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Texas Health Resources Coding and Denials Documentation Analyst in Arlington, Texas

Texas Health Resources seeks to hire a Coding & Denials Documentation Analyst to work Full Time with the Coding Department.

The address is 500 East Border Street, Arlington, TX 76010

Salary range is Min. $24.53/hr to Max. $43.10/hr – based on relevant experience

Work Schedule

  • Full Time; 40 hours per week

  • 10:00 am – 6:30 pm; Monday – Friday or Sunday - Thursday

Essential Functions:

Reviews, researches, resolves and trends billing and coding edits:

  • Audits and confirms the coding of diagnoses and procedures relevant to the resolve the billing/coding edits.

  • Reviews appropriate regulatory references identify/substantiate diagnoses, procedures and modifiers that support services billed.

  • Takes initiative to query the physician for documentation or clarification to justify services.

  • Works in conjunction with Lead Analyst and the CBO for follow up, resolution and trending of coding related denials and appeals.

  • Maintains required productivity standards.

Trends documentation, reimbursement and coding:

  • Tracks opportunities for documentation, reimbursement and coding improvement.

  • Provides information and feedback on coding related software edits, denials issues, reimbursement trends, and billing and coding errors to HIS management, clinical departments and CBO.

Assists the management team with Fiscal Management of coding resources and process:

  • Assist manager with the processes associated with the weekly DNFB to consistently meet entity/system goals.

  • Meets productivity standards for completion of denial review processes.

  • Performs coding when necessary and requested by HIS coding management team.

Professional Accountability:

  • Maintains frequent and regular contact with supervisor and seeks consultation and guidance when appropriate.

  • Participates in personal annual performance evaluation, providing opportunity for growth and development.

  • Consistently abides by the Standards of Ethical Coding as set forth by the AHIMA and adheres to official coding guidelines.

  • Maintains required productivity standards.

  • Completed ICD 10 education modules in a timely manner provides feedback coding employees.

  • Completes continuing education credits and system required training.

  • Participates in organizations that contribute to professional growth such as AHIMA and HFMA.

Qualifications

The ideal candidate will possess the following qualifications

  • Associate’s Degree in Health Information Services or related field required or

  • High School Diploma and 2 years coding experience in lieu of degree.

  • 3 years of coding in acute care setting required and

  • 2 years performing coding and documentation audits preferred.

Required Certifications/Licenses:

  • CCS – Certified Coding Specialist within 12 months of hire required or

  • CCA – Certified Coding Associate within 12 months of hire required

  • RHIA – Registered Health Information Administrator within 12 months of hire required or

  • RHIT – Registered Health Information Technician within 12 month of hire required or

  • CPC – Certified Professional Coder within 12 month required.

Skills

  • Demonstrates the ability to locate, research, comprehend and appropriately apply 3 rd 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 and application of ICD9-CM, DRG methodologies, CPT-4, Outpatient Code Editor and National Correct Coding Initiative polices; expert in acute care CPT coding is preferred.

  • Demonstrates clear and concise oral and written communication 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.

Why Texas Health Resources?

Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served.

Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully-owned/operated facilities plus 1,400 employees of consolidated joint ventures and counts more than 5,500 physicians with active staff privileges at its hospitals.

At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. We invite you to join us in furthering your career through our accomplishments and philosophy of excellence.

Texas Health Highlights

  • 2019 FORTUNE Magazine’s “100 Best Companies to Work For®” (5 th year in a row)

  • 2018 Becker's Healthcare "150 Great Places to Work in Healthcare" (4 th year in a row)

  • Employees’ Choice “Best Places to Work” by Glassdoor (2018 and 2019)

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.

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