• Accurately assign ICD-10-CM, CPT, and HCPCS codes for Behavioral Health and SUD services across inpatient and outpatient settings. • Review clinical documentation to ensure coding accuracy, completeness, and compliance with federal and state regulations. • Apply coding guidelines specific to mental health and substance use treatment, including outpatient behavioral health and inpatient consult services. • Identify documentation gaps and work collaboratively with providers and clinical staff to improve coding quality and documentation standards. • Ensure coding supports medical necessity and payer requirements. • Stay current with coding updates, payer policies, and regulatory changes related to Behavioral Health and SUD services. • Assist with coding audits, respond to audit findings, and implement corrective actions as needed. • Maintain productivity and accuracy benchmarks as defined by the organization. • Support billing and revenue cycle teams by resolving coding-related denials or questions.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As a part of our Coding Quality team, our coding editors play an integral role in reviewing coding quality alerts and/or billing edits for hospital, outpatient, and ambulatory encounters. This team will also review coding denials and evaluate areas of improvement throughout the revenue cycle process. - Verifying accuracy of assigned CPT codes for complex and/or error-prone procedures. - Verifying diagnosis coding accuracy for complex and/or error-prone encounters. - Reviewing charge and procedure mismatches. - Reviewing codes with revenue integrity edits for NCD/LCD coverage. - Reviewing invalid codes, code conflicts, and missing modifiers. - Working with other teams in billing, revenue integrity, coding operations, coding compliance, and other revenue cycle counterparts. - Combining codes for payment window encounters. - Assisting with resolution of accounts with HIM/Coding unbilled hold reasons preventing final billing. - Validating certain discharge dispositions. - Assigning appropriate diagnosis and procedure codes for inpatient and/or outpatient episodes of care. - Assisting other coders by training and advising on coding and abstracting. - Assisting in resolving billing edits that are holding patient claims from billing. - Identifying ways to improve work processes and improve customer satisfaction. - Serving as a liaison between management, coders, physicians, nurses, medical staff, Patient Financial Services, and hospital employees. - Maintaining a positive working relationship to ensure that medical record information is documented and coded according to established conventions. - Assisting in the identification and reporting of potential quality issues. - Ensuring unbilled items are addressed properly and timely. - Identifying and reviewing charging, coding, and clinical documentation issues. Qualifications - Must have successfully completed an approved coding program OR be a graduate of a Health Information Management program. - Must have five years of coding experience in an acute care hospital environment. - May have an equivalent combination of education and experience in lieu of specific education and/or experience as stated above. - Must be certified through the American Health Information Management Association or the American Association of Procedural Coders. Requirements - Must be able to demonstrate advanced knowledge of coding and abstracting skills. - Applicants must pass applicable coding test with an 85% or above prior to placement into position. - Must be able to demonstrate knowledge of reimbursement (Medicare and Medicaid) principles. - Must have extensive knowledge of medical terminology, the human disease process, anatomy, and physiology. - Must be able to demonstrate good organizational and leadership skills. - Must be able to communicate effectively, both orally and in writing. - Must be able to demonstrate knowledge of computer software applications including MS Office. Benefits - This position is 100% Virtual. - Virtual employees must comply with all Parkland policies and procedures governing the use of Parkland information resources. - Virtual employees must maintain all equipment lent by Parkland for performing the agreed-upon job duties in good working condition.

• Make accurate ICD-10-CM code assignments. • Review OASIS (Outcome and Assessment Information Set) and assign accurate codes supported by the documentation. • Identify viable primary diagnosis and procedures as well as pertinent secondary diagnosis and procedures. • Adhere to coding compliance regulations and internal policies to ensure accurate billing for our client agencies. • Review, interpret, and recommend a plan of care corrections as needed. • Perform other job duties as assigned.

About the role As a Document Specialist, you play a pivotal role in our Operations Fulfillment team, ensuring that legal documents are accurately reviewed, dispatched, and fulfilled by our national network of contracted professional process servers, investigators, and court messengers.  In your capacity as a Document Specialist, your responsibilities encompass overseeing job orders from a diverse customer base, including law firms and legal professionals across the U.S. You'll manage these orders from initiation to completion, which includes thoroughly reviewing inbound orders for accuracy, assigning tasks to appropriate servers/contractors to meet service legal agreements, addressing inquiries from both customers and contractors, resolving issues during the filing, delivery, and/or service of jobs, preparing legal affidavits such as proofs of service for signature and court submission, and ensuring timely order completion for job fulfillment, invoicing, and customer satisfaction.  This is an hourly, non-exempt role with a range of $19.35 an hour to $24.18. Responsibilities Order Inventory Management  - Oversee and manage a comprehensive inventory of orders, ensuring their accurate and timely completion - Ensure rush/urgent orders receive special attention as soon as possible.  - Communicate with customers and contractors directly as required to resolve order issues, obtain new instructions, and answer questions - Apply your technical skills and training to achieve productivity goals and share metrics with leadership - Utilize your knowledge of process serving rules and regulations to anticipate potential order-related issues. Proactively offer solutions before issues escalate.  Legal Document Management  - Leverage your experience with legal documentation to review legal documents for accuracy, completeness, and adherence to established standards - Draft, create, and accurately complete legal forms required for specific jurisdictions or service of process rules and scenarios, ensuring all details comply with legal standards.  - Collaborate with customers to clarify and interpret special instructions, ensuring they are effectively communicated to the contractors - Stay up-to-date with the latest filing and service process requirements across multiple jurisdictions, guaranteeing compliance and accuracy Customer and Contractor support  - Act as a key point of contact for escalated customer concerns, addressing them promptly and professionally  - Use your expert knowledge of legal rules/requirements to ensure documents are accurate and complete, reaching out to customers with details when corrections are required - Provide dedicated support to contractors, addressing queries and guiding them through complex scenarios using your legal acumen - Document all interactions and communications, ensuring records are detailed, clear, and accessible for future reference