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Texas Health Resources Coding & Document Denials Analyst in Arlington, Texas

Coding & Document Denials Analyst - Full Time – Days

Remote Position

Are you looking for a rewarding career with a top-notch health care company We’re looking for a qualified Coding & Document Denials Analyst like you to join our Texas Health family.

Position Highlights

  • Work location: 612 E. Lamar Blvd, Arlington TX 76011 – Remote

  • Work environment: HIMS Coding

  • Work hours: Full Time, 40 hours, Monday – Friday, Flexible day schedule

  • Salary range: $25.75 - $43.10 per hour (based on relevant experience)

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.

Qualifications

Education

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

Experience

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 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

Skills and Abilities

  • 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.

Position Responsibilities

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 to 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 Senior Analyst and the CBO for follow up, resolution and trending of coding related denials and appeals.

Maintains required productivity standards.

50%

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.

20%

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

Assists 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.

15%

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.

Completes ICD 10 education modules in a timely manner and provides feedback to coding employees.

Completes continuing education credits and system required training.

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

15%

Why Texas Health

At Texas Health, our people make this a great place to work every day. Our inclusive, supportive, excellence-driven culture make it a place you’ll love to call home.

Here are a few of our recent awards:

  • 2021 FORTUNE Magazine’s “100 Best Companies to Work For®” (7th year in a row)

  • Becker's Healthcare "150 Great Places to Work in Healthcare" (4 years running)

  • “America’s Best Employers for Diversity” list by Forbes

  • A “100 Best Workplaces for Millennials" by Fortune and Great Place to Work®

Explore our Texas Health careers site for info like Benefits , Job Listings by Category , recent Awards we’ve won and more.

Do you still have questions or concerns Feel free to email your questions to recruitment@texashealth.org .

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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