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Job Description Medical Coding and Billing Instructor NOT A REMOTE POSITION. MUST BE LOCATED IN THE DFW AREA Job Description: Have you ever wanted to make an impact on the future generation of Medical Coding and Billing professionals? Do you have a passion for helping people reach their full potential? Do you love working closely with people? If your answer is yes, this career may be just perfect for you. You responsibilities will include delivering curriculum content to our Medical Coding and Billing students. This includes mentoring and helping the students to become professionals. Qualifications: • 3+years of Medical Coding and Billing, • No Teaching experience required.

Job Description THIS IS NOT A REMOTE POSITION We are hiring a Medical Records Clerk/Coder to assign procedure, and diagnosis codes for insurance billing, review claims data, research, and correspond with insurance companies to obtain accurate reimbursement for healthcare claims. This person will also be responsible for analyzing, abstracting, compiling data, and generating reports. This position must provide customer service excellence when dealing with internal and external contacts. Duties include but are not limited to: • Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing., • Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place before submission., • Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims, • Adhere to coding policies and procedures consistent with the industry-standard guidelines for CPT, ICD-9 and ICD-10., • Answer coding questions, • Review clinical documentation to ensure it meets the level of CPT codes and ICD-10 codes, • Assemble and analyze medical charts to meet department accuracy and productivity requirements., • Follows established protocol for assembling charts., • Revise and/or update forms and policies, and ensure permanent location and security of data (PHI)., • Manages daily workload and consistently finishes daily., • Ensures that Outpatient charts are received daily., • Runs missing chart report and notifies appropriate personnel., • Follows through and investigates missing charts., • Clarify documentation with the Physician and Director as needed., • Completes reports and logs as needed., • Periodically covers the duties of receptionist., • Provides backup clerical support to various departments., • Researches, prioritizes, and follows up on incoming issues and concerns, including those of a sensitive or confidential nature., • Determines appropriate course of action, referral, or response., • Handle requests for information and data: reports as requested., • Respond to and resolve problems and inquiries., • General clerical duties including photocopying, fax, mailing, filing(electronic and paper), sorting and distributing correspondence, preparing and modifying documents including correspondence, reports, drafts, memos, and emails, • Performs related duties, as requested., • Education: Certificate or associate's degree in medical coding/CPC. These additional certifications are not required but a plus: Certified Professional Coder (CPC), CPC-Hospital, CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA), • Experience: A minimum of 1 year coding experience required preferably with psychiatric services, • Knowledge, Skills & Abilities:, • Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and physiology; computer data entry; and medical law, privacy and ethics., • Knowledge of CMS rules and regulations and current coding resources, • Knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding and healthcare reimbursement methods., • Critical thinking skills and ability to resolve complex coding issues, • Knowledge of mathematical computations using addition, subtraction, multiplication, division, percentages in order to perform personnel/payroll assignment. Ability to integrate multiple facts, statistics, and/or mathematical values when solving mathematical equations., • Ability to accurately enter data, prepare and maintain records, files, and reports., • Outstanding skills in giving attention to details with display of dexterity in maintaining confidentiality, • Must have advanced PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word and Excel as well as ability to use financial software and payroll systems (Kronos a plus)., • Communicate effectively with a variety of individuals and function calmly in situations, which require a high degree of sensitivity, tact, and diplomacy., • Ability to exercise appropriate judgment in answering questions and releasing information; analyze and project consequences of decisions and/or recommendations., • Skill to research and analyze various personnel/payroll matters to recommend alternative actions and/or take an appropriate course of action., • Skill to independently interpret reference materials to comply with law, rules, regulations, policies, procedures, etc., • Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines., • Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities., • Screening: Must successfully pass background check, drug screen, physical and be able to provide positive employment references. If you are among the most competitive and qualified candidates for the job, you will be contacted directly by one of our hiring managers. Due to the high volume of applications we receive, we are unable to respond to individual inquiries regarding your application status. Good Luck & we hope to meet you soon! Dallas Behavioral Healthcare Hospital is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status. Benefits Full-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.

