73 jobs found in Houston

Job Summary and Responsibilities The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding....

Explore opportunities with Kelsey-Seybold Clinic , part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. Primary Responsibilities: Provides coding and coding-auditing services for physician and facility documentation Reviews operative reports and clinical documentation to accurately assign CPT, ICD, and HCPCS codes using current NCCI guidelines and LCD coverage determinations Ensures timely and accurate charge capture to support efficient billing and optimal...

Requisition number: 2360324 Job category: Medical & Clinical Operations Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining...

2,5 K Sign On/CODER II FT DAYS Full-time Job Description Sign on bonus available for coder with at least one year current/recent acute care (inpatient) experience. The ideal candidate will collect, analyze, assign and sequence all codes for: diseases, operations, newborns, and complications for each patient discharge, outpatient surgery or outpatient observation according to the latest coding systems. Qualifications: Must have completed college level medical terminology, anatomy, and physiology and survey of disease.-Minimum of one year experience in coding and abstracting required. Inpatient coding experience required. Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based upon documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. FLSA STATUS Non-exempt...

Medical Coder Fully Remote • Houston, TX Overview Position Type: Full Time Education Level: High School Diploma/GED Category: Other Positions Description US Heart and Vascular is in need of a Medical Coder to join our team at Houston Cardiovascular Associates in Houston, TX Position Summary The Professional Fee Medical Coder, Level 3 reviews medical documentation that physicians or other healthcare professionals complete to validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers for clinic and hospital-based professional encounters. The Coder applies coding conventions per official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for complex surgical coding in the inpatient and outpatient settings. May also be assigned E/M encounters, ancillary diagnostic procedures, and other inpatient and outpatient visits. Responsibilities: Reviews encounter in a timely manner and resolves all...

A healthcare institution in Texas is seeking a Certified Coding Specialist for its Ob/Gyn Department. This remote position requires expertise in medical coding, including ICD-10CM and CPT guidelines, with 2 years of coding experience. The role offers a rewards package that includes 100% paid medical premiums for full-time employees, generous paid time off totaling around 37-38 days per year, and other employee wellness services. Join a renowned institution that values employee wellbeing and professional growth. #J-18808-Ljbffr

Job Description Job Description We are seeking a Medical Office Supervisor to become a part of our team! You will coordinate patient care, medical and health services in the s, clinic and coordinate with hospitals or similar organizations. Responsibilities: Oversee medical and health service activities and personnel  Plan and coordinate health services Work collaboratively with physicians to implement appropriate healthcare programs Maintain a clean environment to ensure patient safety Establish and enforce healthcare policies and procedures ​ Qualifications: Previous experience in healthcare or other medical fields Experience in a managerial role Strong leadership qualities Strong organizational skills Excellent written and verbal communications skills Ability to multitask is essential Proficiency in Spanish language is a plus Company Description We are a single specialty Cardiology office specializing in treating Heart and Circulation diseases, with...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Cardio experience is required. This is a hybrid position so you must be located in the Houston area. Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions...

Job Description Job Description Certified Coder | $ 3 5 . 00 /hr. | 8 : 0 0 am to 5 : 0 0 p m / In Office / Temp orary What Matters Most Competitive Pay of $35.00 per hour Schedule: 8:00 am to 5:00 pm Location: Houston, Texas 77024 Contract role Weekly Pay with direct deposit or pay card When you work through Team1Medical, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program. Job Description One of the premier Healthcare organizations is seeking a Certified Coder for their Revenue Cycle department. Submit your resume and see what opportunities are available for you! Responsibilities: Review clinical documentation and diagnostic results to extract relevant medical data. Assign accurate ICD-10-CM and CPT4 codes, including modifiers, based on documentation. Ensure coding aligns with official ICD-10-CM & CPT4 Guidelines for Coding...

Bee-Busy-Wellness-Center-1 in Houston, Texas is looking for a detail-oriented Medical Biller and Coder to join our healthcare clinic team. You will be responsible for accurately coding procedures, submitting insurance claims, and ensuring timely reimbursements, all while maintaining compliance with healthcare regulations. The ideal candidate should have strong attention to detail, excellent communication skills, and proficiency in medical coding systems. Experience with electronic medical records and billing software is also preferred. #J-18808-Ljbffr

Hilton Hotels - - Responsibilities: Supervise daily guest service and front desk operations; Lead, coach, and motivate team members to provide hospitality; Ensure smooth and efficient guest check-in and check-out experiences; Respond to guest concerns with professionalism and urgency; Support training initiatives and uphold Hilton brand standards

