director of coding

Parallon

<div>This position is incentive eligible. 
 
 
Do you want to join an organization that invests in you as a Central Coding Director? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.<h5 class="jobSectionHeader">
Job Summary and Qualifications</h5>
<h5 class="jobSectionHeader">As a work from home Central Coding Director, you will be responsible for assisting in the development and evolution of the overall strategy for Parallon&rsquo;s Coding Physician Service Center. The Central Coding Director is responsible for overall coding compliance and daily coding operations for the Coding Physician Service Center. The Central Coding Director interprets policies and procedures, recommends changes as appropriate, and provides relevant feedback. The Central Coding Director assists the ACOO, Coding PSC, with the oversight and implementation of coding consolidation planning, practice expectation agreements, budgets, workflow processes and internal controls. This person serves as a key promoter of the Parallon Coding PSC and is responsible for setting the tone of Coding PSC as a service organization, continuously seeking to understand, meet and exceed practice expectations and needs.
What you will do in this role:
<ul><li>Responsible for CPSC central coding and medical record documentation improvement operations (as applicable), ensuring timeliness, accuracy, completeness, consistency, compliance and standards fulfillment as defined in practice expectations agreement
</li><li>Contributes to the development of strategic direction of Parallon coding
</li><li>Coaches and provides overall guidance to the CPSC coding team to resolve internal and external issues; help resolve dysfunctional behavior within functional area(s); discipline and counsel staff as necessary
</li><li>Monitors CPSC coding performance according to productivity and quality standards as defined in job descriptions and practice expectations documents
</li><li>Manages and motivates CPSC coding improvement operations (as applicable) staff
</li><li>Assists in the development and management of strategy, specific goals, objectives, budgets and performance standards for the Parallon CPSC
</li><li>Proactively manages, including corresponding communications and escalation paths, significant issues in HIM coding processes (e.g., coding backlogs, CPSC coding delays, abstracting backlogs, and data discrepancies), status of projects, barriers and successes
</li><li>Identifies and implements process improvements to lower costs and improve service to PSG practices and various Parallon/PSG stakeholders/customers
</li><li>Routinely meets with the Physician Service Group staff to review processes and collaborate on need coding related claim denials
</li><li>Stays abreast of regulatory requirements and company compliance policies, ensuring compliance and timely staff education and training</li><li>
Monitors overall trends (e.g., missing documentation, charge lag, coding quality) and communicates to PSG Leaderships teams and others as appropriate.
</li></ul>Requirements:
<ul><li>5+ years of healthcare management experience with three of these years in the related area for the position required</li><li>
Coding certification AHIMA or AAPC required</li><li>
Bachelor&rsquo;s Degree in Business or related field required. Degree requirement may be substituted by current enrollment in a Bachelor Degree program or extensive equivalent work experience</li></ul>
Benefits</h5>
Parallon, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:<ul><li>
Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services</li><li>
Wellbeing support, including free counseling and referral services</li><li>
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence</li><li>
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling</li><li>
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing</li><li>
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts</li></ul>
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
&quot;
Parallon provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities.
HCA Healthcare has been recognized as one of the World&rsquo;s Most Ethical Companies&reg; by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
&quot; 
&quot;Good people beget good people.&quot;- Dr. Thomas Frist, Sr. 
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Central Coding Director opening. Qualified candidates will be contacted for interviews. Submit your resume today to join our community of caring!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.</div>

Central Coding Director

CHRISTUS Health

<div>Description 
Summary:
Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines.
Coder will work collaboratively with various CHRISTUS Health departments, including but not limited to the HIM and Clinical Documentation Specialists, to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership.
Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.
Responsibilities: 
<ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.</li><li>
Assign codes for diagnoses, treatments, and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG.</li><li>
Abstracts required information from source documentation, to be entered into the appropriate CHRISTUS Health electronic medical record system.</li><li>
Validates admit orders and discharge dispositions.</li><li>
Works from assigned coding queue, completing and re-assigning accounts correctly.</li><li>
Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner.</li><li>
Meets or exceeds an accuracy rate of 95%.</li><li>
Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type.</li><li>
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).</li><li>
Assists in implementing solutions to reduce backend errors.</li><li>
Identifies and appropriately reports all hospital-acquired conditions (HAC).</li><li>
Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists.</li><li>
Has strong written and verbal communication skills.</li><li>
Able to work independently in a remote setting, with little supervision.</li><li>
Participates in both internal and external audit discussions.</li><li>
All other work duties as assigned by the Manager.</li></ul>
Job Requirements: 
Education/Skills
<ul><li>High school Diploma or equivalent years of experience required.
</li><li>Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred.
</li></ul>Experience
<ul><li>1 &ndash; 3 years of experience preferred.
</li></ul>Licenses, Registrations, or Certifications
<ul><li>None required.</li></ul>
Work Schedule: 
TBD
Work Type: 
Full Time 

