36 jobs found in Houston, TX

Ceris Certified Coder I Ceris is seeking a certified coder. The Ceris certified coder reverse codes previously coded medical bills to determine coding accuracy. This is a remote role. Essential functions and responsibilities: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations to referring office Communicates claim status with referring office Reads and comprehends all medical reports Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Complies with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program ("IIPP"), as well as, maintains HIPAA compliance Knowledge and skills: Ability to learn rapidly to develop knowledge and understanding of...

Job Description Job Description Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent Solutions Location: Remote (Work From Home) Job Type: Independent Contractor (1099) Schedule: Flexible | Part-Time and Full-Time Opportunities ???? About the Role Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We’re hiring both experienced professionals and motivated individuals looking to enter the field. If you’re detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. ???? Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims...

Inpatient Coder Position Insight Global is seeking an experienced Inpatient Coder to support a Level I Trauma hospital system overseeing 12 acute care facilities. In this role, coders will be responsible for accurately assigning ICD-10-CM/PCS codes for complex inpatient cases, ensuring compliance with official coding guidelines, regulatory requirements, and internal policies. The ideal candidate has strong trauma coding experience, a solid understanding of anatomy and medical terminology, and the ability to work independently in a high-acuity, fast-paced environment. Assign accurate ICD-10-CM and ICD-10-PCS codes through full inpatient record review, ensuring correct DRG assignment and compliance. Code inpatient cases across multiple facilities while meeting established quality and productivity standards. Utilize coding tools, including Streamline Health Evaluator, to review system-identified flags and resolve documentation or coding issues. Validate all codes against...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS 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. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Coders, Bill Reviewers, And Payment Integrity Reviewers Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are...

Remote Medical Biller & Coder Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We're hiring both experienced professionals and motivated individuals looking to enter the field. If you're detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims as needed Communicate with providers, payers, or clients when necessary Maintain HIPAA compliance and data security standards Qualifications Preferred: Experience with medical billing, coding, or claim processing Familiarity with EHR or billing software Strong...

Certified Medical Coder The certified medical coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with risk adjustment requirements. Key responsibilities include following CMS risk adjustment guidelines and having a complete understanding of their real-world application. The coder reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission. They accurately and completely code all diagnoses and services from the medical record in accordance with the ICD-10-CM coding classification system. The coder selects and accurately records all appropriate records and data on assigned chart abstraction projects and is able to meet productivity and accuracy requirements. Other duties as assigned are also performed. Qualifications include a high school diploma or GED, a certification...

Registered Nurse Clinical Coder DRG Audit Our client is seeking an experienced Registered Nurse Clinical Coder to support DRG audit activities for one of their major healthcare partners. This role focuses on reviewing inpatient medical records, validating DRG assignments, and ensuring coding accuracy from an insurance and payer-side perspective rather than the provider side. This is an excellent opportunity for an RN with coding experience who enjoys analytical work, documentation review, and collaborating with audit teams. Key Responsibilities: Perform DRG audits on inpatient medical records to validate ICD-10 coding accuracy and DRG assignment. Review clinical documentation to ensure compliance with payer guidelines and audit standards. Identify discrepancies, trends, and opportunities for coding improvement. Communicate audit findings clearly and professionally through written reports and outbound calls as needed. Collaborate with internal teams to support audit...

divh2Medical Coder Lead/h2pRevenue Cycle Management is looking for a Medical Coder Lead to join our team! Remote opportunity after 30-90 day in-person training SUMMARY The Medical Coder Lead is responsible for serving as a subject matter expert in coding processes providing advanced technical guidance and ensuring coding accuracy compliance and productivity standards are met. The position supports coders and auditors through consultation mentoring and expertise on complex coding scenarios./ppESSENTIAL FUNCTIONS:/pulliServe as a resource and consultant for coders on complex or specialty coding scenarios./liliReview and provide guidance on challenging cases to ensure coding accuracy and compliance./liliPartner with auditors to resolve discrepancies and identify trends in coding errors./liliProvide mentoring and technical support to coders promoting knowledge sharing and best practices./liliAssist in developing and updating coding procedures guidelines and reference...

Senior Outpatient Coder At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. Qualifications Education Associate's or higher degree in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree Experience Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program Licenses and Certifications Required: Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator...

Programmer / Coder Intern Information Technology (Summer 2026) MetroNational's Summer Internship Program is a structured, paid experiential learning program designed to provide meaningful, hands-on work aligned to real business needs. Interns spend approximately 75% of their time on impactful department projects and 25% on company-wide exposure, including shadow days, cross-functional learning, site visits, and professional development. Interns work with IT leaders who embody MetroNational's core valuesteamwork, loyalty, integrity, and professionalismwithin an organization recognized as a Top Workplace and Healthiest Employer. This is a competitive internship offering real-world, resume-ready application of technical skills across enterprise platforms, cloud systems, automation tools, and data environments. What You'll Do Contribute to a variety of technology projects that support MetroNational's business operations and real estate portfolio. Assist with developing,...

