Texas Licensed Medical Records Analyst

Job Summary

To support multiple Texas facilities, the full-time Texas Licensed Medical Records Analyst will serve as a liaison between departments, resolving complex coding and claims issues, ensuring compliance with medical necessity guidelines, and maintaining accurate reporting in a remote capacity.

Key responsibilities

• Resolve coding and claims discrepancies by collaborating with various departments to ensure timely claim submissions
• Assist with DNFB initiatives and audit reviews, focusing on Outpatient Code Editor (OCE/APC) and National Corrective Coding Initiative (NCCI) compliance
• Monitor and maintain reports related to coding accuracy and regulatory requirements

Required qualifications

• Associate's Degree or higher in Health Information Management or a related field, or 6 years of coding experience in a healthcare setting
• Coding certification required or to be obtained within 12 months of employment
• Advanced knowledge of ICD-10-CM, CPT, HCPCS, and medical necessity guidelines
• Proficiency in Microsoft Office applications and data mining software
• Understanding of Medicare and Medical assistance regulations