The PN Cert Prof Coding Analyst II is primarily responsible for the accurate assignment of CPT, HCPCS, modifiers and diagnosis codes. Following appropriate coding guidelines, the Coding Analyst II utilizes expert knowledge and application of CPT, HCPCs and ICD-10 coding guidelines to ensure accuracy of coding and charge capture. PN Cert Prof Coding Analyst II must be able to perform a complex review of provider documentation or other types of reports and assign the appropriate CPT code(s), HCPCs, ICD-10 code(s) and appropriate modifier(s) to ensure proper coding and billing, be able to communicate effectively and professionally with providers or other teams to resolve CPT, ICD-10, HCPCs or modifier discrepancies and able to resolve complex coding-related denials.
High school graduate or equivalent.
At least 5 years' experience in a medical practice or other related healthcare setting with a minimum of three years' of coding experience performing in the capacity of a certified medical coder.
Understanding of diversified insurance plans.
Proficiency in basic medical terminology.
Exhibits good interpersonal and communication skills.
Maturity to withstand pressure that may arise in relation to the public, physician or administration interaction or assigned duties.
Licensure, Registration, and/or Certification:
Current coding certification through the American Academy of Procedural Coders (AAPC) or other recognized coding certification organization.
Internal Number: 38061
About Cook Children's Health Care System
Cook Children's Health Care System is a not-for-profit, nationally recognized pediatric health care organization comprised of eight entities – a Medical Center, Physician Network, Home Health company, Northeast Hospital, Pediatric Surgery Center, Health Plan, Health Services Inc., and Health Foundation.Cook Children's Medical Center Based in Fort Worth, Texas, the integrated system has more than 60 primary and specialty care offices throughout North Texas. Its service region includes Denton, Hood, Johnson, Parker, Tarrant and Wise counties, with an additional referral area encompassing nearly half the state.Cook Children's traces its roots back to 1918, but throughout its continual change and robust growth, it still embraces an inspiring promise – to improve the health of every child in its region through the prevention and treatment of illness, disease and injury. To live up to this promise, Cook Children's combines the art of caring with the use of leading technology and extraordinary collaboration to provide exceptional care for every child, every day.History – Cook Children's has a rich history of nearly a century of caring for children.Our Promise – Knowing that every child's ...life is sacred, it is the promise of Cook Children's to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.Companies – Based in Fort Worth, Texas, Cook Children's is a not-for-profit organization that is comprised of eight nationally recognized companies.Community Health Outreach – Cook Children's Community Health Outreach works together with over 150 partner organizations to improve the safety and health of at-risk children through education, disease and injury prevention and support.Clinical Research – Cook Children's is home to a skilled team of research-minded physicians, nurses and health care professionals and administrators who drive our commitment to excellent clinical care and the search for medical advances.Public Relations – Cook Children's Public Relations works with national and local media outlets, produces Cook Children's publications, coordinates special events and helps develop key relationships within the community.Contractor & Vendor Information – Cook Children's contractors and vendors must ensure their employees are knowledgeable about working with our organization.Sponsorship guidelines – Cook Children's sponsors a select number of events that are strongly aligned with its promise to improve the health of every child in the region through the prevention and treatment of illness, disease and injury.