• Manager Billing and Coding

    Texas Health Resources (Arlington, TX)


    Manager Billing and Coding

     

    _Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We’re looking for qualified candidates like you to join our Texas Health family._

     

    + Work location: Texas Health Resources-Fully remote but some onsite meetings will be required

    + Core work hours: Monday-Friday 8:00a-5:00p

    Job Duties

    Manage department via monitoring of workflow, productivity, accuracy, and all other areas of staff management.

     

    Ensure compliance with external agencies as related to coding.

     

    This may include working to reduce the volume of coding denials through claim edit management. This would include feedback to the EPIC team as well as feedback to providers/clinics regarding coding practices and payor policies.

     

    Identifies patterns, trends and variations and collaborate to resolve or explain variances. Analyze gaps and risks in order to mitigate.

     

    This may include feedback to the EPIC team/ providers/clinics for resolution. Improves successful denial appeal rate, where applicable.

     

    Monitor and report on adherence to key departmental metrics. Establish process improvement as needed to achieve metrics.

     

    Monitor, manage/respond to coding questions via the coding quality distribution e-mail, service excellence requests for review and provider/clinic questions.

    Education

    Bachelor's Degree HIM or related field required. Or, 4 additional years with relevant experience in lieu of a degree is required

    Experience

    5 years coding and charge capture for physician professional coding and billing required with degree, or 9 years required without a degree

    4 years Managing a team required

     

    Licenses and Certifications

     

    CPC - Certified Professional Coder or CCS-P - Certified Coding Specialist - Physician-based required upon hire

     

    CPB - Certified Professional Billing preferred upon hire

    Skills

    Knowledge of appeals process and ability to review/resolve denials, Fee Schedule functions for professional billing as well as CPT, ICD 9, ACD 10 and HCPCS level II coding systems. Knowledge of physician practices operations, charge capture, revenue cycle and CMS regulations, excellent communication skills, detail oriented, strong knowledge of professional billing information system (preferred)l

     

    Why Texas Health?

     

    At Texas Health Resources, our mission is “to improve the health of the people in the communities we serve”.

     

    As part of the Texas Health family and its 28,000+ employees, we’re one of the largest employers in the Dallas Fort Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding. Come be a part of our exceptional team as we improve the health of the people in our communities every day. You belong here.

     

    Learn (https://jobs.texashealth.org/why-texas-health/) more about our culture, benefits, and recent awards.

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    Texas Health requires a resume when an application is submitted.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.