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 various departments, resolving complex coding and claims issues, ensuring compliance with regulatory standards, and assisting with audit reviews while working remotely.

Key responsibilities

• Resolve coding and claims discrepancies by collaborating across departments to ensure accurate and timely claim submissions
• Assist with DNFB initiatives, audit support, and monitor reports related to coding and claims issues
• Utilize advanced coding expertise to address medical necessity edits and ensure compliance with relevant regulations

Required qualifications

• Associates Degree or higher in Health Information Management or 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