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Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well-being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Supervises day-to-day operations with the Parkland coding editor team. Coordinates with all areas of Parkland HIM, Parkland Revenue Cycle, and Clinics to provide timely, completeness, and accuracy of coding which triggers edits for optimal Primary Purpose Supervises day-to-day operations with the Parkland coding editor team. Coordinates with all areas of Parkland HIM, Parkland Revenue Cycle, and Clinics to provide timely, completeness, and accuracy of coding which triggers edits for optimal reimbursement. Proactively identifies and resolves potential coding denials for trending and education. Monitors team production, and quality all while maintaining workflows to support efficiencies. Must demonstrate the ability to provide direction to editors as it relates to coding integrity, established coding guidelines and Parkland's policies to ensure accuracy of recorded patient medical information and appropriate reimbursement for services rendered. Minimum Specifications Education
- Must have a bachelor's degree in Business or Clinical field (i.e. nursing, health information management)
- Must have successfully completed an approved coding program.
Experience * Must have four (4) years of Coding/Health Information Management (HIM) experience. Equivalent Education and/or Experience * May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above. Certification/Registration/Licensure
- Because of the lag in SCCE, HCCA, NCRA, and AHIMA updating the status of certifications, current employees whose certification is granted through one of these associations are allowed up to seven(7) calendar days, after expiration, to provide proof of renewal. Although an additional seven (7) days is allowed to provide proof, there cannot be a lapse in the certification's "active" status.
Must have one of the following:
- Registered Health Information Administrator (RHIA)
- Registered Health Information Technician (RHIT)
- Certified Coding Specialist (CCS)
- Certified Coding Specialist-Physician (CCS-P)
Skills or Special Abilities * Must possess strong supervisory, leadership, and interpersonal skills. * Must have worked closely with physicians and APPs to include ongoing education that fosters documentation improvement. * Must be able to demonstrate time management, organizational, oral, and written communication skills. * Must be proficient and demonstrate advanced knowledge of ICD-10-CM/PCS and CPT/HCPCS coding and abstracting and have advanced clinical knowledge of medical terminology, disease process, and pharmacology. * Must be able to demonstrate knowledge of reimbursement (Medicare and Medicaid) principles and methodologies (MS-DRG and APC). * Must have a working knowledge of compliance guidelines related to coding and billing. * Must have strong skills in diplomacy, professionalism, and trustworthiness. * Must be able to demonstrate excellent computer skills, including word processing, spreadsheet, and database management software proficiency. * Must be able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change. * Must be able to build trust with others by demonstrating authenticity and follow-through on commitments. * Must be able to demonstrate critical thinking, time management, and organizational skills. * Must have strong skills in diplomacy, professionalism, and trustworthiness. Responsibilities 1. Assists in the selection of new team members, trains, schedules, motivates, supervises, and
evaluates employees making recommendations for disciplinary actions up to and including
termination, to ensure maximum utilization of individual and group capabilities. Ensures that
assigned employees receive opportunities to further their knowledge.
2. Demonstrate the ability to formulate an appeal rationale based on clinical documentation,
application of LCD, relative carrier policies and published coding guidelines and charge entry staff
for single or low volume errors.
3. Responsible for working with coding denials team on accuracy in reviewing supporting
documentation, CCI/LCD, carrier policies and utilization of coding software applications.
4. Report any and all coding denial trends to Coding Integrity Quality Review leadership team with
direct collaboration with Coding Operations and HIM Provider education team.
5. Works in collaboration with PFS denials management team on governmental, payer-specific
guidelines to identify any coding and billing requirements to make recommendations for system or
human process changes or education.
6. Responsible for ensuring the performance of quality assurance activities with designated service
level agreements in place.
7. Provides input into procedural changes in order to maintain efficient operation of the Coding
Quality Review and Revenue Integrity process.
8. Understands "official coding guidelines" as published in AHA Coding Clinic and AMA CPT
Assistant, and hospital policy, including specific payer guidelines, rules, and regulations in
analyzing questionable documentation to ensure the accuracy and completeness of clinical and
financial information reported for billing of hospital services. Provides reports and feedback to the
Coding Quality Manager on findings as needed.
9. Maintains knowledge of applicable rules, regulations, policies, laws, and guidelines that impact
the coding quality area. Provides input as requested to assist in the development of effective
internal controls that promote adherence to applicable state/federal laws, and the program
requirements of accreditation agencies and federal, state, and private health plans.
10. Stays abreast of the latest developments, advancements, and trends in medical records coding
by attending educational programs, reading professional journals, actively participating in
professional organizations, and maintaining certification. Integrates knowledge gained into current
work practices.
11. Maintains a positive working relationship with physicians, nurses, medical staff, and hospital
employees to ensure that all work-related encounters are productive.
12. Identifies ways to improve work processes and improve customer satisfaction. Makes
recommendations to the Coding Quality Manager and implements and monitors results as
appropriate in support of the overall goals of the department and Parkland.
13. Conducts training and integration of new staff to the Revenue Integrity and Quality Review
department, as required.
14. Maintains positive communication with various departments. Takes the lead on researching
opportunities and presents options regarding how to resolve issues that impact the revenue cycle
and operational processes. Notifies the Coding Quality Manager when trends and opportunities
for improvement are discovered.
15. Identifies opportunities for process improvement and assists in plan development to achieve
process performance goals to improve effectiveness, productivity, and efficiency that support the
overall goals of the department and Parkland. Job Accountabilities 1. Identifies ways to improve work processes and improve customer satisfaction. Makes
Created By: Tamia Jackson May 05, 2025 Version: 7
recommendations to supervisor, implements, and monitors results as appropriate in support of the
overall goals of the department and Parkland.
2. Stays abreast of the latest developments, advancements, and trends in the field by attending
seminars/workshops, reading professional journals, actively participating in professional
organizations, and/or maintaining certification or licensure. Integrates knowledge gained into
current work practices.
3. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the
area. Develops effective internal controls designed to promote adherence with applicable laws,
accreditation agency requirements, and federal, state, and private health plans. Seeks advice and
guidance as needed to ensure proper understanding. Parkland Health and Hospital System prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.As part of our commitment to our patients and employees' wellness, Parkland Health is a tobacco and smoke-free campus.
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Parkland Health and Hospital System (PHHS)
May 13, 2025