Mid Coding Specialist II

%3Cp%3E%3Cstrong%3EWHY UT SOUTHWESTERN?%3C/strong%3E%3Cbr%3EWith 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 %3Ca href=%22https://www.utsouthwestern.edu/newsroom/articles/year-2022/july-us-news-best-hospital.html%22 target=%22_blank%22%3EU.S. News %26amp; World Report%3C/a%3E, 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%27ll discover a culture of teamwork, professionalism, and a rewarding career!%26nbsp;%3Cbr%3E%3Cbr%3E%3Cstrong%3EJOB SUMMARY%3C/strong%3E%3Cbr%3EWorks 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.%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22%3EThe role is responsible for coding/abstracting CPTs/ICD-10/modifiers for a large variety of Radiology modalities. This position also abstracts Radiology E%26amp;Ms for inpatient/outpatient/clinic visits and also performs reconciliation. Cases will include charge review, claim edits, CodeRyte, et al.%26nbsp;%3C/p%3E%3Cp class=%22MsoNormal%22%3EWork From Home (WFH): This will be a WFH position. Applicant must live within the state of Texas%3C/p%3E%3Cp class=%22MsoNormal%22%3EShift: Monday through Friday, 8-hour flex shift%3Cbr%3E%3Cbr%3E%3Cstrong%3EBENEFITS%3C/strong%3E%3Cbr%3EUT 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:%3C/p%3E%3Cul%3E%3Cli%3EPPO medical plan, available day one at no cost for full-time employee-only coverage%3C/li%3E%3Cli%3E100% coverage for preventive healthcare-no copay%3C/li%3E%3Cli%3EPaid Time Off, available day one%3C/li%3E%3Cli%3ERetirement Programs through the Teacher Retirement System of Texas (TRS)%3C/li%3E%3Cli%3EPaid Parental Leave Benefit%3C/li%3E%3Cli%3EWellness programs%3C/li%3E%3Cli%3ETuition Reimbursement%3C/li%3E%3Cli%3EPublic Service Loan Forgiveness (PSLF) Qualified Employer%3C/li%3E%3Cli%3E%3Ca href=%22http://jobs.utsouthwestern.edu/benefits/#top%22 target=%22_blank%22%3ELearn more about these and other UTSW employee benefits!%3C/a%3E%3C/li%3E%3C/ul%3E%3Cp%3E%3Cbr%3E%3Cstrong%3EEXPERIENCE AND EDUCATION%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3ERequired%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cstrong%3EEducation%3C/strong%3E%3Cbr%3EHigh School Diploma or GED Equivalent%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3E%3Cstrong%3EExperience%3C/strong%3E%3Cbr%3E2 years of coding and/or billing experience%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3EPreferred%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3E%3Cstrong%3EExperience%3C/strong%3E%3Cbr%3EExperience coding moderate-complexity specialties and procedures requiring advanced bundling, modifier logic, and payer-specific rule application.%26nbsp;%3Cbr%3EProgressive professional billing and or coding responsibility and advanced technical proficiency.%26nbsp;%3Cbr%3EExperience in academic medical centers, multi-specialty physician groups, or complex ambulatory environments.%26nbsp;%3Cbr%3EExperience resolving charge review edits and back-end coding denials, including root-cause analysis and collaboration with providers and operational leaders.%26nbsp;%3Cbr%3EExperience supporting revenue integrity initiatives, compliance auditing, clinical documentation improvement (CDI), or operational performance improvement efforts.%26nbsp;%3Cbr%3EExperience working independently in a fast-paced, metric-driven, AI-enabled environment managing multiple work queues and shifting specialty assignments.