TAS Energy in Houston, Texas is seeking a Welder Auditor/Tester to perform testing and audits of welding operations. You'll administer welding tests for candidate eligibility and conduct audits to ensure compliance with welding procedures. Strong communication and computer skills, along with a technical background in welding, are required. This role involves both desk work and shop environment duties. The position offers a collaborative work atmosphere with a focus on safety and quality assurance. #J-18808-Ljbffr

At Johnson & Johnson,?we believe health is everything. Our strength in healthcare innovation empowers us to build a?world where complex diseases are prevented, treated, and cured,?where treatments are smarter and less invasive, and?solutions are personal.?Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.?Learn more at jnj.com As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. Job Function: Medical Affairs Group Job Sub Function: Medical Science Liaison Job Category: People Leader All Job Posting Locations:...

Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Training & development Vision insurance Position Summary We are seeking a detail-oriented and knowledgeable Medical Biller and Coder to join our healthcare clinic team. This role is responsible for accurately coding medical procedures and diagnoses, submitting insurance claims, posting payments, and ensuring timely reimbursement while maintaining compliance with healthcare regulations and clinic policies. The ideal candidate is organized, professional, and committed to supporting quality patient care through accurate billing and coding practices. Essential Duties and Responsibilities Review patient charts, clinical documentation, and physician notes for accurate coding and billing Assign appropriate ICD-10, CPT, and HCPCS codes for services rendered Prepare and submit electronic and paper insurance claims in a timely manner Verify insurance eligibility, benefits, and...

Medical Compliance Auditor We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers. This process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria. Job Duties & Responsibilities Assess the treatment plan, clinical information, and medical necessity of all requested services Utilizes established criteria to appropriately review billed services within established timeframe required. Consults with medical directors and clinical staff regarding patient's history and current care needs and whether services billed were appropriate. Refers case failing medical...

Houston Methodist Willowbrook Hospital in Houston, Texas is seeking a full-time Nurse Auditor to ensure accuracy and compliance in patient chart audits. This role involves daily auditing, collaboration with finance offices, and preparing audit reports. A valid Texas RN license and three years of hospital experience are required. Ideal candidates demonstrate excellent communication and problem-solving skills, and can work independently while managing their time effectively. Travel within the Houston area may be required. #J-18808-Ljbffr

CommonSpirit Health is seeking a Value Based Coder II in Houston, Texas. This role involves reviewing patient medical records to identify coding opportunities with a focus on Hierarchical Condition Categories (HCC). You will develop provider education and actively support process improvement initiatives. The ideal candidate will have at least 2 years of outpatient coding experience, advanced knowledge of coding guidelines, and the ability to communicate effectively with providers. Join us in enhancing healthcare quality through precise coding and compliance. #J-18808-Ljbffr

Medical Technologist Supervisor – Microbiology Join the Harris Health System Team! Medical Technologist Supervisor – Microbiology – Ben Taub Hospital Pay: $87,755.20 - $114,067.20/year Job Status: Full-Time Location: Houston, TX Job Reference #: 177131 Day 1 Benefits – Available the first day of hire Medical, Dental, and Vision insurance Flexible Spending Accounts (FSAs) Short- and Long-Term Disability insurance Life insurance Employee Assistance Program Tuition Reimbursement – Available after 6 months of employment About the Position Harris Health System is seeking a Medical Technologist Supervisor for the Microbiology Laboratory at Ben Taub Hospital. This position supervises medical technologists performing both routine and specialized diagnostic testing in the hospital laboratory setting. The supervisor ensures accuracy, quality, and compliance in all testing processes while supporting laboratory operations. Schedule 8:00 a.m. – 4:30 p.m. About Harris Health...

Company Description Support advanced diagnostic testing within a collaborative international healthcare environment where precision, clinical expertise, and interdisciplinary teamwork help drive timely patient care and clinical decision-making. International SOS Government Medical Services partners with healthcare professionals seeking meaningful, mission-driven work around the world. As part of a global team supporting diverse patient populations, you'll deliver high-quality care in dynamic healthcare environments while collaborating with experienced clinical and operational teams. Operating in more than 90 countries, International SOS provides clinical care, emergency response, and healthcare support services across a wide range of care settings. Headquartered in Houston, Texas, we are committed to delivering trusted healthcare solutions wherever they are needed most. Learn more at internationalsos.com. Job Description Perform advanced laboratory testing while...