Job Description Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed HCC Coding Team Leads to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the future of healthcare from your own workspace! What you will do: • Coding Team Lead is responsible for supporting the Coding Supervisors in monitoring coders in quality and efficiency, serving as a resource and facilitator while assisting in monitoring quality and production of the coding team., • Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the rebuttal through the process if they agree the coder's initial coding was correct., • Answers coding questions for assigned coders; trending the questions to identify opportunities for additional training. Collaborate with the Client Team and Training Team., • Tracks audits completed per coder to ensure coders are receiving timely feedback. Assists with auditing when the coder has not received recent feedback., • Support new hires released to the production team by being their coder-buddy., • Conducts one on one with coders focused on quality improvement., • Assists in tracking coder KPI and quality metrics on a daily, weekly, and monthly basis., • Coaches employees who are not meeting the expectations including recommending performance improvement initiatives as needed., • Collaborates with the Quality Department to ensure 95% accuracy expectation is met., • Report trends for education opportunities in both quality and productivity to management for review and/or action., • Assists in coding to meet the monthly production goals while maintaining quality at 95% or higher., • AHIMA certified credentials (CCS, CCS-P) or AAPC certified credentials (CPC, CPC-H, COC, CIC, CRC), • Extensive knowledge of ICD -10, • 2 years' HCC coding experience, • 1+ years' Team Lead experience a plus, • A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease processes, • Ability to work in a fast-paced production environment while maintaining high quality, • Must be able to follow instructions, meet deadlines and work independently, • Ability to be flexible in work environment, • Excellent written and verbal communication skills, ability to work in a remote environment and time management skills, • You have current Team Lead experience, • Full Benefits including a 401k Savings Plan, • Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development, • Compensation for AAPC/AHIMA dues, • Company-provided equipment including computer, monitor, mouse, etc, • Comprehensive training led by a credentialed professional coding manager This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here. Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy.

Job Description This role is a direct hires only, we appreciate independent recruiters and per our policy we kindly request NO solicitations (Billing Companies) or Staffing Agencies during the hiring process. IN PERSON POSITION ONLY NO REMOTE CANDIDATES WILL BE ACCEPTED About the Role: The Claim Denial Specialist plays a critical role in the health care services industry by managing and resolving denied insurance claims to ensure timely reimbursement for medical services rendered. This position requires a thorough understanding of insurance policies, billing procedures, and regulatory compliance to identify the root causes of claim denials and implement effective solutions. The specialist collaborates closely with insurance companies, healthcare providers, and internal billing teams to appeal denials and prevent future occurrences. You will have the opportunity to work with a diverse patient population and make a meaningful impact on their healthcare experience. This is a Full-time (40 hours per week) position Monday to Friday from 8am to 5pm, and 1 Saturday per month 9am to 5pm. Minimum Qualifications: • High school diploma or equivalent; associate degree or Certification in medical billing and coding (e.g. CPC, CCS-P) preferred., • Minimum of 3 years experience in medical billing, coding, or claims processing department with strong AR account follow-up, appeals, and coding knowledge is a must., • Strong knowledge of medical insurance policies, claim submission processes, and denial reasons., • Experience obtaining Prior-Authorization/Precertification for diagnostic testing, • Knowledge in obtaining insurance verification coverage benefits, • Billing experience in an Internal Medicine and/or Family Medicine setting, • Proficiency with eClinicalWorks, (EHR) systems and medical billing software., • Advance skills in Microsoft Office, specifically Excel and Word., • Certification such as Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS)., • Experience working with Medicare, Medicaid, and private insurance claim denials., • Familiarity with healthcare regulations including HIPAA and the Affordable Care Act, • Experience working with healthcare insurance CPT, ICD codes, and documentation, • Understanding of payer websites eligibility, precertification, and appeal process by all payers including commercial and government payers such as Medicaid, Tricare, Medicare Advantage Plans., • Strong research and analytical skills. Must be a critical thinker., • Advanced skills in data analysis and reporting tools., • Review and analyze denied insurance claims to determine the reasons for denial and identify necessary corrective actions., • Prepare and submit appeals and supporting documentation to insurance companies to resolve claim denials., • Collaborate with healthcare providers, billing departments, and insurance representatives to gather information and clarify claim details., • Maintain accurate records of denied claims, appeals, and outcomes to track trends and improve denial management processes., • Monitor insurance policies and industry regulations to ensure compliance and update internal procedures accordingly., • Generate reports on denial rates, resolution times, and financial impact to inform management decisions., • Create claims charge entry, and post patient payments accurately, • Responsible for identifying missing payments, overpayments, and analyzing credits on accounts, • Identify patient balances, generate statements and coordinate payment plans as necessary, • Provide administrative support, answering phones, and scheduling appointments, • Back up to Front Office Team, assist with check-in process, collect patient payments, update insurance demographics and ensure patients update PCP as required. The Claim Denial Specialist utilizes analytical skills daily to dissect complex claim denials and identify patterns that inform corrective actions. Strong communication skills are essential for negotiating with insurance representatives and collaborating with internal teams to gather necessary documentation. Attention to detail ensures accuracy in reviewing claims and preparing appeals, minimizing errors that could delay reimbursement. Proficiency with billing software and EHR systems enables efficient management of claim records and tracking of denial resolutions. Ability to multi-task, strong analytical and mathematical skills. Additionally, knowledge of healthcare regulations and insurance policies guides compliance and helps the specialist implement best practices that reduce future denials. Benefits: 401K/ Profit Sharing/ Medical, Vision, Dental Insurance, Life Insurance, Short and Long Term Plans

