Coder II (Denials) - FT - Days

Texas Health Resources • VA

67d

About The Position

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. This position is remote and offers flexible hours/scheduling once training is complete, promoting work-life balance and opportunities for advancement.

Requirements

• H.S. Diploma or Equivalent REQUIRED.
• Associates's Degree in a Related field preferred.
• 2 Years Professional (Profee) Coding experience.
• Completion of advanced level training in medical terminology, anatomy and physiology, or similar REQUIRED.
• CPC - Certified Professional Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED.
• Other Specialty certification such as CGSC, COSC, CCC, etc. Upon Hire Preferred.
• Advanced knowledge of procedural and clinical diagnosis coding pertaining to professional billing.
• Knowledge of third-party regulations/ payor billing requirements.
• Effective communication skills.
• Detail oriented with strong organizational skills.
• Strong work ethic and a high level of professionalism.
• Proficient computer skills, with the ability to learn internal application systems.

Nice To Haves

• Other Specialty certification such as CGSC, COSC, CCC, etc.

Responsibilities

• 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 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).

Benefits

• 401k
• PTO
• Medical insurance
• Dental insurance
• Paid Parental Leave
• Flex spending
• Tuition reimbursement
• Student Loan Repayment Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees