Texas Health Organization for Physicians seeks to hire a Manager Billing and Coding-Texas Health Physicians Group (THPG).
This position manages 10-15 procedural coders within the THPG Coding and Reimbursement Dept. The coders assign coding for THPG specialty provider facility services and surgeries. This position would be responsible for managing coding and charge capture functions ensuring that end of month deadlines are met. This position also ensures the quality of coding and responds to any provider inquiries/escalations related to coding.
Salary range is Min. $65,062/year to Max. $102,856/year – based on relevant experience
Location: Dallas, TX
• Full time, day shift
Manage department via monitoring of workflow, productivity, accuracy, and all other areas of staff management.
Ensure compliance with external agencies as related to coding.
This may include working to reduce the volume of coding denials through claim edit management. This would include feedback to the EPIC team as well as feedback to providers/clinics regarding coding practices and payor policies.
Identifies patterns, trends and variations and collaborate to resolve or explain variances. Analyze gaps and risks in order to mitigate.
This may include feedback to the EPIC team/ providers/clinics for resolution. Improves successful denial appeal rate, where applicable.
Monitor and report on adherence to key departmental metrics. Establish process improvement as needed to achieve metrics.
Monitor, manage/respond to coding questions via the coding quality distribution e-mail, service excellence requests for review and provider/clinic questions.
Bachelor's Degree in Business or related field required. Or, 4 years relevant experience in lieu of a degree is required.
5 years experience in coding and charge capture for physician professional coding and billing and 4 years managing a team is required with Bachelor's degree. Or, 9 years experience in coding and charge capture for physician professional coding and billing and 4 years managing a team is required without degree.
Licenses and Certifications
CPC - Certified Professional Coder, or, CCS - Certified Coding Specialist, or CCS-P, or, CPB - Certified Professional Biller is required upon hire.
Knowledge of appeals process and ability to review/resolve denials, Fee Schedule functions for professional billing as well as CPT, ICD 9, ACD 10 and HCPCS level II coding systems. Knowledge of physician practices operations, charge capture, revenue cycle and CMS regulations, excellent communication skills, detail oriented, strong knowledge of professional billing information system (preferred)l
At Texas Health Organizations for Physicians we take seriously our mission to improve the health of those in our community. We are a not-for-profit health corporation offering employment opportunities for administration staff that service providers of Texas Health Physicians Group (THPG).
We provide top-notch services for member physicians that help them get back to what they do best -- practicing medicine. From an affordable electronic medical record to comprehensive practice support services and group purchasing power, physicians and their patients benefit from being a part of Texas Health.
As part of the Texas Health family, we employ over 24,000 employees and are among the areas top five largest employers. Come be a part of our exceptional team as we continue to provide outstanding care and deliver award winning results. You belong here.