Texas Health Resources Lead Coder-Full-time Dallas THPG in Dallas, Texas

Qualifications/Duties:

Texas Health Texas Health Physicians Group (THPG) seeks to hire a Coder Lead to work Full-time Days.

HOURS:

Monday -Friday, 8:00 am to 5:00 pm

LOCATION:

Position Location:

Texas Health Physicians Group

Greenville & LBJ Freeway, Dallas, TX 75243

EDUCATION REQUIRED:

H.S. Diploma or Equivalent

PERFERRED:

Bachelor's Degree in a related filed of study.

EXPERIENCE REQUIRED:

5 Years Coding experience.

Completion of college level courses in medical terminology, anatomy and physiology, or similar.

LICENSES AND CERTIFICATIONS REQUIRED:

CPC - Certified Professional Coder Upon Hire

or

CCS-P - Certified Coding Specialist - Physician-based Upon Hire

AND

Other Specialty certification such as

CGSC, COSC, CCC, etc. Upon Hire

DUTIES:

Supports leadership in daily coding activities including productivity monitoring, coding/edit charge review, failed claims/follow-up resolutions, training, education, and research. Ensures all professional aspects of the assignment of diagnostic and procedure coding is carried out in compliance with applicable Medicare, Medicaid, and third party payer guidelines to ensure receipt of accurate reimbursement. Adheres to internal coding policies and expectations set forth my management and acts as a trainer, resource, and mentor for less experienced staff.

Essential Functions:

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.

Serves as a subject matter expert, providing direction to less experienced staff. May assist with training, auditing, and/or reviewing productivity and quality rates under the leadership of department management.

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.

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:

• Extensive understanding of health insurance and medical costs.

• Knowledge of third party billing regulations, professional operations, and third party payer requirements.

• Must be able communicate effectively.

• Must be detail oriented and have strong organizational skills.

• Must processes a strong work ethic and a high level of professionalism.

• Must have proficient computer skills, with the ability to learn internal application systems.

Entity Information:

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.

Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.