Coding Denials Analyst
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Job Description
Coding Denials Analyst at Texas Health Resources analyzing claims and resolving coding issues in a remote environment. Maintaining compliance with regulations and trends in billing and coding processes.
Responsibilities:
- Reviews, researches, resolves and trends billing and coding edits
- Trends documentation, reimbursement, and coding
- Assists the management team with Fiscal Management of coding resources and processes
- Professional Accountability
Requirements:
- Associate's Degree Health Information Services or related field REQUIRED or H.S. Diploma or Equivalent
- 2 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
- CCS - Certified Coding Specialist 12 Months REQUIRED or CCA - Certified Coding Associate 12 Months REQUIRED or RHIA - Registered Health Information Administrator 12 Months REQUIRED or RHIT - Registered Health Information Technician 12 Months REQUIRED or CPC - Certified Professional Coder 12 Months REQUIRED
- Demonstrates the ability to locate, research, comprehend and appropriately apply 3rd party payer rules and regulations.
- Able to analyze and resolve complex coding related claim denials in a manner that ensures accurate and optimal reimbursement.
- Proficient in Microsoft Office and billing software applications.
- Thorough understanding of ICD9-CM, DRG methodologies, CPT-4, Outpatient Code Editor and National Correct Coding Initiative policies.
- Demonstrates clear and concise oral and written communication skills.
- Demonstrates strong decision making and problem solving skills.
- Personal initiative to keep abreast of new developments in coding updates/technology/research/regulatory data.
- Detail oriented and ability to meet deadlines.
- Ability to adjust successfully to changing priorities and work load volume.
- Successful completion of ICD 10 training courses.
Benefits:
- 401k
- PTO
- medical
- dental
- Paid Parental Leave
- flex spending
- tuition reimbursement
- Student Loan Repayment Program
- several other benefits
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