Medix - 6621 Fannin Street [Medical Records Clerk] As a Coder at Medix, you'll: Analyze medical records to assign appropriate codes for billing and insurance purposes; Ensure accuracy and compliance with coding guidelines and regulations; Collaborate with healthcare professionals to clarify diagnoses and procedures; Maintain confidentiality of patient information; Update coding knowledge through continuous education and training; Assist in audits and reviews to improve coding processes and accuracy...Hiring Immediately >>

*Registered Nurse Clinical Coder - DRG Audit (100% Remote)* *Position Type:* Contract *Schedule:* Full-time, Remote *Experience Level:* Intermediate (5+ years) *Pay:* $90,000 *Overview* Our client is seeking an experienced *Registered Nurse Clinical Coder* to support DRG audit activities for one of their major healthcare partners. This role focuses on reviewing inpatient medical records, validating DRG assignments, and ensuring coding accuracy from an *insurance and payerside perspective* rather than the provider side. This is an excellent opportunity for an RN with coding experience who enjoys analytical work, documentation review, and collaborating with audit teams. *Key Responsibilities* * Perform *DRG audits* on inpatient medical records to validate ICD10 coding accuracy and DRG assignment. * Review clinical documentation to ensure compliance with payer guidelines and audit standards. * Identify discrepancies, trends, and opportunities for coding improvement. *...

Medical Coder - Independent Dispute Review (IDR) *Location:* 100% Remote *Pay Rate:* $25.00/hour *Schedule:* Monday-Friday | 8:00 AM - 4:30 PM CST *Duration:* Longterm contract (multiyear opportunity) About the Opportunity We are partnering with a nationally recognized medical review organization that supports state and federal agencies, healthcare payers, and employers by providing *independent, unbiased medical claim reviews*. Due to the *No Surprises Act* and a permanent increase in claim volume, this team is expanding and building out a *brandnew Independent Dispute Resolution (IDR) unit*. This is a *stable, longterm opportunity* with consistent work and strong training support-ideal for a CPC or CPCA professional looking to grow their career beyond traditional coding roles. What You'll Do In this role, you will *not be coding charts*. Instead, you'll use your coding knowledge to make *payment determinations* on disputed medical claims. Key responsibilities include: *...

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate's degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: - RHIT - Certified Health Information Technician (AHIMA) - RHIA - Registered Health Information Administrator (AHIMA) - CCS - Certified Coding Specialist (AHIMA)...

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 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 and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Typically...

Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched appropriately to the codes and if not,...

About Us Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor...

Description Summary Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system Selects and accurately records all appropriate records and data on assigned chart abstraction projects Ability to meet productivity and accuracy requirements Performs other duties as assigned Qualifications High School Diploma or GED required A certification in one of the...

HOPEWELL STAFFING is a supplemental staffing company dedicated to setting a standard in our industry by providing patient centered quality advocates to all our clients. Our clients can look forward to having a top notch medical or allied staff that demonstrate a high level of professionalism, punctuality, and reliability. HOPEWELL STAFFING is sourcing candidates for a MEDICAL BILLING EXPERIENCE in the 77058 area. Is this you? Ensure all schedules are confirmed daily with a goal of zero errors Meet with Billing Manager/Supervisor to discuss and resolve schedule confirming issues Maintain complete, timely and accurate documentation of all schedule confirming issues in order to resolve them in a timely manner Meet weekly schedule confirming deadlines to ensure accurate billing and payroll Run and analyze billing reports daily to ensure accuracy Minimize schedule confirming errors Maintains confidentiality of and compliance with all company and...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an Inpatient Coder to handle charge entries, coding, and processing of various medical services. The primary responsibilities include working with specific coding specialties, managing shared work queues, and ensuring accurate coding of procedures and high dollar accounts. Key Responsibilities Process charge drops and dummy codes, ensure all CPT/modifiers are correctly applied. Work with GI CPT codes and handle high dollar hematology accounts. Collaborate with TCH coding team and follow supervisory directions for task assignments. Qualifications CPC, RHIT, or AHIMA Certification Proficiency in Epic software 3-5 years of experience in inpatient/DRG/HB/surgical coding with specialty experience Must have personal computer, Teams/Samantic VIP access on phone Skills Technical: Epic...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience. We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Profee Outpatient Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you...

Job Description We are seeking a motivated Entry-Level Medical Coder / Billing Assistant to join their administrative team. This position offers a great pathway into the healthcare field for individuals interested in medical billing and coding. Hybrid work is possible after the training period. Key Responsibilities Code medical procedures accurately for billing and insurance claims. Prepare financial reports and submit claims to insurance companies or patients. Enter and maintain patient data in administrative and billing systems. Track outstanding claims and follow up on unpaid accounts. Communicate with patients to discuss balances and develop payment plans. Maintain confidentiality and comply with HIPAA and all healthcare regulations. Qualifications High school diploma or equivalent required; healthcare coursework a plus. MediClear or equivalent compliance credential required. Strong communication, organization, and time-management skills....

Type of Coding: Inpatient coders handling a spectrum of cases—transplants, vascular, cardiology, neuro, etc. Academic medical center/acute care hospital experience is required; candidates from smaller community hospitals are typically not successful. Experience: Minimum preferred: 3–5 years, ideally 5 years, specifically in academic or acute care settings. Certifications: Required: CCS, RHIT, or RHIA. Technical Requirements: Must use Epic EHR.