Coder II (Denials) - FT - Days

Texas Health Resources; Arlington (TX); Remote; USD 50,000 - 80,000; Full time

Job summary

Join a forward-thinking health care company as a Coder II, where you will play a vital role in ensuring accurate coding and compliance in professional billing. This position offers the chance to work remotely while contributing to a supportive team environment that values work-life balance and professional growth. You will be responsible for abstracting medical records, assigning codes, and collaborating with various departments to maintain coding accuracy. With a strong emphasis on detail and organizational skills, this role is perfect for someone looking to make a significant impact in the health care industry. Don't miss the opportunity to advance your career in a rewarding setting!

Benefits

401k

PTO

Medical insurance

Dental insurance

Paid Parental Leave

Flex spending

Tuition reimbursement

Student Loan Repayment Program

Qualifications

• 2 years of professional coding experience required.
• Completion of advanced training in medical terminology is necessary.

Responsibilities

• Abstracts information from medical records and assigns Profee codes accurately.
• Reviews documentation for accurate Profee code assignment.

Skills

Advanced knowledge of procedural and clinical diagnosis coding

Knowledge of third-party regulations/payor billing requirements

Effective communication skills

Detail-oriented

Strong organizational skills

Strong work ethic

Proficient computer skills

Education

H.S. Diploma or Equivalent

Associates's Degree in Related Field

Tools

ICD-10-CM

CPT

HCPCS

Job description

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:

1. Flexible hours/scheduling once training is complete
2. Work life balance
3. 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

1. Advanced knowledge of procedural and clinical diagnosis coding pertaining to professional billing.
2. Knowledge of third-party regulations/ payor billing requirements.
3. Must be able to communicate effectively.
4. Must be detail oriented and have strong organizational skills.
5. Must possess a strong work ethic and a high level of professionalism.
6. Must have proficient computer skills, with the ability to learn internal application systems.

What you will do

1. 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.
2. 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.
3. Performs charge reconciliation.
4. 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.
5. 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

1. Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.
2. A supportive, team environment with outstanding opportunities for growth.

_Do you still have questions or concerns?_ Feel free to email your questions to [e-mail].

Texas Health requires a resume when an application is submitted. Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.