Mid Coding Specialist III

Job Summary

UT Southwestern Medical Center has a new opportunity available for a Mid Coding Specialist III. Works under general supervision to perform advanced, accurate, and compliant coding of high-complexity surgical, procedural, and interventional specialties within a highly specialized academic medical center environment.

Responsibilities

• Exercises independent judgment in the review of encounters characterized by high documentation variability, evolving intraoperative findings, multi-procedure operative cases, complex bundling and add-on logic, advanced payer nuance and regulatory interpretation, device-intensive procedures, validation of incident-to/split-shared services, and teaching physician documentation compliance.
• Supports audit and denial escalation review and evaluates and resolves high-risk AI-assisted coding exceptions to ensure regulatory compliance, audit readiness, and optimal reimbursement.
• Abstracts complex interventional, imaging-guided procedures, and diagnostic radiology reports in CodeAssist for CPT and ICD-10.

Requirements

• Exercises independent judgment in the review of encounters characterized by high documentation variability, evolving intraoperative findings, multi-procedure operative cases, complex bundling and add-on logic, advanced payer nuance and regulatory interpretation, device-intensive procedures, validation of incident-to/split-shared services, and teaching physician documentation compliance.
• Supports audit and denial escalation review and evaluates and resolves high-risk AI-assisted coding exceptions to ensure regulatory compliance, audit readiness, and optimal reimbursement.
• Abstracts complex interventional, imaging-guided procedures, and diagnostic radiology reports in CodeAssist for CPT and ICD-10.

Qualifications

• Education: High School Diploma or GED Equivalent
• Experience: 4 years of coding and/or billing experience

Preferred Experience

• Experience coding high-complexity specialties and procedures requiring advanced bundling, modifier logic, and payer-specific rule application.
• Progressive professional billing and coding experience 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 queues and shifting specialty assignments.
• Licenses and Certifications: (CPC) CERT PROFESSIONAL CODER or (CCS-P) CERT CODING SPCLST PHY BA or (CMC) CERT MEDICAL CODER or (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD HEALTH INFO TECHNOLOGIST or (CCS) CERT CODING SPECIALIST or (CPMA) Cert Prof Medical Auditor

Skills

• Previous EPIC experience preferred.
• Previous billing within Radiology is preferred.

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

Pay

To be discussed during the interview

Schedule

Flex, 8-hour days

Work From Home

Applicant must live within Texas

Security and EEO Statement

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. UT 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.