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Texas Health Resources Coding/Billing Compliance Analyst CPC/CCS-P - Full Time - Dallas in Dallas, Texas

Coding/Billing Compliance Analyst – CPC/CCS-P; Great Benefits, Great Hours

Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We are looking for a qualified Coding/Billing Compliance Analyst CPC/CCS-P like you to join our Texas Health family.

Position Highlights:

  • Work location: Texas Health Physicians Group; Dallas

  • Work environment: Regulatory Compliance

  • Work hours: Full Time 40 hours, 1 st Shift Monday – Friday; Temporarily working remote

  • Salary range: $25.53 – $43.10 per hour (based on relevant experience)

Texas Health Physicians Group (THPG) is a not-for-profit physician organization with more than 250 locations and 800 physicians, nurse practitioners and physician assistants dedicated to providing quality care in clinics and medical offices throughout North Texas.

Position Qualifications:

Education:

  • Bachelor’s degree required

  • 4 years of experience in lieu of degree required.

Experience:

  • 3 Years of clinical coding documentation and physician billing/claims audits required.

Licenses:

  • CPC – Certified Professional Coder upon hire required or

  • CCS-P – Certified Coding Specialist – Physician upon hire required.

Skills:

  • Communication: Facilitates and presents to individuals and/or groups at all levels within the organization.

  • Process a clear, straightforward, and reasonably concise style in writing documents.

  • Provides coding and documentation.

Position Responsibilities:

Investigation and Coding Audits:

  • Reviews professional claims and corresponding records to verify that coding and billing are appropriate based on current guidelines and medical policy.

  • Determines the most effective and efficient methods of investigation based on each case Analyzes the data collected from internal and external resources that supports the investigation.

  • Documents all steps of investigations.

  • Applies knowledge of Medicare/Medicaid/Commercial insurance rules and regulations pertaining to appropriate billing and coding of accounts.

  • Conducts audits according to the Compliance work plan and as requested.

Communication Development:

  • Documents clear justification to support all irregular findings.

  • References the appropriate sources used to support findings.

  • Records the financial impact of incorrect coding, communicates findings effectively with Compliance Director and providers in both written and verbal form.

Coding, Billing and Abuse Identification:

  • Identifies potential coding/billing concerns through the use of data analysis, concerns brought forth by various parties and other available means.

  • Performs the audit process based on findings.

Organization Collaboration:

  • Works across departments to facilitate the reprocessing of claims, enhance system edits based on case findings, and provides education on coding or billing issue found.

  • Helps conduct training for both internal and external clients on new coding initiatives.

Why Texas Health?

As a Texas Health Coding/Billing Compliance Analyst you’ll enjoy top-notch benefits including 401(k) with match, paid time off, competitive health insurance choices, healthcare and dependent care spending account options, wellness programs to keep you and your family healthy, tuition reimbursement, a student loan repayment program and more.

At Texas Health, our people make this a great place to work every day. Our inclusive, supportive, people-first, excellence-driven culture make Texas Health Physicians Group a great place to work.

Here are a few of our recent awards:

  • 2021 FORTUNE Magazine’s “100 Best Companies to Work For®” (7 th 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®

Additional perks of being a Coding/Billing Compliance Analyst:

  • Gain a sense of accomplishment by contributing to a teamwork environment.

  • Receive excellent mentorship, comprehensive training, and dedicated leadership resources.

  • Enjoy opportunities for growth.

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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