• Accurately assigning diagnosis and procedure codes to inpatient discharges • Keeping abreast of new coding developments • Possess knowledge and experience for accurate code assignment • Coding Obstetrics, Newborn and Behavioral Health encounters when assigned • Querying physicians for unclear documentation • Working with Clinical Documentation Specialists for optimal DRG assignment • Maintaining department productivity standards with 95% accuracy • Other duties as assigned

• The Senior Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the larger McLeod Health facilities representing more complex medical/surgical encounters. • Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available. • Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure, and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment. • Understands coding guidelines to accurately apply coding principles to encounters with longer lengths of stay, complex medical diagnoses and extensive surgical procedures. This includes cardiac, neurosurgery, orthopedic, pediatric, trauma, and vascular. • Queries physicians appropriately when documentation is not clear in the medical record. • Works closely with the Clinical Documentation Specialists to assure the most optimal DRG is assigned. • Maintains department specific productivity standards with a 95% accuracy rate. • Performs other duties as assigned.

Role Description Workit Health is seeking a full-time RCM Specialist to work rejections and denials as they come in and escalate any denial or rejection trends as they are identified. The candidate ideally has experience billing for addiction medicine and/or outpatient medication-assisted treatment or experience in billing for telemedicine services. Experience in both is a plus but is not required. Experience with calling health insurance plans is a must. Excellent customer service skills are required. Candidates will demonstrate patient and empathetic communication to our members, be able to work accounts promptly, and be open to workflow changes. Workit Health is a fast-paced, fluid environment where changes are frequent and employee input is highly valued. Core Responsibilities - Proficient in medical software, insurance websites, and EHR systems (Elation or Candid preferred) - Verify patient eligibility and benefits including coordination of benefits - Identify and resolve claims processing issues, including pre-submission errors, and generate appeals or reprocess claims as needed - Communicate effectively with patients, physicians, management, staff, and third-party representatives - Contact insurance payers for eligibility, claims resolution, and authorization requests - Submit medical records to insurance when needed - Review and audit patient accounts for accuracy - Maintain compliance with professional standards, company policies, and federal, state, and HIPAA regulations - Manage a high volume of claims, calls, chats, and tasks while meeting productivity and quality standards - Respond promptly to all calls, chats, and voicemails during business hours - Maintain a positive and optimistic attitude - Ensure timely completion of daily tasks - All other duties as assigned Qualifications - 1-2 years previous Medical Billing experience - Certified Professional Coder or Biller (CPC / CPB) required - Payment Posting is a plus but not required - Must be able to work independently and rely on personal knowledge/experience for problem-solving - Must have experience with MS Word and Google Sheets or MS Excel - Must be detail-oriented and have excellent organizational and time management skills - Candidates must excel at providing a high level of customer service and be able to work in a team environment - Requires strong analytical skills and attention to detail, including writing and verbal communication skills and a professional positive attitude Requirements - Experience with calling health insurance plans - Excellent customer service skills - Ability to work accounts promptly - Open to workflow changes Benefits - Fully remote work - 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!) - 11 paid holidays - Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs - 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families) - 401k + 4% matching - Healthcare & dependent care Flexible Spending Accounts (FSA & DCFSA) - Health Savings Accounts (HSA) - Employee assistance program, complete with financial coaching and counseling sessions - Professional development allowance for Providers and Behavioral Health team - Opportunities for internal mobility and growth at a Company with a proven track record of promoting internally - Vibrant, democratized culture with clubs and multiple ERG groups - Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations

Role Description This position is National Remote. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. As the organization accelerates its digital transformation, Benefit Digitization and AI 10.0 efforts are key to improving efficiency, enhancing member and provider experiences, and managing long term costs. To achieve these goals, dedicated roles are needed to design, implement, and manage the digital capabilities that support these initiatives. This position is for a Certified Coder who will provide coding expertise and clinical support across a wide range of initiatives and processes. This role requires close collaboration with cross-functional teams to ensure alignment with both clinical and business objectives, while supporting the successful execution of projects. This position is full-time (40 hours/week), Monday - Friday. Employees must work an 8-hour shift during business operating hours of 8:00am - 5:00pm EST. Primary Responsibilities - Partner with clinical, operational, and enterprise teams on coding initiatives, including benefit digitization programs, serving as a subject matter expert and providing strategic guidance to support successful implementation. - Develop, implement, and promote standardized coding methodologies to ensure consistent, accurate, and compliant interpretation and digitization of benefit structures across the organization. - Create, maintain, and manage procedure and service code groupings to support accurate benefit alignment and administration. - Maintain coding integrity through governance processes, ongoing quality oversight, and adherence to current industry standards, regulatory requirements, and organizational policies. - Manage quarterly and annual industry-standard code updates, benefit plan changes, and mandate-driven coding enhancements to ensure continued compliance and operational accuracy. - Provide coding support for benefit administration across diverse markets, including the development of customized coding solutions for complex or nonstandard benefit requests. - Serve as the primary resource for coding-related inquiries, delivering clinical expertise, consultation, and guidance to project teams, business partners, and stakeholders. - Collaborate across cross-functional workstreams to identify coding impacts, support business and operational initiatives, and drive effective implementation of coding solutions. - Ensure coding aligns with regulatory mandates and emerging industry requirements, proactively supporting updates and compliance initiatives. - Deliver certified coding expertise and clinical support to meet a broad range of organizational, operational, and strategic business needs. Qualifications - High School Diploma/GED or equivalent work experience - Must be 18 years of age or older - Certified Professional Coder (AAPC or AHIMA) - Active unrestricted nursing license - 3 + years’ experience with coding and reimbursement methodologies (e.g. CPT, HCPCS, ICD-10, CMS) - Intermediate proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint - Ability to work full-time (40 hours/week), Monday – Friday. Employees must work an 8-hour shift during business operating hours of 8:00am-5:00pm EST. Preferred Qualifications - Experience working with UnitedHealthcare (UHC) benefit plans, including interpretation and application of member benefits, coverage guidelines, and plan design - Experience in claims, medical policy, benefits/product administration, and/or medical management Telecommuting Requirements - Ability to keep all company sensitive documents secure (if applicable) - Required to have a dedicated work area established that is separated from other living areas and provides information privacy - Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service Soft Skills - Ability to analyze and translate data to develop recommendations for action plans - Excellent written and verbal communication skills - Able to work with minimal supervision - Flexible with a strong ability to multitask Benefits - Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements) - Salary for this role will range from $91,700 - $163,700 annually based on full-time employment Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.