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Specialty Coder Senior - Multi Specialty

AHMC HealthCare

<div>
 
 JOB
 
 
 SUMMARY
 
 
 Under the direction of the Director of Health Information Management,
 
 Identifies and codes Newborns, Obstetrics, ER&rsquo;s and outpatient records for the purpose of reimbursement, research, and compliance with Federal Regulations using the ICD-10-CM/CPT coding classification systems.
 
 
 
 Education, Experience, Training
 
 
 
 <ul>
 <li>
 Current coding certification-RHIA, RHIT, or CCS
 </li>
 <li>
 1-2 years of coding experience in acute hospital setting
 </li>
 <li>
 Knowledge and application of ICD10 classifications, CPT-4 and HCPCS with an accuracy level of 95%
 </li>
 <li>
 Must be able to work in a very challenging environment.
 </li>
 <li>
 Exceptional written and verbal communication skills
 </li>
 <li>
 Excellent computer skills, including Microsoft Office, EHRs, Encoders
 </li>
 <li>
 Analytical/critical thinking and problem solving
 </li>
 <li>
 Knowledge of information privacy laws and high ethical standards
 </li>
 </ul>
</div>

Coder FT Days 8am-4:30pm

Keystone Health

<div>At Keystone Health, we aspire for you to feel empowered and fulfilled as you work towards our shared mission of delivering heartfelt care. Earn a living where your heart truly belongs.
The Patient Financial Services Department is seeking a full time Billing and Coding Integrity Specialist to join the team.
This role is fully on‑site and is not eligible for remote work.
Under the direction of the Director of Patient Financial Services the specialist is responsible for implementing and promoting consistent revenue integrity practices that will improve compliance, accurate billing, and charge capture at the point of service to ensure optimal reimbursement for Keystone Health. The specialist is responsible for auditing and monitoring appropriate coding guidelines and regulations. Recommending any corrective action and assists with implementing the corrective action. This position is also responsible for providing billing/coding training and education to providers and staff and maintaining a current knowledge of coding/billing regulations and guidelines.
EDUCATION and/or EXPERIENCE: High School graduate or GED equivalency required. Minimum of two years&rsquo; experience in a similar position in a health care setting is preferred.
LICENSES and CERTIFICATION: AAPC Billing and Coding Certification required.
Keystone Health is an Equal Opportunity Employer</div>

Billing & Coding Integrity Specialist

Northeastern Health System

Position Summary
 
Supervise, plan and organize physician office staff, training and staff schedules. Coordinate with providers and hospital staff. Provides a quality customer service experience to patients who receive clinic or hospital services.
 
Position Accountabilities
 
Maintains established departmental policies and procedures, objectives, quality and performance improvement programs, safety, and environmental and infection control standards. Ensure clinic staff are aware compliant with these policies and procedures.
 
Maintains the computer-based tracking system and compiles the required reports and records.
 
Makes appointments, posts payments and provides receipts/insurance information to patients as required. Responds promptly to patient inquiries and requests.
 
Maintains strict confidentiality of information, internally and externally, with a working knowledge of HIPAA compliance.
 
Understands work priorities with the ability to manage multiple tasks and complete activities in an appropriate and timely manner.
 
Maintains harmonious relationship with all NHS departments and co-workers providing support and assistance to staff to ensure quality customer service.
 
Provides direction and assistance to the registration associates regarding revenue cycle billing procedures and customer service expectations.
 
Provides direction to clinical support staff regarding policies and procedures, customer service expectations, charge entry and documentation.
 
