Texas Licensed Coding Denials Analyst

Job Summary

To support the health information management team, the full-time remote Texas Licensed Coding Denials Analyst will review, research, and resolve billing and coding edits while ensuring optimal reimbursement through analysis of complex claim denials.

Key responsibilities

• Review, research, and resolve billing and coding edits to ensure accuracy and compliance
• Trend documentation, reimbursement, and coding to identify areas for improvement
• Assist leadership in managing fiscal resources and processes related to coding

Required qualifications

• Associate's Degree in Health Information Services or related field, or a High School Diploma with 3 years of coding experience
• 3 years of coding experience in an acute care setting
• CCS, CCA, RHIA, RHIT, CPC, COC, or other relevant coding certification required upon hire
• Experience with billing and coding denials resolution preferred
• Proficient in ICD10-CM/PCS, DRG methodologies, CPT-4, and related coding policies