Coder II (Denials) - FT - Days
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 include:
- 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
Qualifications:
- 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.
Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.