**Hours of Work :** 8-430 **Days Of Week :** M-F **Work 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 documentation, coding accuracy, medical necessity, modifier assignment, applicable federal, state and local guidelines and payer policies. Using data from these reviews, the coder 3 identifies and works to resolve documentation and/or coding issues, and takes part in creating education materials for coding staff and providers to follow-up on best practices for coding and documentation. 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 certification 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 operating 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 certification a plus Your Job Duties: + Ensures compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines. + Reviews explanation of benefits, payer policies and other regulatory sources to determine reason for denials + Reviews of medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify whether the diagnosis and procedure codes are supported by the documentation 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 documentation and physician charge code entry that do not meet regulatory requirements, examples of missed or incorrectly submitted procedural or diagnosis codes during charge review by coding team, other opportunities for education + Identifies clinical coding and documentation trends and training needs to improve the quality of documentation, charge entry, charge review and other workflows that can affect third-party payments. + Demonstrated 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 at manager’s discretion. + Identifies clinical coding and documentation trends a training needs to improve the quality of documentation, charge entry, charge review and other workflows that can affect third-party payments. + Demonstrated 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 at manager’s discretion. Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 60 healthcare 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 matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace: + 150 Top Places to Work in Healthcare by _Becker’s Hospital Review_ , 2023 + Top 10 Military Friendly® Employer, Gold Designation, 2023 + Top 10 Military Spouse Friendly® Employer, 2023 Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by _Modern Healthcare_ , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: + Magnet® designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers + 150 Top Places to Work in Healthcare by _Becker’s Hospital Review_ , 2023 + Top 10 Military Friendly® Employer, Gold Designation, 2023 + Top 10 Military Spouse Friendly® Employer, 2023 Equal Opportunity Employer It is the policy of Methodist Health System (MHS) to select, develop, and promote employees based on individual ability and job performance. It has been, and will continue to be, the policy of MHS to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, religion, national origin, age, sex, sexual orientation, gender expression, disability, marital status, genetic information or ancestry. This policy affects decisions including, but not limited to, an employee’s compensation, benefits, terms and conditions of employment, opportunities for promotion, training, development, transfer all other privileges of employment. MHS is committed to maintain a working environment free of intimidation, workplace discrimination and harassment. Retaliation or attempted retaliatory behavior that occurs as a result of an employee’s exercise of their rights under this policy or any other statutorily protected right is strictly prohibited and will be grounds for disciplinary action.