Texas Health Resources
Lead Coder THPG supports the Manager THPG Billing/Coding in daily coding activities including productivity monitoring, coding edit/charge review, failed claims/follow-up resolution, training, education, and research. Lead Coder THPG ensures assignment of diagnostic and procedure coding is carried out in compliance with applicable Medicare, Medicaid, and third party payer guidelines to ensure receipt of accurate reimbursement, while adhering to THPG internal coding policies and expectations set forth by department management. Accurately abstracts information from the medical records and assigns ICD 9/10-CM, PRT-4 and HCPCS Level ll codes in compliance with established guidelines.
Validates charges using appropriate tools. Responds to queries as necessary for coding purposes.
Texas Health Organization for Physicians (THOP) is Texas Health Resources’ 501(a) not-for-profit health corporation offering employment opportunities for administration staff that service providers of Texas Health Physicians Group. We are looking for a dynamic Team Lead Coder to join our team.
High school diploma or equivalent. Bachelor’s degree in related field or equivalent experience preferred. (Completion of college level courses in medical terminology, anatomy and physiology, and pathophysiology highly desirable)
American Association of Professional Coders (AAPC): Certified Professional Coder (CPC®) and specialty certification related to department specialty, e.g., General Surgery – CGSC®, Orthopedic Surgery – COSC®, Cardiology – CCC®, etc.
American Health Information Management Association (AHIMA): Certified Coding Specialist Physician Based (CCS-P) and Specialty coding certification through AAPC in department-related specialty, e.g., General Surgery – CGSC®, Orthopedic Surgery – COSC®, Cardiology – CCC®, etc.
5+ years coding experience.
Advanced knowledge of coding principles and guidelines; extensive understanding of Medicare/Medicaid/third party coding & billing regulations, professional operations, and third party payer requirements; ability to communicate effectively; detail oriented with strong oral and written skills; proficient computer skills including proficiency in Microsoft Office and applicable internal systems; strong worth ethic and high level of professionalism
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