With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals.
Mid Coding Specialist III, General Surgery
Location
United States
Posted
4 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Mid Coding Specialist III, General Surgery
UT Southwestern Medical Center
Role Description UT Southwestern Medical Center has a new opportunity for a Mid Coding Specialist III who will code General Surgery cases. The successful candidate will work under general supervision to perform advanced, accurate, and compliant coding of high-complexity surgical, procedural, and interventional specialties within a specialized academic medical center environment. - Exercises independent judgment in the review of encounters characterized by high documentation variability, evolving intraoperative findings, multi-procedure operative cases, complex bundling and add-on logic, advanced payer nuance and regulatory interpretation, device-intensive procedures, validation of incident-to/split-shared services, and teaching physician documentation compliance. - Ability to articulate billing related questions with physicians on staff. - Supports audit and denial escalation review and evaluates and resolves high-risk AI-assisted coding exceptions to ensure regulatory compliance, audit readiness, and optimal reimbursement. - Maintain productivity metric requirements. - Comply with coding and billing rules regulations adhered to. - Work From Home (WFH): This is a WFH position. Candidate must live within the state of Texas. - Shift: 8-hour flex shift. Qualifications - High School Diploma or GED Equivalent. - 4 years of coding and/or billing experience. Requirements - Experience coding high-complexity specialties and procedures requiring advanced bundling, modifier logic, and payer-specific rule application. - Progressive professional billing and coding experience and advanced technical proficiency. - Experience in academic medical centers, multi-specialty physician groups, or complex ambulatory environments. - Experience resolving charge review edits and back-end coding denials, including root-cause analysis and collaboration with providers and operational leaders. - Experience supporting revenue integrity initiatives, compliance auditing, clinical documentation improvement (CDI), or operational performance improvement efforts. - Experience working independently in a fast-paced, metric-driven, AI-enabled environment managing multiple work queues and shifting specialty assignments. - Licenses and Certifications: (CPC) CERT PROFESSIONAL CODER or (CCS-P) CERT CODING SPCLST PHY BA or (CMC) CERT MEDICAL CODER or (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD HEALTH INFO TECHNOLO or (CCS) CERT CODING SPECIALIST or (CPMA) Cert Prof Medical Auditor. 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.
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