3 jobs found in Mcallen

DHR Health - US:TX:McAllen - Days Summary: POSITION SUMMARY: The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of Ethical Coding as set...

Job Description Job Description ob Summary We are hiring a Medical Billing Specialist to support the revenue cycle of a busy outpatient mental health practice . This is a billing-focused role with limited reception responsibilities. Ideal candidates have prior medical billing experience and are comfortable managing insurance claims, follow-ups, and payment posting with minimal supervision. This position is not front-desk–primary and is best suited for candidates seeking a billing-centered role in a structured healthcare setting. Key Responsibilities Submit and manage insurance claims from start to resolution Follow up on unpaid, denied, or underpaid claims Post insurance payments, adjustments, and patient payments Review EOBs for accuracy and discrepancies Verify insurance eligibility and behavioral health benefits Communicate with insurance carriers regarding claim status Maintain accurate and organized billing records Provide limited...

DHR Health - US:TX:McAllen - Days Summary: POSITION SUMMARY: The Outpatient coder is responsible for timely review of the medical record for correct coding and sequencing of diagnoses and procedures using ICD-10-CM/PCS and CPT/HCPCS classification systems for hospital and/or professional services in accordance with coding rules and regulations. Resolves billing edits according to NCCI and/or payer specific guidelines. Identifies and reports error patterns. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). POSITION EDUCATION/ QUALIFICATIONS : • Coding credential from an accredited coding organization required • Credentials from AHIMA, AAPC preferred • Good written and verbal communication skills required. JOB KNOWLEDGE/EXPERIENCE : • Extensive experience in medical coding, medical terminology, and anatomy and physiology required; • 3 year of coding experience preferred • Proficiency in...