Texas Licensed Medical Records Analyst

Job Summary

Serving as a key liaison for Texas facilities, the full-time Texas Licensed Medical Records Analyst will resolve complex coding and claims issues by collaborating across departments, focusing on outpatient coding compliance, and ensuring timely claim submissions in a remote work environment.

Key responsibilities

• Resolve coding and claims discrepancies by performing real-time corrections and collaborating with various departments
• Assist with DNFB initiatives and audit support for outpatient accounts, ensuring compliance with medical necessity guidelines
• Monitor reports and implement process improvements based on data analysis and trends

Required qualifications

• Associate's Degree or higher in Health Information Management or a related field, or equivalent coding experience
• Coding certification required or to be obtained within 12 months of employment
• Advanced knowledge of ICD-10-CM, CPT, HCPCS, and outpatient coding guidelines
• Proficient in Microsoft Office applications and data mining software
• Understanding of Medicare and Medical assistance regulations