUMG staff. - Respond timely and accurately to inquiries. Company Description Tulane University is an equal opportunity educator and employer committed to providing an education and employment environment free of unlawful discrimination, harassment, and retaliation. - Legally protected demographic classifications (such as a person’s race, color, religion, age, sex, national origin, shared ancestry, disability, genetics, veteran status, or any other characteristic protected by federal, state, or local laws) are not relied upon as eligibility, selection, or participation criteria for Tulane’s employment or educational programs or activities. - Tulane University is responsible for providing reasonable accommodations to individuals with disabilities throughout the applicant screening process. If you need assistance in completing an application or during any phase of the interview process, please contact the Office of Human Resources by phone at 504-865-4748 or by email at hr@tulane.edu.

Medical Coding Specialist Remote - Florida Remote - Georgia Full time R26_0000001370 Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Summary Reviews and completes the medical coding and pricing of the Allocation Worksheets and Calculation spreadsheets prepared by the Analysts. Essential Duties and Functions - Supports the preparation and review of the Allocation worksheet. - Prices DME, facility & medical procedures and surgeries and prescription medications. - Analyze and interpret Allocation worksheet to ensure accurate coding of diagnoses, procedures and services. - Apply appropriate ICD-10-CM, CPT, and fee schedules based on coding guidelines. - Enters the appropriate medical procedure code, NDC prescription drug code and price in the Case Management System. - Strictly adhere to company confidentiality policies and procedures, safeguarding sensitive information at all times. - Any other duties as may be assigned. Qualifications/ Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. Required Qualifications - CPT, ICD-10, HCPCS coding, and a working knowledge of NDC codes – minimum 2 years of experience - Workers’ Compensation or Liability experience working with multiple jurisdictions - Working knowledge of the Medicare system, remittance and reimbursement policies - Strong knowledge of anatomy/physiology - Strong mathematics skills - Strong excel skills Preferred Qualifications - Experience coding and billing Orthopedic and Pain Management procedures and surgeries Preferred Certificates or Licenses - Certified Professional Coder and/ or Certified Professional Biller Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: - Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance - Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement - Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services - Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.

• The Consultant is seen as a senior level coding professional and provides knowledge, experience and mentorship to the team as well as other staff in the organization.

• Utilize available encoder, grouper software, and other coding resources to determine the appropriate ICD-10-CM, CPT, and/or HCPCS including specialty specific codes and Evaluation and Management (E&M) codes. • Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local Coverage Documents and National Coverage Documents (LCD/NCD) directives, Medically Unlikely Edits (MUEs), and Medicare Teaching Physician Guidelines, applying knowledge of applicable regulatory requirements and institutional guidelines to select appropriate codes and modifiers.