Coding Denials Analyst

Are you looking for a rewarding career with an award-winning company? We’re looking for a qualified Coding Denials Analyst like you to join our Texas Health family.

Work location: Remote

Work hours: Monday through Friday (full time hours)

HIMS Coding Department Highlights:

• 100% remote work
• Flexible hours/scheduling
• Terrific work/life balance

Education required:

• Associate's Degree in Health Information Services or related field, OR
• High School Diploma or Equivalent plus 3 Years Coding experience in lieu of degree

Experience:

• 3 Years Coding in an acute care setting required
• 2 Years Performing billing and coding denials resolution preferred

Licenses and Certifications (Required upon hire):

• Certified Coding Specialist (CCS), or
• Certified Coding Associate (CCA), or
• Registered Health Information Administrator (RHIA), or
• Registered Health Information Technician (RHIT), or
• Certified Professional Coder (CPC), or
• Certified Outpatient Coder (COC), or
• Other relevant AHIMA or AAPC coding certifications (e.g., CIC, CIRCC)

Skills:

• Ability to locate, research, comprehend and apply 3rd party payer rules and regulations
• Analyze and resolve complex coding related claim or payor denials to ensure accurate and optimal reimbursement
• Proficient in Microsoft Office and billing software applications
• Thorough understanding of ICD10-CM/PCS, DRG methodologies, CPT-4, Outpatient Code Editor, and National Correct Coding Initiative policies
• Strong oral and written communication skills
• Strong decision making and problem solving skills
• Detail oriented and ability to meet deadlines
• Adaptability to changing priorities and workload volume

Responsibilities:

• Review, research, resolve and trend billing and coding edits
• Trend documentation, reimbursement, and coding
• Assist leadership with fiscal management of coding resources and processes
• Maintain professional accountability

Benefits:

• 401k, PTO, medical, dental, Paid Parental Leave, flexible spending, tuition reimbursement, Student Loan Repayment Program and others
• Supportive team environment with growth opportunities

For questions, email recruitment@texashealth.org.