Texas Health Resources CODER II- Reimbursement in Dallas, Texas

Qualifications/Duties:

Hearts makes a difference! Texas Health Resources, One of FORTUNE 100 Best Companies to work for is dedicated to finding people to help us fulfill our commitment to make health care human again. We staff our exemplary hospital with health care professionals who approach every patient, every colleague, every physician and every family member with compassion. Come join us on our Journey as we rise to the next level.

LOCATION OF THIS POSITION:

9229 LBJ Freeway

Dallas, TX

WORK SCHEDULE / HOURS:

40 hours weekly, Monday - Friday,

8:00 am to 5:00 pm

Texas Health Organization for Physicians (THOP) seeks to hire a Coder II to work Full-time Days. Responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This role is typically responsible for moderately complex coding with general oversight.

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.

•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. Validates charges using appropriate tools and validates diagnosis with the medical documentation provided.

•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:

Experience working with application systems, Practice Management, Encoder Pro & Epic.

•Thorough 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.

QUALIFICATIONS:

•H.S. Diploma or Equivalent, required.

•Two (2) years of coding experience. Completion of college level courses in medical terminology, anatomy and physiology, or similar.

LICENSES AND CERTIFICATIONS:

•CPC - Certified Professional Coder Upon Hire, required Or

•CCS-P - Certified Coding Specialist - Physician-based Upon Hire, required;

•Other Specialty certification such as CGSC, COSC, CCC, etc. Upon Hire, preferred.

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.