25 certified professional coder jobs found in Dallas, TX

ICD-10 Coding Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

Remote Coding Specialist This is a REMOTE position. Provides high level technical competency and subject matter expertise analyzing charge review errors and claim edits for complex services, including code selection of surgical procedures, and assessment of high-acuity type services. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity Health practices and policies. Analyzes medical documentation verifying diagnoses, assigning diagnostic codes, selecting simple and complex surgical/procedural codes, and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS), performing charge entry, and charge capture reconciliation and discrepancy resolution as required. Serves as a liaison between other Centralized Coding positions in Revenue Site Operations and physicians/clinical sites/departments. Interprets, researches and resolves issues and...

Fully Remote Medical Coders TekSystems is currently hiring for several fully remote Medical Coders. Must have CPC-Certified Professional Coder, and 2 or more years of Medical Coding experience. Must have a high school diploma or GED! Must be able to start in January! These Coders will be taking the work from the Client Coordinators. They will be looking at what the Provider sends and coded for payment and what the Payer sends and coded for payment. They will be reviewing the case to decide which one is correct, is the correct code being used, and make a determination of what code and payment is recommended by MCMC. Then they pass it off to QA for review. They will do these cases over and over again to push them through. All of the cases are going to be Emergency Services, so they would like for everyone to have experience in emergency services, inpatient coding, or DRG (diagnosis-related group) coding. This would allow them to understand what they are looking at. Does not have...

Coder 1 Location: Dallas, Texas Time Type: Full time Job Description: In this highly technical, fast-paced, and challenging position, you'll collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 1 classifies and abstracts outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS and/or CPT codes for optimal reimbursement. Follows up on unbilled accounts to assure timely billing to avoid denials of non-payment by third party payers. Job Requirements: High school Diploma or Equivalent required in addition to extensive ICD-10 training from an accredited coding program Anatomy and Physiology with a minimum of a coding internship completed None required but prefer RHIT or CCS 1 Year work experience preferred PC skills - demonstrates proficiency in PC applications as required Job Responsibilities: Assigns appropriate ICD-9/CPT codes for all diagnoses and procedures affecting inpatient...

Coder 2 Your Job: In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement. They establish an accurate database for case mix indices which provide statistical reporting and trend analysis. The Coder 2 is proficient in coding DRG based records as well as all other payers. Your Job Requirements: High school graduate or its equivalent Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder Proficient in detailed work Maintain a professional image in handling confidential patient information Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and health...

Job Description Job Description The Coding Network, LLC (TCN) is the country’s premier broker of remote coding and auditing services, structured as a virtual company connecting healthcare professionals and health systems across the country with over 800 US based single specialty coders and auditors. Flexible Hours: We understand that everyone’s schedule is different and, as such, auditors enjoy the flexibility to commit to as few as 15 hours a week to however many hours work for them to render auditing services. It is one thing to have the freedom to work from home, but TCN coders possess the freedom to utilize the full 24 hour clock and choose when to work beyond the traditional 9-5. Whether you’re looking for extra income in addition to your day job or to make a more robust commitment, we are able to accommodate you. Position & Responsibilities: In order to support the growing need for E&M services and surgical divisions, there are abundant opportunities for...

A prominent healthcare institution is looking for a Coding Specialist III to join their Revenue Cycle Department in Dallas, Texas. The role demands an experienced professional with at least 6 years of coding experience and a high school diploma or GED. Responsibilities include complex coding tasks, mentoring junior staff, and understanding governmental policies. Benefits include a PPO medical plan, paid time off, and tuition reimbursement. The position allows for remote work within Texas, emphasizing a flexible work schedule. #J-18808-Ljbffr

A leading staffing agency is seeking a Professional Coder to manage clinic charges, verify procedures, and communicate with medical providers. Candidates should possess a GED or High School Diploma, CPC Certification, and at least 2 years of coding experience, ideally including surgical coding. This role is based in Dallas, Texas, and is suitable for individuals committed to supporting a diverse working environment. #J-18808-Ljbffr

A healthcare institution in Dallas is seeking a Coding Specialist to ensure accurate coding for inpatient encounters and train fellow coders. The ideal candidate will have a high school diploma, relevant certifications, and extensive experience in an acute care environment, with a focus on accuracy and collaboration. This role offers a supportive environment emphasizing professional development and career advancement. #J-18808-Ljbffr

Medical Coding Specialist Your Job: Responsible for assignment of accurate E/M, CPT/HCPCS, ICD-10-CM, and appropriate modifiers from medical record documentation (paper or electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation (paper or electronic) within the medical record. Aid in training and educating providers and staff on coding issues by sending coding queries. Your Job Requirements: A minimum of 2 years recent experience in the profee coding setting Minor procedural coding in any specialty preferred Recent experience and knowledge regarding the new E/M guidelines required Must hold Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P) with the appropriate level of experience Your Job Responsibilities: Communicate clearly and openly Build relationships to promote a collaborative environment Be accountable for your performance Always look for ways to improve...

Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different...

Accurately and productively code/abstract patient health documentation for Tenet facilities. Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. Assisting in coding quality reviews/audits and second level reviews as needed. Attends Tenet coding educations and maintains coding credentials. #LI-MJ1 The Corporate Coder (“CC”) functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC’s and/or other projects where indicated. Required: Associates or higher-level degree in...

Health Information Coding Specialist Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties: Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient...

Coding Auditor 1 The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) Essential Functions Of The Role Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal customers of the organization. Provides feedback as appropriate depending on findings. Abstracts and validates required data elements into the coding and abstracting system. Works collaboratively with the Clinical Documentation...

Hours of Work: 8:00am-4:30pm Days Of Week: M-F Job Description Responsible for assignment of accurate CPT/HCPCS, ICD10, and appropriate modifiers from medical record documentation (paper or electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation (paper or electronic) within the medical record. Aid in training and educating providers and staff on coding issues, and play a significant role in coding compliance activities. Requirements Bachelor Degree preferred -OR- Associate degree in Health Information Management preferred. A minimum of 2 years recent experience in the outpatient (primary care & surgical) setting. Surgical coding in Trauma, General Surgery, Orthopedics, and/or Neurosurgery preferred Must hold Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P) with the appropriate level of experience Responsibilities Communicate clearly and openly Build...

Overview The Professional coder will be responsible for handling clinic charges, scrubbing chart for completeness, reviewing diagnoses codes, verifying procedures, along with communicating with providers regarding missing info and working edits. EEO and Accommodations We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form...

Job Title: Urology Coder Location: Hybrid –Houston, Texas 77027 Hours: Monday – Friday, 8:00 AM – 5:00 PM CST Contract Type: Contract Pay: $20-29/hr Anticipated Start Date: ASAP About the Role Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting. Key Responsibilities Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection. Review and code Urology charts, including surgical cases for: Ambulatory Surgery Centers (ASC) Injection/Infusion procedures Outpatient hospital charges Code from physician’s outpatient notes accurately. Apply modifiers correctly based on procedural and coding guidelines. Maintain coding accuracy specific to urology procedures. Qualifications Certification: CPC...

A prominent healthcare organization in Texas is seeking a Coding Specialist II to ensure accurate billing and coding for various healthcare encounters. Applicants must have a high school diploma, complete a coding program, and possess coding certifications. Ideal candidates will have two years of coding experience and strong knowledge of ICD-10 and CPT coding. This role offers opportunities for professional growth in a supportive healthcare environment. #J-18808-Ljbffr

Integrated Resources, Inc. is a premier staffing firm recognized as one of the tri-state area's most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy, and Nursing. Job Description The role is responsible for executing requests related to benefit maintenance, additions, and changes across all business units within the RxClaim system. Review, analyze, and handle client benefit information requests received via SalesForce.com or email. Assess the completeness and accuracy of data, resolve issues based on acquired knowledge and tools, and escalate issues in a timely manner. Ensure that individual, team-specific, and site-wide metrics are achieved. Activities include but are not...

Job Posting Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials. Job Responsibilities/Duties: Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards of...

Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Responsibilities/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards...

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. The Role: Accounts Receivable Specialist The Accounts Receivable Specialist performs collection and follow up activities with third party payers to resolve outstanding balances, secure accurate and timely adjudication, and achieve successful closures of aged accounts receivable. What You'll Be Doing: Performing online account status checks and following up with payers by phone, email, etc. on outstanding claim balances of assigned accounts Clearly document in EMR system patient account notes, the payment status of the account, and/or actions taken to secure payment. If applicable, requests account for additional follow up activity within a prescribed number of days in accordance with payer specific filing requirements or processing time required for insurance to complete processing. Must note all actions taken within the notes section to ensure all prior touches have been...

Associate Director - Medical Science Liaison - Gastroenterology (Dallas TX) Join to apply for the Associate Director - Medical Science Liaison - Gastroenterology (Dallas TX) role at BioSpace Associate Director - Medical Science Liaison - Gastroenterology (Dallas TX) 1 day ago Be among the first 25 applicants Join to apply for the Associate Director - Medical Science Liaison - Gastroenterology (Dallas TX) role at BioSpace At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. We’re looking for people who are determined to make life better for people around the world. Organization...