Role Description Are you looking for a rewarding career with a top-notch healthcare company? We are looking for a qualified Coder III like you to join our Texas Health Family. Work location: Remote Work hours: Monday through Friday from 8:00 to 4:30 pm (may have some flexibility after training/orientation) HIMS Coding Department Highlights: - 100% remote work - Flexible hours/scheduling - Terrific work/life balance Qualifications - H.S. Diploma or Equivalent (REQUIRED) - Completion or training in ICD-10-CM/PCS coding program (REQUIRED) - Associate's Degree in Health Information Management, Nursing, or other healthcare-related field (preferred) - Bachelor's Degree in Health Information Management, Nursing, or other healthcare-related field (preferred) Requirements - 3 Years Inpatient coding experience in a large, complex acute healthcare setting (REQUIRED) - CCS - Certified Coding Specialist Upon Hire (REQUIRED) - CIC - Certified Inpatient Coder Upon Hire (REQUIRED) - RHIT - Registered Health Information Technician Upon Hire (REQUIRED) - RHIA - Registered Health Information Administrator Upon Hire (REQUIRED) Skills - Ability to analyze and validate documentation that supports accurate code assignment for complex inpatient cases utilizing available coding technology appropriately. - Advanced knowledge and utilization of encoder software with usage of computer-assisted-coding software. - Ability to apply definition of principal diagnosis to arrive at correct code, MS-DRG and POA assignment. - Strong knowledge of ICD-10-CM/PCS diagnosis and procedure coding guidelines. - Expertise in the application of coding convention guidelines in all levels of inpatient coding from complex to simple. - Strong oral and written communication skills with the ability to initiate clear and concise queries to physicians. - Advanced MS Office suite skills and encoder software. - Moderate skills in computer-assisted-coding functions. - Acts as a resource/mentor to less experienced coders with the ability to assess coding accuracy and provide feedback. - Demonstrated strong decision making, problem solving and advanced critical thinking skills by applying coding concepts. What You Will Do - Provides critical assessment of the health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require ICD-10-CM/PCS code and MS-DRG assignment for proper billing complex (Medicare, high dollars, long LOS and high CMI) inpatient records. - Abstracts and compiles clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines. - Queries the physician and takes initiative to collaborate with Clinical Documentation Specialist and other departments when documentation in the record is ambiguous, inadequate, unclear or incorrect for accurate coding and compliance. - Demonstrates and maintains adequate productivity and quality metrics as outlined in job description. - Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic. Benefits - Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits. - A supportive, team environment with outstanding opportunities for growth. - Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we’ve won and more. - Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.

