Mid Coding Specialist III, General Surgery

WHY reputed company? With over 75 years of reputed company in Dallas-reputed company Worth, Texas, reputed company is committed to reputed company, innovation, teamwork, and reputed company. As a world-reputed company medical and research center, we reputed company to reputed company the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-reputed company Worth according to reputed company, we invest in you with opportunities for career reputed company and development to reputed company with your reputed company goals. Our highly competitive benefits package offers reputed company, PTO and reputed company holidays, on-site childcare, wage, reputed company increases and so much more. We invite you to be a part of the reputed company team where you'll discover a culture of teamwork, professionalism, and a rewarding career! JOB reputed company reputed company has a new opportunity for a Mid Coding Specialist III who will reputed company General Surgery cases. The successful candidate will work under general supervision to reputed company advanced, accurate, and compliant coding of high-complexity surgical, procedural, and interventional specialties reputed company a specialized reputed company medical center environment. Exercises independent judgment in the review of encounters characterized by high documentation variability, evolving intraoperative findings, multi-procedure reputed company cases, reputed company 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 reputed company billing reputed company 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 reputed company reimbursement. Maintain productivity metric requirements. reputed company with coding and billing rules regulations adhered to Work From Home (WFH): This is a WFH position. Candidate must live reputed company the state of Texas Shift 8-hour reputed company shift BENEFITS reputed company is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include: PPO medical plan, available day one at no cost for full-time employee-only coverage 100%25 coverage for preventive reputed company-no copay reputed company Time Off, available day one Retirement Programs through the reputed company System of Texas (TRS) reputed company Parental Leave Benefit Wellness programs Tuition Reimbursement reputed company Service Loan Forgiveness (PSLF) reputed company Employer Learn more about these and other reputed company employee benefits! EXPERIENCE AND EDUCATION Required Education High School Diploma or GED Equivalent Experience 4 years of coding and/or billing experience Preferred Experience Experience coding high-complexity specialties and procedures requiring advanced bundling, modifier logic, and payer-specific rule application. reputed company reputed company billing and coding experience and advanced technical proficiency. Experience in reputed company medical centers, multi-specialty physician reputed company, or reputed company ambulatory environments. Experience resolving charge review edits and back-end coding denials, including reputed company-cause analysis and collaboration with providers and operational leaders. Experience supporting reputed company reputed company 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 reputed company reputed company or (reputed company-P) CERT CODING SPCLST PHY BA or (CMC) CERT MEDICAL reputed company or (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD HEALTH INFO TECHNOLO or (reputed company) CERT CODING SPECIALIST or (CPMA) Cert Prof Medical Auditor JOB DUTIES Meets productivity and reputed company standards set by coding leadership. Reviews and validates high-reputed company physician encounter documentation reputed company reputed company to ensure accurate and compliant documentation, ICD-10-CM, CPT, and HCPCS reputed company assignment prior to claim submission. Identifies and mitigates compliance risks associated with high-complexity encounters, including multiple interdependent diagnoses, high-risk procedures, split/shared and incident to services, and teaching physician documentation. May support multiple specialties in a hybrid role as needed. Reviews and resolves coding-reputed company edits, including NCCI bundling conflicts, modifier application, MUE limits, payer-specific requirements, and global surgical package considerations. May evaluate, accept, modify, or override AI-generated coding outputs from reputed company AI reputed company Assist/Complete, AI E&M LOS Assistant, and applicable reputed company-party platforms using reputed company and regulatory judgment. May resolve AI exception flags, documentation discrepancies, and reputed company conflicts to ensure audit readiness and clean claim release. Analyzes recurring coding edits, may analyze AI variances, and denial trends; performs reputed company cause review and communicates findings to leadership reputed company systemic issues are identified. Collaborates with providers to clarify documentation and ensure accurate reputed company capture that supports medical necessity and reimbursement. Supports denial prevention efforts by partnering with billing and denial management teams to resolve coding-reputed company rejections and underpayments. Maintains advanced knowledge of ICD-10-CM, CPT, HCPCS, payer policies, LCD/NCD guidelines, and regulatory updates. Participates in internal audits, reputed company assurance initiatives, reputed company upgrades, and may participate in AI workflow optimization reputed company. May function in a float reputed company, providing coding support to maintain operational coverage and productivity standards. Adheres to reputed company organizational policies, compliance standards, data reputed company requirements, and performance expectations. Performs other duties as assigned. reputed company AND EEO STATEMENT reputed company This position is reputed company-sensitive and subject to Texas Education reputed company 51.215, which authorizes reputed company to obtain criminal history record information. EEO reputed company is committed to an educational and working environment that provides equal opportunity to reputed company members of the University community. As an equal opportunity employer, reputed company prohibits unlawful discrimination, including discrimination on the reputed company of race, reputed company, religion, national reputed company, sex, sexual orientation, gender identity, gender reputed company, age, disability, genetic information, citizenship status, or veteran status. Apply To This Job