Job Description We are hiring a part-time Medical Coder to to assign procedure,diagnosis codes for insurance billing, review claims data, research and corresponds with insurance companies in an effort to obtain accurate reimbursement for healthcare claims. . Duties include but are not limited to: • Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing., • Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission., • Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims, • Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10., • Answer coding questions, • Review clinical documentation to ensure it meets level of CPT codes and ICD-10 codes, • Performs related duties, as requested., • Education: Certificate or associate's degree in medical coding/CPC. These additional certifications are not required but a plus: Certified Professional Coder (CPC), CPC-Hospital, CPC-Payer, Certified Interventional Radiology Cardiovascular Coder (CIRCC) and Certified Professional Medical Auditor (CPMA), • Experience: A minimum of 1 year coding experience required preferably with psychiatric services, • Knowledge, Skills & Abilities:, • Knowledge of medical terminology; basic and advanced ICD-9-CM coding; anatomy and physiology; computer data entry; and medical law, privacy and ethics., • Knowledge of CMS rules and regulations and current coding resources, • Knowledge of Healthcare Common Procedure Coding Systems (HCPCS), Current Procedural Terminology (CPT) coding and healthcare reimbursement methods., • Critical thinking skills and ability to resolve complex coding issues, • Knowledge of mathematical computations using addition, subtraction, multiplication, division, percentages in order to perform personnel/payroll assignment. Ability to integrate multiple facts, statistics, and/or mathematical values when solving mathematical equations., • Ability to accurately enter data, prepare and maintain records, files, and reports., • Outstanding skills in giving attention to details with display of dexterity in maintaining confidentiality, • Must have advanced PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word and Excel as well as ability to use financial software and payroll systems (Kronos a plus)., • Communicate effectively with a variety of individuals and function calmly in situations, which require a high degree of sensitivity, tact, and diplomacy., • Ability to exercise appropriate judgment in answering questions and releasing information; analyze and project consequences of decisions and/or recommendations., • Skill to research and analyze various personnel/payroll matters to recommend alternative actions and/or take an appropriate course of action., • Skill to independently interpret reference materials to comply with law, rules, regulations, policies, procedures, etc., • Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines., • Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities., • Screening: Must successfully pass background check, drug screen, physical and be able to provide positive employment references. If you are among the most competitive and qualified candidates for the job, you will be contacted directly by one of our hiring managers. Due to the high volume of applications we receive, we are unable to respond to individual inquiries regarding your application status. Good Luck & we hope to meet you soon! Dallas Behavioral Healthcare Hospital is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status. Benefits Full-time employees are eligible for medical, dental, vision, company paid disability, 401(k) and a generous amount of paid time off.

