Coder Lead (Denials) Full Time
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Job Location:
Arlington, TX - USA
Monthly Salary:
Not Disclosed
Posted on:
2 days ago
Vacancies:
1 Vacancy
Job Summary
Coder Lead (Denials)
Are you looking for a rewarding career with a top-notch health care companyWere looking for a qualifiedCoder Lead (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
Heres What You Need
Education
H.S. Diploma or Equivalent REQUIRED and
Bachelors Degree Related field. 4 Years Coding denials and/or AR experience in lieu of degree REQUIRED
Experience
5 Years Coding and/or Denials experience REQUIRED
Licenses and Certifications
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 CPB CPPM CHONC CFPC CPMA etc. Upon Hire preferred
Skills
Extensive understanding of health insurance and medical coding requirements.
Extensive knowledge of third party billing regulations professional operations and third party payer requirements.
Must possess strong written & verbal communication skills good interpersonal skills.
Must be detail oriented and have strong organizational skills.
Must possess a strong work ethic and a high level of professionalism.
Must have advanced computer skills (e.g. Excel Power Point Word Outlook OneNote SharePoint) with the ability to learn potential new internal application systems. (e.g. computerized coding tools)
Must possess strong analytical research & reporting skills
Must be comfortable leading people/demonstrating leadership qualities in alignment with THPG promise behaviors
What you will do
In compliance with established guidelines reviews supporting documentation to ensure accurate coding assignments (ICD CPT HCPCS) in support of third party payer NCCI guidelines and THR/THPG policies. Maintains documentation to record/track discrepancies for applicable provider specialties. Monitor and assist charge capture and/or denial coding staff as needed. Monitor CRD charge capture/denial WQs and assist in resolving system issues preventing charges from clearing the WQs (e.g. misrouting charges not dropping edits not functioning as expected).
Monitor coding discrepancy logs to identify trends impacting coding. Performs root cause analysis and creates action plans for issues impacting coding quality or established KPI metrics. Participates in special projects and completes other duties as assigned. 25%
Serves as a subject matter expert providing direction to less experienced staff. May assist with training auditing and/or reviewing productivity and quality rates under the leadership of department management.
Respond to requests for assistance from inter-departmental teams external vendors providers and operations as well as addressing escalated questions pertaining to coding and quality distribution lists.
Process requests to force override system held charges charge corrections void charges merge charges deferred charges and write offs.
Support designated meetings when required by department management (e.g. Optimization Edits Lab Denial Payor Escalations CRD Policy & Procedures etc.) by preparing documentation communicating updates minutes following action items and/or serving as proxy.
Additional perks of being a Texas Health Coder Lead
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 .
#LI-JT1
Required Experience:
IC
Key Skills
About Company
With 24 hospitals around Dallas-Fort Worth, Texas Health Resources provides care in most North Texas communities. Call 1-877-THR-WELL for more information.
