{"id":1662069,"url":"https://alion.io/job/houston-methodist-ambulatory-payment-classification-coordinator","title":"Ambulatory Payment Classification Coordinator","company":{"id":11892,"name":"Houston Methodist","domain":"houstonmethodist.org","url":"https://alion.io/company/houstonmethodist","size_band":"1001-5000","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":80,"open_postings":105,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":21,"computed_at":"2026-10-10T05:45:15Z"}},"role":"Administrative","role_family":"Administrative","seniority":"junior","employment_type":"full_time","work_mode":"remote","remote_scope":"stated_countries","remote_scope_basis":"board_field","remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":["US"],"hiring_countries_total":1,"salary":null,"salary_estimate":{"min_usd":44000,"max_usd":75000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":249},"experience_years_min":2,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[],"status":"live","first_seen_at":"2026-07-06T00:00:00Z","employer_posted_date":"2026-07-06","last_verified_at":"2026-10-11T22:54:31Z","board_verified":true,"closed_at":null,"days_open":97,"trust":{"level":"stale","repost_count":0,"flags":["stale"],"days_open":97},"description":"At Houston Methodist, the Ambulatory Payment Classification (APC) Coordinator position is responsible for reviewing and correcting all claims edits related to the APC grouper, National Correct Coding Initiative (NCCI), Correct Coding Initiative (CCI), etc. This position reviews Current Procedural Terminology Fourth Edition (CPT-4)/Healthcare Common Procedure Coding System (HCPCS) code errors and communicates with key operational staff/stakeholders to ensure proper coding, charging, and compliant claims.\n\nFLSA STATUSExempt\nQUALIFICATIONS\nEDUCATION\n High School diploma or equivalent education (examples include: GED, verification of homeschool equivalency, partial or full completion of post-secondary education, etc.) \n Bachelor’s degree preferred \nEXPERIENCE\n Two years of coding experience \n One year of revenue cycle experience preferred \nLICENSES AND CERTIFICATIONS\nRequired\n Must have one of the following:RHIT - Certified Health Information Technician (AHIMA)\nRHIA - Registered Health Information Administrator (AHIMA)\nCCS - Certified Coding Specialist (AHIMA)\nCCA - Certified Coding Associate (AHIMA)\nCCS-P - Certified Coding Specialist Physician-Based (AHIMA)\nCPC - Certified Professional Coder (AAPC)\nCPC-H - Certified Professional Coder - Hospital (AAPC)\nCPC-I - Certified Professional Coder Instructor (AAPC)\nCPC-A - Certified Professional Coder Associate (AAPC)\nCCC - Certified Cardiology Coder (AAPC)\n• COC - Certified Outpatient Coder (AAPC) \n\nSKILLS AND ABILITIES\nDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations \nSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security \nAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles \nKnowledge of patient account charge processes and a comprehensive understanding of Medicare coding rules and regulations \nAbility to follow-through and handle multiple tasks simultaneously \nAbility to work independently and interdependently with other business office staff \nSharp analytical abilities in order to ensure proper coding and charging of related accounts \nProficient computer skills and ability to learn and navigate multiple software programs \nExpert knowledge of the various state and federal insurance programs \nAbility to partner with various hospital departmental colleagues \nKnowledge of International Classification of Diseases (ICD) coding (procedure and diagnoses), CPT and HCPCS \nKnowledge of correct charging practices for non-Medicare carriers \nESSENTIAL FUNCTIONS\nPEOPLE ESSENTIAL FUNCTIONS\nPromotes a positive work environment and contributes to a dynamic team focused work unit that actively helps one another to achieve optimal department and organizational results. \nCollaborates with key stakeholders to address discrepancies with charges and medical records documentation. \nAddresses billing and coding edit issues that require specialized analyses; triages issues to Charge Description Master (CDM) team, medical records coding, or other revenue cycle partners as necessary. \nSERVICE ESSENTIAL FUNCTIONS\nReviews charges and medical records to ensure that claims are billed compliantly and are supported by medical record documentation. Communicates to management about barriers to compliant and accurate billing including medical record issues, department charging practices, etc. \nRecommends changes as needed to the Charge Description Master. \nResponds to referrals and customers with resolutions within the expected time frame. \nTrains department and revenue cycle staff as needed on regulatory items related to compliant coding on the claim. \nQUALITY/SAFETY ESSENTIAL FUNCTIONS\nMeets or exceeds stated departmental standards for Key Performance Indicators (KPI) (e.g., inventory management, productivity, quality reviews, etc.). \nFollows established coding rules and guidelines based on accurate documentation in the medical record when reviewing claims. \nIncorporates federal and state regulations, payor medical policies, case specific medical documentation, and claims information into claims review for timely and compliant billing. \nFINANCE ESSENTIAL FUNCTIONS\nAnalyzes data from various sources (medical records, claims data, payor medical policies, etc.), determines the causes for coding related edits or denials and partners with management to ensure timely billing and denial prevention. \nAnalyzes APC/claim edits/coding denials to identify new trends, opportunities, and educational feedback as needed. \nFollows levels of authority for posting adjustments, refunds, and contractual allowances. \nGROWTH/INNOVATION ESSENTIAL FUNCTIONS\nActively engages in personal assessment and expands learning beyond baseline competencies with a focus on continual development (i.e., participates in training opportunities, focal point review activity, etc.). Applies new learning. \nStays current on all federal and state regulations related to NCCI/CCI/APC and related edits. \nSUPPLEMENTAL REQUIREMENTS\n WORK ATTIREUniform: No \nScrubs: No \nBusiness professional: Yes \nOther (department approved): Yes \nON-CALL*\n*Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.\nOn Call* No \nTRAVEL**\n**Travel specifications may vary by department**\nMay require travel within the Houston Metropolitan area No \nMay require travel outside Houston Metropolitan area No \n\nWork Shift:\n1 - Day (United States of America)\n\nJob Category:\nNon-clinical\n\nHouston Methodist is one of the nation’s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!\nHouston Methodist is an Equal Opportunity Employer.","description_format":"text","description_chars":6469,"description_truncated":false,"requirements":{"experience_years_min":2,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"high_school","optional":false},"security_clearance":false,"languages":[{"language":"English","level":"All levels","optional":false}]},"benefits":[],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Professional Services","Hospitals & Health Systems"],"lifecycle":[{"event":"open","at":"2026-10-02T04:06:40Z"}],"visa":[],"liveness":{"score":4,"band":"cold","label":"Long shot","p_open":1,"p_active":0.16,"p_room":0.28,"age_days":96,"expected_fill_days":21,"reasons":["conf:1","stale_co","velocity","win:tail","crowd:junior,brand"],"computed_at":"2026-10-10T05:45:15Z"},"pay":null,"html_url":"https://alion.io/job/houston-methodist-ambulatory-payment-classification-coordinator","json_url":"https://alion.io/job/houston-methodist-ambulatory-payment-classification-coordinator.json","meta":{"generated_at":"2026-10-11T23:19:01Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":14252,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-12T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":11892},"rest":"https://alion.io/mcp/rest/get_company?id=11892"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fhouston-methodist-ambulatory-payment-classification-coordinator"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Fhouston-methodist-ambulatory-payment-classification-coordinator"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Fhouston-methodist-ambulatory-payment-classification-coordinator"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/houston-methodist-ambulatory-payment-classification-coordinator\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fhouston-methodist-ambulatory-payment-classification-coordinator"}]}