Coder II (Denials) - FT - Days in Arlington, Texas at Texas Health Resources

Coder II

Are you looking for a rewarding career with a top-notch health care company? We're looking for a qualified Coder II (Denials) like you to join our Texas Health family.

Position Highlights

• Work location: Remote work
• Work hours: Monday - Friday generally between 7:00 am - 6:00 pm

HIMS Coding Department Highlights:

• Flexible hours/scheduling once training is complete

• Work life balance

• Opportunities for advancement

Here's What You Need

Education
H.S. Diploma or Equivalent REQUIRED and
Associates's Degree Related field preferred

Experience
2 Years Professional (Profee) Coding experience. Completion of advanced level training in medical terminology, anatomy and physiology, or similar REQUIRED

Licenses and Certifications
CPC - Certified Professional Coder Upon Hire REQUIRED or
CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and
Other Specialty certification such as CGSC, COSC, CCC, etc. Upon Hire Preferred

Required Skills

• Advanced knowledge of procedural and clinical diagnosis coding pertaining to professional billing.

• Knowledge of third-party regulations/ payor billing requirements.

• Must be able to communicate effectively.

• Must be detail oriented and have strong organizational skills.

• Must possess a strong work ethic and a high level of professionalism.

• Must have proficient computer skills, with the ability to learn internal application systems.

What you will do

• Accurately abstracts information from the medical records and assigns Profee codes using ICD-10-CM, CPT, and HCPCS in compliance with established guidelines. Provides codes to various departments upon request.

• Reviews supporting medical record documentation to ensure accurate Profee code assignment (ICD-10-CM, CPT, HCPCS) of professional charges in compliance with third party payer, NCCI guidelines and THPG policies. Maintains documentation to record/track coding variance.

• Performs charge reconciliation.

• Performs charge reconciliation of facility charges posted against OR/scheduled procedures to identify missed charges. Notifies leadership regarding discrepancies, collaborates with practice staff and providers to obtain information needed to complete coding and enter appropriate Profee charges.

• Participates in special projects and completes other duties as assigned (e.g., Charge correction requests, research of payor policies, Accounts Receivable & Denials management of Profee charges)

Additional perks of being a Texas Health Coder

• Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits .

• A supportive, team environment with outstanding opportunities for growth.

• Explore our Texas Health careers site for info like Benefits , Job Listings by Category , recent Awards we've won and more.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org .

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Primary Location: Arlington
Job: Health Information Management
Organization: Texas Health Resources 612 E. Lamar TX 76011
Shift: Day Job
Employee Status: Regular
Job Type: Standard
Schedule: Full-time