Role Description This is a Full-Time Remote Position. Compensation Range: $61,214.40 to $91,832.00 yearly salary - paid biweekly. Exempt Position. Ensures interpretation and compliance with the appropriate credentialing and regulatory agencies, while developing and maintaining a working knowledge of the statutes and laws relating to credentialing. Responsible for the accuracy and integrity of the credentialing database systems and related applications. Essential Functions and Basic Duties Position-Specific Performance Expectations, Duties, and Responsibilities: - Leads, coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility. - Conducts thorough background investigation, research, and primary source verification of all components of the applicant’s file. - Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate follow-up. - Prepares credential files for completion and presentation to MRH and Medical Staff Committees, ensuring file completion within specified time periods. - Processes requests for privileges, ensuring compliance with criteria outlined in clinical privilege descriptions. - Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise. - Assists with internal provider file audits. - Monitors the initial, reappointment, and expired credentials process for all medical staff, Allied Health Professional staff, other health professional staff, and non-employed/delegated providers, ensuring compliance with regulatory bodies as well as Medical Staff Bylaws, Rules and Regulations, policies and procedures, and contracts. - Prepares meeting agendas and takes minutes for Medical Staff Committees. - Utilizes credentialing software to maintain current records, licensures, and certifications. - Organizes and facilitates the Peer Review process as needed. Maintains Peer Review documents in a locked file. - Prepares confidential reports for the Medical Executive Committee (MEC). - Establishes and maintains a professional relationship with all staff to resolve problems, working as a team. - Functions in a high-volume, multiple-task environment, while producing quality work. - Prioritizes workload and completes assignments within allotted time. - Able to work independently and problem-solve. - Must meet established productivity and quality guidelines. - Attends all applicable workshops. - Responsible for monitoring directed indicators. - Performs other duties as assigned. Organization-Specific Performance Expectations, Duties, and Responsibilities: - Demonstrates full commitment to the CHOICE values of MRH and consistently represents the organization in a positive, professional manner. - Establishes and maintains effective verbal and written communication, fostering positive working relationships with patients, staff, and vendors. - Adheres to the MRH attire and dress code in accordance with organizational policies and procedures. - Exhibits initiative and self-motivation; maintains a consistent level of productivity and manages time and responsibilities effectively. - Completes all required annual education, training, in-services, and licensure/certification updates; actively participates in departmental and organizational meetings or reviews meeting minutes as required. - Maintains strict patient confidentiality at all times. - Reports to work punctually and completes assigned duties within established timeframes. - Actively contributes to departmental and organization-wide performance improvement and continuous quality initiatives. - Ensures compliance with all regulatory requirements, maintaining adherence to departmental, hospital, state, and federal standards and policies. - Follows all infection control, safety, and risk management procedures to maintain a safe environment for patients, the public, and staff. Qualifications - Must be at least 18 years of age (21 for positions requiring driving, with a valid driver’s license). - Must be legally authorized to work in the United States. - Must successfully pass a background check. - Must successfully pass a pre-employment drug screen and breath alcohol test (if applicable). - Must complete an Employee Health meeting prior to starting employment. Education, Licensure(s), and Certification(s) - Required: Bachelor’s degree in Business Administration, Healthcare Administration, or related field. - Preferred: National Association Medical Staff Services (NAMSS) as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS). Experience - Required: One (1) year of experience directly related to hospital medical staff or managed care credentialing. Benefits - Medical - Dental - Life - Retirement - Paid Time Off

Role Description As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on: - Elevating coding accuracy - Enhancing Clinical Documentation Improvement (CDI) practices - Ensuring system-wide compliance with evolving regulatory standards You will be instrumental in fostering a culture of continuous learning and precision, directly impacting our revenue cycle integrity and healthcare data quality. Every day you will: - Serve as a primary resource for complex coding and billing inquiries, providing authoritative guidance and problem-solving expertise - Design, develop, and deliver comprehensive coding and CDI education programs - Onboard new staff and conduct targeted training sessions across the health system - Perform rigorous coding and DRG validation audits, identifying areas for improvement and facilitating follow-up education - Monitor and communicate regulatory coding and billing changes, translating them into actionable implementation plans - Promote standardization of best practices - Act as a vital liaison, fostering collaborative relationships with CDI specialists, physicians, clinical quality, and patient financial services To be successful in this advanced role, you will possess: - Expert-level knowledge of current coding classification systems (ICD-10-CM/PCS, CPT-4) - A deep understanding of CDI methodologies - A proven track record in adult education and curriculum development - Strong analytical skills for conducting coding audits and identifying educational needs - Exceptional communication, collaboration, and interpersonal skills - Relevant coding certifications (e.g., CCS, RHIA, CDIP) Your responsibilities will also include: - Accurately assigning codes from the current ICD classification systems for inpatient accounts - Creating MS-DRG/APR-DRG assignments while adhering to coding guidelines, regulations, and compliance plan - Abstracting additional data elements as identified by enterprise, such as administrative codes - Coding all service lines of inpatient accounts - Communicating effectively, staying organized, and demonstrating effective time management skills - Adhering to the ethical standards of coding as established by AAPC and/or AHIMA - Maintaining required levels of performance in both coding quality and productivity Qualifications - High School Diploma/GED required with 3+ years of recent acute care coding experience, OR an Associate's Degree in HIM/RHIT - Must possess CCS, RHIA, or RHIT certification - Minimum of 3+ years recent coding experience in an acute care setting, ideally within a large multi-facility organization - Proven expertise in coding complex conditions and procedures, including major trauma, CV, orthopedic, and neurosurgery - Demonstrated success with 3+ years of experience working effectively in a remote environment - Proficient with 3+ years of experience utilizing various encoder and EMR systems such as Meditech, Epic, and Cerner - Expert-level understanding of ICD (diagnostic and procedural) and CPT-4 coding classification systems Requirements - 4-6 years of recent inpatient medical coding experience (hospital, large multi-facility organization, etc.) - Bachelor's degree in HIM preferred

• 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