Job Description Medical Coding and Billing Instructor/Externship Coordinator Job Description: Have you ever wanted to make an impact on the future generation of Medical Coding and Billing professionals? Do you have a passion for helping people reach their full potential? Do you love working closely with people? If your answer is yes, this career may be just perfect for you. You responsibilities will include delivering curriculum content to our Medical Coding and Billing students. This includes mentoring and helping the students to become professionals. Qualifications: • 3+years of Medical Coding and Billing PLDZC9ZVdz

Job DescriptionJob Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Responsibilities/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records to determine accurate required abstracting elements (facility/client/payer-specific elements) including appropriate discharge disposition · IP, OP Coding: Reviews medical records for the determination of accurate assignment of all documented ICD-10-CM codes for diagnoses and procedures. Abstracts accurate required data elements (facility/client specific elements) including appropriate discharge disposition. · Coding: Uses discretion and specialized coding training and experience to accurately assign ICD-10, CPT-4 codes to patient medical records. · Abstracting: Reviews medical records to determine accurate required abstracting elements (client specific elements) including appropriate discharge disposition. · Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by SOW. · Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on an annual basis (IPPS and OPPS, ICD-10-CM, and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls · Create audit schedules and manage workflows to adhere to the audit schedule. · Develop methods to effectively communicate information through presentations, graphs, reports, educational materials, etc. · Develop, establish, and review policies and objectives consistent with those of the organization to ensure efficient departmental operations. · Performs charge audits by comparing itemized bills to medical record documentation to ensure appropriate charging. · Review, assess, study, and analyze the overall coding, billing, documentation, and reimbursement system for potential compliance problems. · Performs all other duties as assigned. Qualifications & Experience: · Ability to consistently code at 95% accuracy and quality while maintaining client-specified production standards · Must successfully pass a coding test · Knowledge of medical terminology, ICD-9-CM and CPT-4 codes · Must be detail-oriented and can work independently · Computer knowledge of MS Office · Must display excellent interpersonal skills · The coder should demonstrate initiative and discipline in time management and assignment completion · The coder must be able to work in a virtual setting under minimal supervision · Intermediate knowledge of disease pathophysiology and drug utilization · Intermediate knowledge of MS-DRG classification and reimbursement structures · Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures EDUCATION / EXPERIENCE · Associate degree in a relevant field preferred or a combination of the equivalent of education and experience · Three years of coding experience including hospital and consulting background CERTIFICATES, LICENSES, REGISTRATIONS · AHIMA Credentials, and or AAPC · Certified Professional Medical Auditor by AAPC PHYSICAL DEMANDS · Requires visual acuity to inspect and analyze work close to the eyes and ability to hear sound with or without correction; Ability to climb, stoop, kneel, reach, stand, walk pull, push lift, and able to exert up to 40 pounds of force occasionally and/or up to 10 pounds of force constantly to move objects. · Moderate physical activity performing somewhat strenuous daily activities of a primarily administrative nature. · The physical demands for this position include adequate vision, hearing, and repetitive motion. · Ascending or descending stairs, ramps, and the like, using feet and legs and/or hands and arms. · Substantial movements (motion) of the wrist, hands, and/or fingers in a repetitive manner - Bending legs downward and forward by bending leg and spine - Standing, particularly for sustained periods of time. Using upper extremities to exert force to draw, drag, haul or tug objects in a sustained motion. · Raising objects from a lower to a higher position or moving object horizontally from position to position WORK CONDITIONS • While performing the duties of this job, the employee is frequently required to stand, walk, sit, reach with hands and arms, and talk or hear., • The employee is occasionally required to stoop, kneel, crouch, or crawl and taste or smell., • The employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures, transcribing, and viewing a computer terminal. Powered by JazzHR gVCkZcc1h2

