Located in Arlington Texas, Texas Health Resources is a nonprofit, faith-based healthcare provider that has been providing a wide range of healthcare services to the communities th
Coder II - Denials
Location
Virginia
Posted
20 days ago
Salary
0
Seniority
Senior
Job Description
Coder II - Denials
Texas Health Resources
Title: Coder II (Denials) - FT - Days Location: Arlington Department: Health Information Management Job Description: 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 ourTexas Health careers site for info likeBenefits,Job Listings by Category, recentAwards we’ve won and more. #LI-JT1 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
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