Offer summary

Qualifications:

High School Diploma or equivalent required, with an Associate's Degree in a related field preferred., Minimum of 2 years of professional coding experience, with advanced training in medical terminology, anatomy, and physiology required., Certification as a CPC or CCS-P is required upon hire, with additional specialty certifications preferred., Strong knowledge of procedural and clinical diagnosis coding, effective communication skills, and proficiency in computer applications are essential..

Key responsabilities:

Accurately abstract information from medical records and assign Profee codes using ICD-10-CM, CPT, and HCPCS.

Review medical record documentation to ensure accurate Profee code assignment in compliance with guidelines.

Perform charge reconciliation to identify missed charges and notify leadership of discrepancies.

Participate in special projects and complete additional duties as assigned, including charge correction requests and denials management.

Job description

25001862

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

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 our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we’ve won and more.

Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org.

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