Job Description Job Title: Director of Risk Adjustment and Quality Department: Risk Adjustment & Quality Product Operations Reports to: VP of Product Position Summary: The Director of Risk Adjustment and Quality leads the strategy, execution, and optimization of risk adjustment and quality initiatives for our SaaS platform serving Medicare Advantage, provider organizations, and payer markets. This role ensures our platform delivers accurate risk scoring, quality measure tracking, and regulatory compliance while supporting clients’ value-based care and financial performance goals. Key Responsibilities: • Own the risk adjustment and quality product roadmap for Medicare Advantage, provider organizations, and commercial payer clients., • Lead the development of HCC coding, suspecting, recapture tracking, and gap closure modules within the platform., • Oversee analytics, reporting, and client enablement programs focused on risk adjustment accuracy and quality measure performance (HEDIS, STAR Ratings, CAHPS, etc.)., • Ensure compliance with CMS guidelines, NCQA standards, and other regulatory requirements specific to Medicare Advantage and commercial risk programs., • Partner with Product, Engineering, and Data Science teams to deliver scalable, high-performing SaaS solutions supporting MA plans, provider groups, and health plans., • Work directly with client leadership teams to translate regulatory and business requirements into actionable platform configurations and reporting strategies., • Provide subject matter expertise on CMS file formats (BCDA, CCLF, EDGE) and value-based care models including ACO REACH, MSSP, and commercial risk arrangements., • Lead internal teams including clinical coders, quality analysts, and client success staff focused on risk and quality performance improvement., • Analyze and report on key KPIs including RAF score accuracy, gap closure rates, and STAR metric performance, driving continuous improvement strategies., • Monitor industry trends, regulatory updates, and competitor activity to inform product and business strategy. Qualifications: • Bachelor’s degree in Healthcare Administration, Public Health, Data Science, or a related field; Master’s preferred., • 8+ years of experience in Medicare Advantage, risk adjustment, and quality improvement within a payer, provider, or SaaS environment., • Proven leadership experience overseeing risk adjustment and quality programs, including team management and cross-functional collaboration., • Deep understanding of Medicare Advantage program requirements, including HCC coding, STAR ratings, HEDIS measures, CAHPS, and VBP models., • Experience with payer-provider collaboration and managing risk programs across different organizational structures., • Familiarity with healthcare data formats: FHIR, HL7, BCDA, CCLF, EDGE files, and claims data., • Exceptional communication, client-facing, and presentation skills. Preferred Skills: • Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC)., • Experience deploying AI or machine learning solutions for risk adjustment or quality gap closure., • Strong understanding of data integration workflows supporting payers, providers, and Medicare Advantage plans. Lightbeam Internal Use Only: Position Security Classification CRITERIA: POSITION RISK LEVEL High Risk (if any of these are true) Access to Restricted information, including PHI and PII Elevated access privileges Access to the Security Infrastructure Medium Risk Access to Confidential, but not to Restricted information Low Risk Access to Unclassified information only Director of Risk Adjustment and Quality : High CRITERIA: SECURITY ROLES & RESPONIBILITIES Security Roles & Responsibilities: · Approve security-related changes · Execute security-related changes · Not applicable Policy/procedures for Lightbeam Cyber Security Incident Response (CSIRT) team Director of Risk Adjustment and Quality: Not Applicable SECURITY ROLE-SPECIFIC TRAINING Annual Incident Response Exercises

