• Handle complex account follow-up, denials, and claims resolution • Review, resubmit, and follow up on complex insurance claims • Perform detailed account research and update account information accurately • Resolve denials and ensure adherence to payer contract requirements • Maintain work queues and ensure timely resolution of accounts • Provide support to teammates and cross-train in additional revenue cycle functions • Demonstrate strong documentation, analytics, professionalism, and customer service

Role Description Responsible for reviewing and abstracting inpatient medical records, as well as identifying and assigning accurate medical codes for diagnosis, procedures, and services in an inpatient setting. The Coding Specialist ensures that all data elements required for federal or state reporting and billing are collected and included in the patient’s demographic record. Typically reports to the Coding Manager. Qualifications - High School Diploma or GED required; Associates degree in Health Information Management or any Healthcare Related Field preferred. - Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required. - Five (5) years of inpatient hospital coding experience required. - Experience coding in a level 1 trauma facility/academic teaching facility strongly preferred. - Effective oral and written communication skills. - Strong knowledge of ICD-10-CM and PCS coding. - Analytical skills necessary to interpret data contained in the health records and to assign appropriate codes. - Strong knowledge of human anatomy, physiology, medical terminology, and surgical terminology. - Critical thinking, good judgment, and decision-making skills. - Knowledge of coding compliance policies, official coding guidelines, regulatory requirements, and internal policies and procedures affecting the coding process. - Proficient in navigating a Windows-based application environment. Requirements - Reviews medical record documentation to identify pertinent diagnosis/procedures that require code assignment for inpatient records and accurately code the diagnoses and procedures using ICD-10 coding conventions for the purpose of reimbursement, research, and compliance with federal regulations. - Reviews the medical record to assure specificity of diagnoses, procedures, and appropriate reimbursement for hospital and professional charges. - Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. - Keeps abreast of coding guidelines and reimbursement reporting guidelines and brings identified concerns to manager for resolution. - Effectively assigns ICD-10 codes and DRGs to inpatient records. - Responsible for maintaining 92% to 95% in ICD-10 and DRG assignment and consistently meet established productivity standards while keeping abstracting errors to a minimum. - Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. - Ensures safe care to patients, staff, and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity, and quality of service. - Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff. - Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized, and efficient experiences to patients and colleagues. - Other duties as assigned.

Role Description This full-time remote position is responsible for accurately correcting coding-related denials for billing in Epic, including writing appeal letters when appropriate. The right candidate will bring strong technical coding knowledge, a solutions-oriented mindset, and the ability to work independently while maintaining high accuracy standards. - Accurately correct coding-related denials for billing in Epic, including writing appeal letters when appropriate. No phone calls to payers required. - Ensure timely correction and completion of patient accounts to meet established department standards and goals. - Maintain 95% accuracy or greater in accordance with department standards. - Apply advanced knowledge of medical coding rules and regulations, including compliance, payer policy, CMS regulation, and CCI. - Attend meetings as required. - Work independently in a remote environment with excellent written and verbal communication skills. - Contribute positively to team culture by being willing to assist wherever needed. Qualifications - High School Diploma or equivalent. - Completion of formal coursework in medical terminology, disease processes, anatomy and physiology, and medical coding and regulatory compliance. - Required: Coding certification through AHIMA (RHIA, RHIT, CCS, CCS-P, CCA) or AAPC (CPC, COC, CEMC). Requirements - Strong technical coding knowledge. - Solutions-oriented mindset. - Ability to work independently while maintaining high accuracy standards. Benefits - Supportive Environment: Join a team that values collaboration and provides an atmosphere where your contributions are recognized. - Growth Opportunities: Access to all areas of revenue cycle management with opportunities for professional development. - Competitive Compensation: Attractive salary and benefits package. - Flexibility: Remote work with flexible scheduling. - Career Stability: Be part of a stable, growing organization with a 45-year track record and a strong future.

Role Description Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. - Shift: First Shift (United States of America) - Shift Details: M-F, Flexible start times between 5am - 9am Review documentation for professional charges involving ancillary, E/M, and/or bedside/clinical procedures as well as surgery and/or anesthesia. - Review accuracy of diagnosis and procedure codes within charge review, edit, error and/or follow up on work queues and folders within computer aided coding software. - Correct diagnosis and procedure codes when necessary to ensure accurate clinical information and reimbursement for the organization. - Utilize encoder, and/or computer aided coding software to analyze coding and coding edits to facilitate complete and compliant coding. - Complete work queues in electronic health record and/or computer aided system to resolve CCI, OCE, LCD and NCD edits proactively to facilitate effective, efficient Revenue Cycle processes. - Communicate with ambulatory areas of the organization to include providers, clinic managers, and administrators to facilitate provider education and revenue integrity. Qualifications - High school education or equivalent required. - Complete accredited course work for coding certificate with current credentialing as Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), or Certified Inpatient Coder (CIC) or completion of an American Health Information Management Association (AHIMA) accredited Health Information Management (HIM) program with current credentialing as a Registered Health Information Administrator (RHIA) OR Registered Health Information Technician (RHIT) required. - Minimum of two years post-secondary education with coursework in business, medical assistant program or nursing assistant program OR equivalent combination of education/experience in coding (one year of education equals one year of experience) required. Preferred Qualifications - Experience coding in an acute care facility preferred. - Completion of an AHIMA accredited HIM Program with current credentialing as an RHIT, CPC or CCS preferred. - Knowledge of state and federal rules and regulations pertaining to healthcare coding preferred. Benefits - Competitive Benefits including retirement match contribution, PTO accrual, tuition reimbursement. Company Description - Lead the world in transforming lives to create a healthy future for all individuals and communities through premier educational programs, innovative research and extraordinary patient care. - Forbes Magazine recognizes us in their list of America’s top employers and the best employer in Nebraska.