Mid Coding Coordinator, Revenue Cycle

UT Southwestern Medical Center • Dallas, TX

19h

About The Position

Works under minimal supervision to serve as an advanced coding resource and peer leader within the physician revenue cycle. Provides day-to-day operational guidance to coding staff, supports workflow coordination, and reinforces departmental quality, productivity, and compliance standards across professional billing and mid revenue cycle functions. Functions as a subject matter resource for AI-assisted coding validation, documentation integrity, modifier application, incident-to and split/shared billing. Promotes coding accuracy, timeliness, regulatory compliance, and effective AI-enabled revenue cycle operations through peer mentorship, quality reinforcement, and operational problem-solving.

Requirements

• High School Diploma or GED Equivalent
• 5 years of experience in coding and/or billing experience
• (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 TECHNOLO or
• (CCS) CERT CODING SPECIALIST or
• (CPMA) Cert Prof Medical Auditor

Nice To Haves

• Experience as a trusted subject matter resource who has provided peer guidance, identified workflow inefficiencies, and contributed to operational and quality improvement initiatives.
• Experience coding moderate to 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.

Responsibilities

• Serves as a day-to-day resource for Coding and Billing Specialists by providing guidance, modeling best practices, and offering informal peer coaching; supports onboarding and training to reinforce workflows, documentation standards, and performance expectations; and facilitates communication of updates, gathers staff feedback and escalates operational concerns to leadership.
• Identifies workflow inefficiencies, documentation gaps, denial trends, and AI-related exception patterns impacting productivity, reimbursement, or compliance; drives resolution, escalates high-risk issues, and provides recommendations to leadership.
• Reviews, codes, and resolves cases within Charge Review Escalation work queues and assists in resolving routine to complex coding and billing issues.
• Identifies high-opportunity service lines for AI automation within mid-revenue cycle operations and contributes to automation strategy development.
• Contributes to development of decision logic and leads testing and validation of AI-coding assisted solutions, including Epic enhancements and third-party technologies.
• Monitors and optimizes AI-assisted coding workflows and performance by analyzing exception trends and output accuracy.
• Leads implementation of AI-enabled workflows, including defining success metrics and exception handling processes to ensure accuracy, compliance, and operational efficiency and collaborates with stakeholders to drive continuous improvement.
• Supports internal and external audits by providing documentation clarification, coding rationale, and operational insight.
• Collaborates with Revenue Integrity, CDI, Compliance, Clinical Departments, and other stakeholders to resolve documentation and coding issues affecting reimbursement and regulatory compliance.
• Adheres to all organizational policies, compliance standards, data security requirements, and performance expectations.
• Performs other duties as assigned.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100%25 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED