Mid Coding Specialist II

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! 

JOB SUMMARY
Works under general supervision to perform accurate and compliant coding of moderate-complexity medical and surgical specialties within a highly specialized academic medical center environment. Exercises independent judgment in the review of encounters characterized by moderate to high documentation variability, NCCI bundling edits, payer-specific surgical policies, advanced modifier application, co-surgeon and trainee requirements, validation of incident-to/split-shared services and teaching physician documentation compliance. Evaluates and resolves AI-assisted coding exceptions to ensure coding accuracy, regulatory compliance, audit readiness, and appropriate reimbursement. 

The role is responsible for coding/abstracting CPTs/ICD-10/modifiers for a large variety of Radiology modalities. This position also abstracts Radiology E&Ms for inpatient/outpatient/clinic visits and also performs reconciliation. Cases will include charge review, claim edits, CodeRyte, et al. 

Work From Home (WFH): This will be a WFH position. Applicant must live within the state of Texas

Shift: Monday through Friday, 8-hour flex shift

BENEFITS
UT Southwestern 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% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION

Required

• Education
  High School Diploma or GED Equivalent 
   

• Experience
  2 years of coding and/or billing experience 
   

Preferred

• Experience
  Experience coding moderate-complexity specialties and procedures requiring advanced bundling, modifier logic, and payer-specific rule application. 
  Progressive professional billing and or coding responsibility and advanced technical proficiency. 
  Experience in academic medical centers, multi-specialty physician groups, or complex ambulatory environments. 
  Experience resolving charge review edits and back-end coding denials, including root-cause analysis and collaboration with providers and operational leaders. 
  Experience supporting revenue integrity 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 queue