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 REQUIREDLicenses 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.