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Coding Denials Analyst
<Undefined>Coding Denials Analyst for Texas Health family review coding denials and ensure optimal reimbursement across Texas Health resources. Committed to work-life balance in a 100% remote environment.
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- Associate's Degree in Health Information Services or related field REQUIRED or H.S. Diploma or Equivalent
- 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
- Licenses and Certifications CCS - Certified Coding Specialist Upon Hire REQUIRED or CCA - Certified Coding Associate Upon Hire REQUIRED or RHIA - Registered Health Information Administrator Upon Hire REQUIRED or RHIT - Registered Health Information Technician Upon Hire REQUIRED or CPC - Certified Professional Coder Upon Hire REQUIRED or COC - Certified Outpatient Coder Upon Hire REQUIRED or Other Other Relevant AHIMA or AAPC coding (not billing) certifications
- 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 or payor denials in a manner that ensures 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.
- Detail oriented and ability to meet deadlines.
- Ability to adjust successfully to changing priorities and workload volume.
Benefits
Comp & perks- 401k
- PTO
- medical
- dental
- Paid Parental Leave
- flex spending
- tuition reimbursement
- Student Loan Repayment Program
- several other benefits
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
codingbillingdenials resolutionICD10-CMICD10-PCSDRG methodologiesCPT-4Outpatient Code EditorNational Correct Coding Initiative
Soft Skills
detail orientedability to meet deadlinesability to adjust to changing prioritiesanalytical skillsproblem-solving
Certifications
CCSCCARHIARHITCPCCOC