Summary: The Coder 3 resolves coding denials, identifies documentation/coding issues, creates educational materials, and performs auditing and compliance responsibilities for a large medical group. Highlights: 1. Researches and resolves coding denials across multiple specialties 2. Develops educational materials for coding staff and providers 3. Involves auditing and coding compliance responsibilities Apply Now Hours of Work : 8-5Days Of Week : M-FWork Shift : Job Description : The Coder 3 works closely with the business office to research, monitor, and resolve coding denials for a large and robust medical group with multiple specialties. The position reviews third party payer reimbursement denials based on the following: provider documention, coding accuracy, medical necessity, modifier assignment, applicable federal, ste and local guidelines and payer policies. Using da from these reviews, the coder 3 identifies and works to resolve documention and/or coding issues, and takes part in creing educion merials for coding staff and providers to follow-up on best practices for coding and documention. The position is involved in auditing and coding compliance responsibilities as well as other coding duties as needed. Your Job Requirements: High School Diploma or GED required. AAPC or AHIMA coding certificion required. Strong knowledge of Microsoft Office Suite required. In-depth knowledge of diagnosis and procedural code sets and coding conventions, including but not limited to CPT, ICD-10, HCPCS expected. Minimum of 2 years of experience in analysis and resolution of coding denials preferred. Understanding and monitoring changes to third party opering procedures and practices. Experience with a variety of healthcare specialties preferred - examples including but not limited to ob/gyn, neurosurgery, transplant services, etc Epic experience and specialized coding and/or billing certificion a plus + Your Job Duties: Ensures compliance with all applicable Federal, Ste and/or County laws and regulions reled to coding and documention guidelines. Reviews explanion of benefits, payer policies and other regulory sources to determine reason for denials Reviews of medical records, pient medical history and physical exams, physician orders, progress notes, consultion reports, diagnostic reports, operive and phology reports, and discharge summaries to verify whether the diagnosis and procedure codes are supported by the documention as submitted to the payer. Provides feedback to internal clients on corrections required or other results from coding review, including but not limited to examples of provider documention and physician charge code entry th do not meet regulory requirements, examples of missed or incorrectly submitted procedural or diagnosis codes during charge review by coding team, other opportunities for educion Identifies clinical coding and documention trends and training needs to improve the quality of documention, charge entry, charge review and other workflows th can affect third-party payments. Demonstred ability to utilize a variety of electronic medical records systems. Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision. Other duties as assigned and modified manager’s discretion. Identifies clinical coding and documention trends a training needs to improve the quality of documention, charge entry, charge review and other workflows th can affect third-party payments. Demonstred ability to utilize a variety of electronic medical records systems. Ability to manage significant work load, and to work efficiently under pressure meeting established deadlines with minimal supervision. Other duties as assigned and modified manager’s discretion. Methodist Medical Group is the North Texas physician organizion affilied with Methodist Health System. Our fast-growing network of providers includes more than 92 MMG ambulory clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a mched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliion means being part of an award-winning workplace: Newsweek’s America’s Most Admired Workplaces 2026 Glassdoor’s Best-Led Companies 2025 Fortune’s Best Workplaces in Health Care 2025 Gre Place to Work Certified 2026-2026 Glassdoor’s Best Places to Work 2025 TIME’s Best Companies for Future Leaders 2025 Military Friendly – Gold Employer 2025 Newsweek’s America’s Greest Workplaces for Mental Well-Being 2025 Becker’s Healthcare Top Places to Work in Healthcare 2025 Newsweek’s Greest Workplaces 2025 Apply Now
Craigslist · HR
Craigslist · HR