%26nbsp;%3Cbr%3E%26nbsp;%3C/li%3E%3C/ul%3E%3Cul%3E%3Cli%3E%3Cstrong%3ELicenses and Certifications%3C/strong%3E%3Cbr%3E(CPC) CERT PROFESSIONAL CODER or%3Cbr%3E(CCS-P) CERT CODING SPCLST PHY BA or%3Cbr%3E(CMC) CERT MEDICAL CODER or%3Cbr%3E(RHIA) REGD HEALTH INFO ADMINIST or%3Cbr%3E(RHIT) REGD HEALTH INFO TECHNOLO or%3Cbr%3E(CCS) CERT CODING SPECIALIST or%3Cbr%3E(CPMA) Cert Prof Medical Auditor%26nbsp;%26nbsp;%3C/li%3E%3C/ul%3E%3Cp%3E%3Cbr%3E%3Cstrong%3EJOB DUTIES%3C/strong%3E%3C/p%3E%3Cul%3E%3Cli%3EMeets productivity and quality standards set by coding leadership.%3C/li%3E%3Cli%3EReviews and validate moderate-complex physician encounter documentation within Epic to ensure accurate and compliant documentation, ICD-10-CM, CPT, and HCPCS code assignment prior to claim submission.%3C/li%3E%3Cli%3EIdentifies and mitigates compliance risks associated with moderate-complexity encounters, including multiple interdependent diagnoses, intermediate-risk procedures, split/shared and incident to services, and teaching physician documentation.%3C/li%3E%3Cli%3EMay support multiple specialties in a hybrid role as needed.%3C/li%3E%3Cli%3EReviews and resolves coding-related edits, including NCCI bundling conflicts, modifier application, MUE limits, payer-specific requirements, and global surgical package considerations.%3C/li%3E%3Cli%3EEvaluates, accepts, modifies, or overrides AI-generated coding outputs from Epic AI Code Assist/Complete, AI E%26amp;M LOS Assistant, and applicable third-party platforms using advanced clinical and regulatory judgment.%3C/li%3E%3Cli%3EResolves AI exception flags, documentation discrepancies, and code conflicts to ensure audit readiness and clean claim release.%3C/li%3E%3Cli%3EAnalyzes recurring coding edits, AI variances, and denial trends; performs root cause review and communicates findings to leadership when systemic issues are identified.%3C/li%3E%3Cli%3ECollaborates with providers to clarify documentation and ensure accurate code capture that supports medical necessity and reimbursement.%3C/li%3E%3Cli%3ESupports denial prevention efforts by partnering with billing and denial management teams to resolve coding-related rejections and underpayments.%3C/li%3E%3Cli%3EMaintains working knowledge of ICD-10-CM, CPT, HCPCS, payer policies, LCD/NCD guidelines, and regulatory updates.%3C/li%3E%3Cli%3EParticipates in internal audits, quality assurance initiatives, Epic upgrades, and AI workflow optimization projects.%3C/li%3E%3Cli%3EMay function in a float capacity, providing coding support to maintain operational coverage and productivity standards.%3C/li%3E%3Cli%3EAdheres to all organizational policies, compliance standards, data security requirements, and performance expectations.%3C/li%3E%3Cli%3EPerforms other duties as assigned.%3C/li%3E%3C/ul%3E%3Cp%3E%3Cstrong%3ESECURITY AND EEO STATEMENT%3C/strong%3E%3Cbr%3E%3Cbr%3E%3Cstrong%3ESecurity%3C/strong%3E%3Cbr%3EThis position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.%3Cbr%3E%3Cbr%3E%3Cstrong%3EEEO%3C/strong%3E%3Cbr%3EUT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.%3Cbr%3E%26nbsp;%3C/p%3E

Job Details
Primary Location: Texas-Dallas-5323 Harry Hines Blvd
Work Locations: 5323 Harry Hines Blvd, Dallas, 75390
Job: Insurance/Billing
Organization: 713002 - MG Rev Cyc Front End
Schedule: Full-time
Shift: Day Job
Employee Status: Regular
Job Type: Standard
Job Level: Individual Contributor
Job Posting: Aug 5, 2026, 1:47:22 PM