Coder II (Denials) - FT - Days

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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