Monitors assigned competencies for staff and ensures they are completed in a timely manner.
 
Assists with clinic operations in the absence of necessary staff due to call-ins or turnover. May be required to complete Registration Associate duties and/or Medical Assistant duties to include providing direct patient care as needed.
 
Ensures that the Clinic functions run smoothly and efficiently by overseeing staff and expediting solutions to problems.
 
Assists with implementing processes that decrease denials and increase revenue.
 
Submits employee time edits for review to the Director or Vice President. Track time and attendance for employees.
 
Understands clinical and financial process interactions. (Medical Necessity, ICD-10 Coding and CPT Coding Guidelines)
 
Monitors provider documentation and charges to ensure they are completedin a timely manner and communicates information with providers.
 
Demonstrates ability to use independent judgement and reach appropriate decisions with support and feedback from the Director.
 
Reviews applicants and schedules interviews for approved positions with oversight from the Director.
 
Communicates with providers to ensure compliance with documentation requirements (charts are closed in a timely manner, coding and billing is accurate, Meaningful Use and other quality measures are addressed sufficiently in documentation).
 
Communicates provider, employee and patient issues with the Director and/or Vice President..
 
Maintains orderliness and cleanliness of work areas.
 
Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
 
Performs other related duties as assigned or requested.
 
Minimum Education - High School or equivalent
 
Management Experience - Excellent human relations and oral/written communication skills Previous physician office or
 
Gastroenterology experience preferred
 
Do you have questions about starting your career with Northeastern Health System? Our healthcare recruiter is available to answer all of your questions related to any position.
 
Sharee Maggard
 
918-207-2699 Call or Text
 
recruiter@nhs-ok.org

Physician Office Coordinator Clinic - Full Time

Qiddiya Investment Company

<div>Director &ndash; Revenue Cycle Management (Healthcare Industry Exp)
General Job Information<ul><li>
Job Title: Director, Revenue Cycle Management
</li><li>Department: Finance
</li><li>Reporting Line: TBC</li><li>
Location: King Faisal Specialized Hospital / Riyadh, KSA</li><li>
Job Grade: TBC</li></ul>
Role Summary
The Revenue Cycle Director leads the enterprise-wide revenue cycle function across the Medical City ecosystem, driving revenue optimization, operational efficiency, payer strategy, and compliance. The role ensures full integration between clinical, operational, and financial processes to maximize revenue realization.
Key Responsibilities
1. Enterprise Revenue Strategy &amp; Value Optimization<ul><li>
Define and execute the enterprise-wide revenue cycle strategy across all Medical City assets
</li><li>Lead pricing strategy, service monetization, and payer mix optimization initiatives
</li><li>Identify and implement new revenue models including bundled care, subscription-based services, and value-based reimbursement
</li></ul>2. Integrated Revenue Operations Leadership<ul><li>
Establish a fully integrated, standardized revenue cycle model across hospitals, clinics, sports medicine, and wellness services
</li><li>Oversee patient access, eligibility verification, coding, billing, claims processing, collections, and denials management
</li><li>Ensure seamless coordination between clinical, administrative, and finance functions to optimize revenue capture
</li></ul>3. Financial Performance Ownership &amp; Forecasting<ul><li>
Own revenue forecasting, budgeting inputs, and financial planning related to revenue streams
</li><li>Analyze performance trends including denials, write-offs, underpayments, and collection efficiency
</li><li>Lead performance reviews and present insights to executive leadership
</li></ul>4. Payer Strategy, Contracting &amp; Market Positioning<ul><li>
Lead payer negotiations and contract structuring in collaboration with finance and leadership
</li><li>Monitor payer performance, reimbursement structures, and compliance requirements
</li><li>Develop strategies to enhance competitive positioning within the payer ecosystem
</li></ul>5. Digital Transformation &amp; Data-Driven Excellence<ul><li>
Lead implementation of advanced RCM systems, automation tools, and analytics platforms
</li><li>Develop real-time dashboards and predictive analytics capabilities
</li><li>Drive continuous innovation in revenue cycle processes
</li></ul>6. Governance, Compliance &amp; Risk Management<ul><li>
Ensure adherence to coding standards, regulatory requirements, and billing compliance
</li><li>Establish internal controls to mitigate financial and compliance risks
</li><li>Lead audit readiness and response for internal and external audits
</li></ul>7. Leadership &amp; Organizational Development<ul><li>
Build and lead a high-performing revenue cycle team
</li><li>Develop internal capabilities in coding, billing, analytics, and payer management
</li><li>Foster a culture of accountability, performance, and continuous improvement
</li></ul>Key Performance Matrix<ul><li>
Improve revenue realization and overall collection efficiency across all services
</li><li>Reduce AR days and improve cash flow performance
</li><li>Maintain denial rates below benchmarks through effective processes
</li><li>Minimize revenue leakage through strong controls and audit mechanisms
</li><li>Enhance efficiency and turnaround time across the full revenue cycle
</li></ul>Qualifications<ul><li>
Bachelor&rsquo;s in Finance, Accounting, or Healthcare Administration
</li><li>12&ndash;15+ years in healthcare RCM
</li></ul>Core Competencies<ul><li>
Revenue Strategy
</li><li>Healthcare Finance
</li><li>Payer Management
</li><li>Data Analytics
</li><li>Leadership</li></ul></div>

