Coder II (Denials) FT Days

Heres What You Need

Education
H.S. Diploma or Equivalent REQUIRED and
Associatess 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 weve won and more.

Do you still have questions or concerns Feel free to email your questions to .

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Coder II

Are you looking for a rewarding career with a top-notch health care companyWere looking for a qualifiedCoder 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