Role Description The Coding/CDI Denials Analyst primary responsibilities are to review coding denials for inpatient hospital medical records, for accuracy of assigned codes, and ensure all Official Coding Guidelines and conventions were followed. Also, to ensure the clinical evidence and provider documentation supports the assigned codes and DRG. - Compose and submit appeal letters as appropriate. - Identify coding trends/opportunities for root causes of denials relevant for additional education to individual Coders/CDI Specialists and/or the entire Coding/CDI Teams. - Report these trends/opportunities to the Lead Denials Analyst to ensure education is developed and provided to the Coders and/or CDI Teams. - Identify and communicate front-end activities that influence the denials/appeals process, seeking opportunities for process improvement. Qualifications - 3 to 5 years acute hospital-based Coding and/or CDI experience or an equivalent combination of education and experience may be considered. - Denials and Appeals experience in an acute Hospital setting. - Experience working in a remote environment. - Licenses and Certifications: - (RHIA) Registered Health Information Administrator - (RHIT) Registered Health Information Technician - (CCS) Certified Coding Specialist - (CCDS) Certified Clinical Documentation Specialist - (CDIP) Certified Documentation Improvement Practitioner - Preferred: RN with CDI experience. Requirements - Review coding and/or clinical denials, ensuring all coding guidelines and conventions were followed. - Ensure all clinical evidence and provider documentation supports the assigned codes and DRG. - Compose an effective appeal utilizing appropriate coding guidelines, relevant and effective clinical documentation, current industry guidelines, evidence-based medicine, and local and national medical management standards and protocols. - Identify coding and/or documentation trends for root causes of denials. - Identify and communicate DRG changes and financial impact. - Identify coding and clinical educational opportunities and report these to the Lead Denials Analyst. - Identify front-end activities that influence denial/appeals process. - Support the Quality Standards set by UTSW and the HIM Coding & CDI Department. - Maintain an expert level of knowledge of Coding/CDI guidelines and practices. - Other duties as assigned. Benefits - PPO medical plan, available day one at no cost for full-time employee-only coverage. - 100% coverage for preventive healthcare - no copay. - Paid Time Off, available day one. - Retirement Programs through the Teacher Retirement System of Texas (TRS). - Paid Parental Leave Benefit. - Wellness programs. - Tuition Reimbursement. - Public Service Loan Forgiveness (PSLF) Qualified Employer.

Role Description Bring your passion to Texas Health so we are Better + Together Work Location: Remote Work Hours: Full Time Days (8:00am-5:00pm) for 40 hrs/week (remote work allowed at manager's discretion) Department Highlights: - Gain a sense of accomplishment by contributing to a teamwork environment. - Remote Position What You Will Do: - Revenue Analysis - Facilitate and support claims processing, rebills, appeals, and follow-up with PBMs and health plans; identify appeal opportunities and manage payor communications to recover underpayments or resolve payment variances. - Monitor and report aging accounts receivable and key performance metrics (e.g., DSO, applied cash). - Support 340B revenue optimization activities by monitoring payor and accumulator impacts (where applicable), identifying claim-level variances, and collaborating with pharmacy operations and finance to resolve 340B-related reimbursement issues. - Develop reports, dashboards, and ad-hoc analysis for payment variances, denials, underpayments, and other trends to support decision-making and process improvements. - Identify trends related to denials and underpayments; collaborate with appropriate teams to implement improvement initiatives. - Payment Integrity - Analyze reimbursement from pharmacy claims to validate payment accuracy, ensure compliance with contracted rates, and reconcile claims activity with remittances to ensure payment efficacy. - Perform 340B payment integrity and audit support activities by analyzing claim-level eligibility/accumulator impacts (as applicable), researching exceptions, and preparing documentation for internal/external reviews. - Support 340B split billing and vendor processes (as applicable), including data validation, claim qualification troubleshooting, and reconciliation of replenishment/accumulation outputs. - Support maintenance of third-party payor pharmacy fee schedules, pharmacy charge masters, and contracted pharmacy payment methodologies; evaluate payor contract performance and reimbursement arrangements and support negotiations with data-driven insights. - Revenue Integrity - Provide education stakeholders to drive optimal revenue capture. - Serve as the system expert on medication-related compliance billing and charging topics. - Develop policies and/or guidelines to improve revenue integrity, charge capture, and billing compliance. - Actively research and stay current with important pharmacy billing and revenue related compliance and optimization topics to guide appropriate organizational decisions. Qualifications - Bachelor's Degree in Business, Finance, Analytics, Healthcare Administration, Accounting, or related field (Required). - Or H.S. Diploma or Equivalent with 10 Years CPhT and 10+ years of experience with pharmacy revenue cycle, retail pharmacy operations and billing, as well as 340B (Required). Requirements - 3 Years Experience in healthcare and/or pharmacy reimbursement, revenue cycle, or financial analysis; experience working with PBMs, health plans, or healthcare provider systems (Required). - Or 5 Years Pharmacy reimbursement analysis, collections, or revenue integrity experience; 340B program experience (e.g., split billing/accumulation oversight, claim qualification troubleshooting, audit support, or contract pharmacy operations) preferred. - Epic experience (Preferred). - CPhT - Certified Pharmacy Technician (Upon Hire Required). - Other ASHP Pharmacy Revenue Cycle Certificate (12 Months Required). Company Description

