Coding Denials Analyst - Full Time

#REF!•Arlington, TX

4d•Remote

About The Position

We are looking for a qualified Coding Denials Analyst to join our Texas Health family. This is a full-time, remote position within the HIMS Coding Department. The role involves reviewing, researching, resolving, and trending billing and coding edits, as well as documentation, reimbursement, and coding trends. The analyst will also assist the leadership team with fiscal management of coding resources and processes and maintain professional accountability.

Requirements

Associate's Degree in Health Information Services or related field OR H.S. Diploma or Equivalent with 3 Years Coding experience in lieu of degree
3 Years Coding in an acute care setting
2 Years Performing billing and coding denials resolution
CCS - Certified Coding Specialist Upon Hire OR CCA - Certified Coding Associate Upon Hire OR RHIA - Registered Health Information Administrator Upon Hire OR RHIT - Registered Health Information Technician Upon Hire OR CPC - Certified Professional Coder Upon Hire OR COC - Certified Outpatient Coder Upon Hire OR Other Relevant AHIMA or AAPC coding (not billing) certifications, ie., CIC, CIRCC, etc. Upon Hire
Coding Denials Analysts hired prior to January 1, 2013 are not required to obtain certification(s) as a condition of employment Upon Hire
Demonstrates the ability to locate, research, comprehend and appropriately apply 3rd party payer rules and regulations.
Able to analyze and resolve complex coding related claim or payor denials in a manner that ensures accurate and optimal reimbursement.
Proficient in Microsoft Office and billing software applications.
Thorough understanding of ICD10-CM/PCS, DRG methodologies, CPT-4, Outpatient Code Editor and National Correct Coding Initiative policies.
Demonstrates clear and concise oral and written communication skills.
Demonstrates strong decision making and problem solving skills.
Personal initiative to keep abreast of new developments in coding updates/technology/research/regulatory data.
Detail oriented and ability to meet deadlines.
Ability to adjust successfully to changing priorities and work load volume.

Nice To Haves

2 Years Performing billing and coding denials resolution preferred

Responsibilities

Reviews, researches, resolves and trends billing and coding edits
Trends documentation, reimbursement, and coding
Assists the leadership team with Fiscal Management of coding resources and processes
Professional Accountability