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Coder II (Denials) - FT - Days
Job
Texas Health Resources
Remote
Full-Time
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Job Description
Coder II (Denials)
- FT•Days Coder II Are you looking for a rewarding career with a top-notch health care company?
- 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.
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
- 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.
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