Role Description - UI/Interaction Design - Design wireframes, low‑fidelity mockups, and high‑fidelity UI prototypes using tools such as Figma, Sketch, or Adobe XD. - Develop design systems and reusable UI components that align with the U.S. Web Design System (USWDS). - Ensure accessibility compliance (WCAG 2.1 AA). - Create visually consistent, scalable UI layouts for API dashboards, developer portals, fraud analytics interfaces, and internal CMS tools. - Collaboration & Agile Delivery - Participate in agile ceremonies (sprint planning, grooming, demos). - Work directly with API architects and fraud analysts to visualize insights and streamline user flows. - Advocate for best practices in UX and design thinking across the team. - Communicate design rationale clearly to both technical and non‑technical stakeholders. Qualifications - Bachelor’s degree in Computer Science, Information Systems, or related field (or equivalent experience). - 2+ years of experience in UI/UX design with hands‑on UI development. - Strong understanding of Human‑Centered Design principles and demonstrated experience using them on federal or large‑scale enterprise projects. - Proficiency in Figma, Sketch, Adobe XD, or similar design tools. - Front‑end development proficiency in HTML5, CSS3, JavaScript/TypeScript. - Experience implementing USWDS. - Knowledge of accessibility standards (WCAG, Section 508). - Experience designing complex workflows (API management, analytics dashboards, identity/access management, etc.). Requirements - Experience with CMS, HHS, or federal health IT programs. - Familiarity with healthcare data (FHIR, claims data, provider enrollment). - Experience working in fraud, waste, and abuse prevention systems. - Experience with API Developer Portals, API documentation UX, or API lifecycle tools. - Understanding of design for data-rich interfaces (charts, maps, anomaly detection visualizations). - Knowledge of Agile, SAFe, Lean UX. - Implement responsive UI components using modern front‑end technologies (HTML5, CSS3, SASS, JavaScript/TypeScript). - Build front‑end functionality using frameworks such as React, Angular, or Vue, depending on project stack. - Develop reusable UI elements integrated with the design system and aligned with CMS/USWDS standards. - Collaborate with backend developers to consume APIs and present data effectively. - Optimize performance, accessibility, and security of front‑end code. Residency Requirements - Candidate must be US Citizen OR Green Card to obtain Public Trust clearance and must have lived in the United States for at least three (3) out of the last five (5) years. Benefits - The actual salary offer will carefully consider a wide range of factors, including your skills, qualifications, experience, and location. - C-HIT offers Healthcare Benefits, Remote Working Options, Paid Time Off, PTO cash-out, Training/Certification opportunities, Healthcare Savings Account & Flexible Savings Account, Paid Life Insurance, Short-term & Long-term Disability, 401K Match, Employee Assistance Program, Paid Holidays, and much more perks and Voluntary benefits! - Employees of C-HIT shall, as an enduring obligation throughout their term of employment, adhere to all information security requirements as documented in company policies and procedures.

• Consult with HR colleagues and other departments to determine HRIS needs and provide insights to leadership into how HRIS technologies can support the organization's long-term goals • Recommend forward-thinking strategies and innovative solutions for system enhancements, integrations, process improvement, customer service and user experience • Manage HR technology projects and process improvements such as system upgrades, implementations of new modules, and the integration of additional functionalities • Collaborate with various stakeholders, including HR teams, IT professionals, vendors, and end-users, to gather requirements, define project scopes, and manage expectations • Build project plans and schedules based on facts, constraints and probably consequences, executing projects on time, within budget and to defined specifications • Identify potential risks associated with HRIS projects and develop and implement strategies to mitigate disruptions including anticipating challenges related to data migration, system integrations, or user adoption • Maintain detailed documentation of project plans, milestones, and outcomes to facilitate knowledge transfer, audits, and continuous improvement • Conduct post-implementation reviews to assess the success of projects including gathering feedback, analyzing performance against objectives, and identifying areas for improvement in future projects • Monitor HRIS integrations to ensure they are functioning properly and work with team members cross-functionally to improve them • Perform system maintenance, including assisting in the review, testing, and implementation of HR information system upgrades or patches • Maintain HR information system tables and documents process and results • Provide technical support to HR staff and end-users, troubleshooting problems to ensure the smooth operation of HRIS systems • Provide production support including researching and resolving HR information system problems, unexpected results, or process flaws and recommend solutions or alternate methods to meet requirements • Generate reports/queries, including writing, maintaining, and supporting a variety of standard and custom reports or queries utilizing appropriate reporting tools • Maintain data integrity and oversee the accuracy, security and efficiency of recording and storing HR data using auditing and quality control processes • Conduct training with system and end users on new processes and functionality, including developing user procedures, guidelines, and documentation • Maintain awareness of current trends in HR technology with a focus on product and service development, delivery and support, and applying key technologies • Understand and comply with all applicable Company policies and rules