Director - Revenue Cycle Management (Healthcare Industry Exp) - QHC0005

Reid Health

<div>
 7650 Revenue Cycle Management
 
 
 
 Schedule:
 
 Day Shift. 40 hours weekly. 7:00 am to 3:30 pm.
 
 
 
 About The Position
 
 
 
 This position has the responsibility for providing accurate, complete, and appropriate coding using ICD-10-CM/PCS and CPT classification systems for the Richmond and Connersville locations. Assigns appropriate APC grouping according to diagnoses specified in the record by the treating provider(s) and in keeping with regulatory requirements. Abstracts relevant clinical and demographic information from the medical record.
 
 
 
 Overview Of Responsibilities
 
 
 
 <ul>
 <li>
 Codes outpatient medical records for the purpose of quality planning and assessment, reimbursement, research and compliance with Federal regulations according to ICD-10-CM and CPT-4 classification systems.
 </li>
 <li>
 Accurately performs data entry/abstraction on all patients into the applicable computer system.
 </li>
 <li>
 Calculates the proper APC assignment.
 </li>
 <li>
 Assists providers with appropriate diagnosis determination as needed.
 </li>
 <li>
 Keeps current with coding guidelines, rules and regulations and new codes.
 </li>
 <li>
 Refers coding and system questions to the Coding Manage, Supervisor, and/or Director in a timely manner.
 </li>
 <li>
 Works assigned edit work queues to determine correct coding and modifier assignments on a timely basis.
 </li>
 <li>
 Assists with abstraction and retrieval of data for special studies.
 </li>
 <li>
 Assists other departments with coding functions as needed.
 </li>
 <li>
 Codes encounters in accordance with all productivity and quality standards established by the organization.
 </li>
 <li>
 Follows compliance with all laws, regulations, and guidelines of federal and state programs with an emphasis on prevention of fraud, waste, and abuse.
 </li>
 <li>
 Position includes other duties and projects as assigned to support goals and outcomes consistent with department expectations.
 </li>
 <li>
 Actively participates in area and department meetings.
 </li>
 <li>
 Attends other meetings as requested
 
 
 </li>
 </ul>
 This list of duties and responsibilities is not intended to be all-inclusive and can be expanded to include other duties or responsibilities that management deems necessary.
 
 
 
 Education &amp; E
 
 
 xperience
 
 
 
 <ul>
 <li>
 Education Required: High School Diploma or GED.
 </li>
 <li>
 Experience Preferred: One (1) year previous same-day surgery/observation coding experience preferred.
 
 
 </li>
 </ul>
 
 Licensure And Certification
 
 
 
 <ul>
 <li>
 Certification as a Certified Coding Specialist (CCS), or
 </li>
 <li>
 Certification as a Certified Professional Coder (CPC), or
 </li>
 <li>
 Registered Health Information Technician (RHIT), or
 </li>
 <li>
 Registered Health Information Administrator or similar certification required and must be obtained within 6 months of hire
 </li>
 </ul>
</div>

Coder-Outpatient - (On-site)

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