CODER II Denials FT Days THPG
Dallas, TX US
Coding - Reimbursement
Area of Interest:
Health Information Management
Texas Health Organization for Physicians
Texas Health Physicians Group (THPG) seeks to hire a Coder II to work Full-time Days.
LOCATION OF THIS POSITION:
9229 LBJ Freeway
WORKS SCHEDULE / HOURS:
40 hours weekly, Monday- Friday,
8:00 am to 5:00 pm
High School Diploma or Equivalent (GED) required
Associate's Degree in a related filed is preferred
2 years coding experience is required.
Completion of college level courses in medical terminology anatomy and physiology
**2 years coding experience in denials is preferred. **
LICENSE / CERTIFICATION:
Required Upon Hire
CPC- Certified Professional Coder
CCSP- Certified Coding Specialist -Physician Based
Specialty Certification such as:
CGSC - Certified General Surgery Coder
COSC - Certified Orthopedic Surgery Coder
CCC - Certified Cardiology Coder
Coding Document Denials Department Responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This role is typically responsible for less complex coding with general oversight.
•Accurately abstracts information from the medical records assigns ICD-9/10-CM, CPT-4, and HCPCS level II codes in compliance with established guidelines. Provides codes to various departments upon request.
•Reviews supporting clinical documentation for hospital based services and procedures to ensure accurate code assignment in support of third party payer guidelines. Maintains documentation to record/track discrepancies.
•Validates charges using appropriate tools and validates diagnosis with the medical documentation provided.
•Compares hospital charges posted against procedures coded and identifies any discrepancies. Notifies leadership of any discrepancies and collaborated to rectify the same.
•Participates in special projects and completes other duties as assigned.
Skills and Abilities:
• Thorough understanding of health insurance and medical costs.
• Knowledge of third party billing regulations, professional operations, and third party payer 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.
Texas Health Organization for Physicians (THOP) is Texas Health Resources' 501(a) not-for-profit health corporation offering employment opportunities for administration staff that service providers of Texas Health Physicians Group (THPG). THOP provides services for member physicians that help them get back to what they do best -- practice medicine. From an affordable electronic medical record to comprehensive practice support services and group purchasing power, physicians and their patients benefit from being a part of THPG.