[Hiring] Coding Denials Analyst @Texas Health Resources

Role Description

Are you looking for a rewarding career with an award-winning company? We’re looking for a qualified Coding Denials Analyst like you to join our Texas Health family.

Work location: Remote

Work hours: Monday through Friday (full time hours)

HIMS Coding Department Highlights:

• 100% remote work
• Flexible hours/scheduling
• Terrific work/life balance

Qualifications

• Associate's Degree in Health Information Services or related field (REQUIRED)
• H.S. Diploma or Equivalent with 3 Years Coding experience in lieu of degree (REQUIRED)
• 3 Years Coding in an acute care setting (REQUIRED)
• 2 Years Performing billing and coding denials resolution preferred

Requirements

• CCS - Certified Coding Specialist Upon Hire (REQUIRED)
• CCA - Certified Coding Associate Upon Hire (REQUIRED)
• RHIA - Registered Health Information Administrator Upon Hire (REQUIRED)
• RHIT - Registered Health Information Technician Upon Hire (REQUIRED)
• CPC - Certified Professional Coder Upon Hire (REQUIRED)
• COC - Certified Outpatient Coder Upon Hire (REQUIRED)
• Other Relevant AHIMA or AAPC coding (not billing) certifications, ie., CIC, CIRCC, etc. Upon Hire (REQUIRED)
• Coding Denials Analysts hired prior to January 1, 2013 are not required to obtain certification(s) as a condition of employment Upon Hire (REQUIRED)

Skills

• Ability to locate, research, comprehend and appropriately apply 3rd party payer rules and regulations.
• Able to analyze and resolve complex coding related claim or payor denials ensuring accurate and optimal reimbursement.
• Proficient in Microsoft Office and billing software applications.
• Thorough understanding of ICD10-CM/PCS, DRG methodologies, CPT-4, Outpatient Code Editor and National Correct Coding Initiative policies.
• Clear and concise oral and written communication skills.
• Strong decision making and problem solving skills.
• Personal initiative to keep abreast of new developments in coding updates/technology/research/regulatory data.
• Detail oriented with the ability to meet deadlines.
• Ability to adjust successfully to changing priorities and work load volume.

What you will do

• Reviews, researches, resolves and trends billing and coding edits.
• Trends documentation, reimbursement, and coding.
• Assists the leadership team with Fiscal Management of coding resources and processes.
• Professional Accountability.

Benefits

• 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.

Company Description

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 [email protected].