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 The Senior Consultant of Compliance Programs assists with effective implementation and monitoring of Parkland’s Ethics and Compliance Program (“Program”) across the health system. The Consultant's general duties and responsibilities encompass developing, implementing and monitoring the Program’s requirements to ensure compliance with federal healthcare program requirements, Parkland policy and the Code of Conduct. This includes adherence to the requirements and guidance set forth by various regulatory authorities including, but not limited to, the Office for Civil Rights (OCR), Office of Inspector General (OIG), the United States Department of Justice (DOJ) and the Centers for Medicare and Medicaid Services (CMS). Minimum Specifications ONSITE Education • A bachelor's degree is required, master's degree preferred. Experience • Must have six (6) years of progressively responsible experience in a healthcare related administrative, financial or compliance role, preferably with a large, multi-faceted healthcare company or academic medical center. Experience with auditing and monitoring, education and training, conflicts of interest, federal exclusion screening, risk assessments and other healthcare compliance-related activities required. Equivalent Education and/or Experience • May have an equivalent combination of experience and certification in lieu of specific education only. Certification/Registration/Licensure Certification in a healthcare compliance-related specialty is required. Must be currently certified and in good standing with one of the following or obtain within 24 months of placement in the position: • Certified in Healthcare Compliance (CHC), • Certified Compliance and Ethics Professional (CCEP), • Certified in Healthcare Privacy Compliance (CHPC), • Certified in Healthcare Research Compliance (CHRC), • Certified Professional Compliance Officer (CPCO), • Certified Professional Coder (CPC), • Certified Outpatient Coder (COC), • Certified Inpatient Coder (CIC), • Certified Coding Specialist (CCS), • Renewals must be submitted no later than 7 calendar days after the current expiration date. Skills or Special Abilities • Advanced computer skills and proficient with Microsoft Office applications., • Detailed knowledge of compliance program requirements for hospitals and academic health systems., • Demonstrates the ability to evaluate healthcare compliance issues and make appropriate recommendations. Special focus on federal exclusion screening, conflicts of interest, education and training, risk assessments, compliance program guidance and the interpretation and application of state and federal law., • Strong oral and written communication skills and interpersonal skills. Able to communicate thoughts, ideas, information and messages with clear language, style, organization and format appropriate to the subject matter, purpose and audience., • An active listener with the exercise of sound professional judgement., • Possesses excellent critical thinking skills, including the ability to identify a problem, determine the root-cause, communicate findings and participate in the development of the solution., • Detail-oriented with strong organizational and time management skills and the ability to effectively prioritize daily tasks., • Capable of managing difficult conversations with sensitivity and the ability to respond to confidential information with objectivity and discretion., • Demonstrates a high degree of integrity and practice ethical standards. Responsibilities • Assists in the development, implementation, execution, education, monitoring and continuous improvement of the core components of an effective compliance program, including but not limited to:, • compliance-related policies, procedures and standards (i.e., Code of Conduct) designed to identify, prevent and detect illegal, unethical, or improper conduct, • robust corrective action development and monitoring procedures to remediate identified violation, • formal education, training, and communications that are designed for a diverse workforce, • compliance risk assessment program, • conflicts of interest disclosure program, • federal and state exclusion screening program, • annual compliance work plan, • compliance-related key indicators for operations across the organization, • partnership with the Office of Talent Management to ensure appropriate enforcement of compliance-related standards and disciplinary guidelines for identified violations, • fostering a ‘speak-up’ organizational culture free from retaliation, • Participates in complex compliance projects and lead cross-functional teams in setting and managing milestones and deliverables to achieve stated outcomes, • Conduct data analytics and develop targeted metrics related to the Program, • Monitor external environment to ensure implementation of best practices, • Standardize risk-based compliance reporting to ensure the Chief Compliance Officer, Executive Leadership and various compliance committees are informed of risks to the operation and progress of compliance efforts, • Monitor the performance of the Program and related activities on a continuing basis, taking appropriate steps to improve its effectiveness, • Provide support to various compliance committees as necessary, • Perform other duties that may be necessary or in the best interest of the Program and organization Job Accountabilities • Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland., • 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., • 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.

EPIC, Solventum 3M standalone encoder, CoderPro/Find-A-Code. HIRING: GYN/ONC Profee Coder – TEXAS ONLY.

Licenses and Certifications: Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA) o

EPIC, Solventum 3M standalone encoder, CoderPro/Find-A-Code. HIRING: GYN/ONC Profee Coder – TEXAS ONLY.