34 coder 1 jobs found in Dallas

Job Summary (Par time-Potential for Fulltime) The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations. Key Responsibilities Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes Validate E/M level selection for emergency department visits Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA) Identify under coding, over coding, and documentation deficiencies Prepare detailed audit reports with corrective recommendations Provide education and feedback to coders and providers Train and mentor offshore coding teams on ER coding guidelines and audit findings Conduct regular quality review sessions and calibration meetings with offshore staff Develop and update...

Description Coding surgeries directly use PMD Pull up auto note and fill out work 13-15 cases an hour The Coding Specialist performs all medical record coding activities. Assigns appropriate diagnostic codes to patient charts and reports as assigned. Skills Surgery Coding, General Surgery coding, breast surgery coding, Gastro surgery coding, GYN coding, Clinical COding Top Skills Details Surgery Coding,General Surgery coding,breast surgery coding,Gastro surgery coding,GYN coding,Clinical COding Additional Skills & Qualifications Detail Oriented Confident Good at collaborating with team Not afraid to ask questions Experience Level Entry Level Job Type & Location This is a Contract to Hire position based out of Dallas, TX. Pay and Benefits The pay range for this position is $25.00 - $28.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be...

Outpatient Coder (Remote) Full-time Work From Home Must have Surgical/OBS coding experience and documented billing edit experience Ob Summary As part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position. Job Responsibilities Verifying accuracy of assigned CPT codes for complex and/or error prone procedures, Verifying the diagnosis coding accuracy for complex and/or error prone encounters, Validating certain discharge dispositions, Reviewing charge and procedure mismatches, Reviewing codes with revenue integrity for NCD/LCD coverage, Reviewing invalid codes, code conflicts, and missing modifiers, Working with...

Key Responsibilities Conduct detailed audits of patient medical records to ensure clinical documentation supports quality care, medical necessity, and accurate billing practices. Identify documentation, coding, billing, and compliance discrepancies and develop corrective action recommendations. Prepare comprehensive audit reports and communicate findings to leadership and operational teams. Monitor compliance risks related to Medicare, Medicaid, and other federal healthcare programs. Provide consultative guidance regarding healthcare compliance regulations and best practices. Assist with responses to government audits, investigations, and regulatory inquiries. Review potential refund and repayment obligations related to federal healthcare programs. Support policy and procedure development based on regulatory updates and audit findings. Monitor changes in healthcare laws, regulations, and compliance requirements. Collaborate with clinical, revenue cycle, finance, legal,...

Coder 2 Hours of Work: 8-4:30 Days Of Week: M-F Work Shift: Job Description: 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. 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,...

Description Coding surgeries directly use PMD Pull up auto note and fill out work 13-15 cases an hour The Coding Specialist performs all medical record coding activities. Assigns appropriate diagnostic codes to patient charts and reports as assigned. Skills Surgery Coding General Surgery coding breast surgery coding Gastro surgery coding GYN coding Clinical Coding Additional Skills & Qualifications Detail Oriented Confident Good at collaborating with team Not afraid to ask questions Experience Level Entry Level Job Type & Location Contract to Hire position based out of Dallas, TX. Pay and Benefits The pay range for this position is $25.00 - $28.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan -...

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...

A healthcare organization is seeking a Coding Specialist III who will handle coding for inpatient encounters, ensuring accuracy in coding and billing. Candidates must have a high school diploma, three years of acute care coding experience, and relevant certification through recognized associations. The role requires advanced knowledge of medical coding standards and practices. The position is remote and offers the opportunity to coach other coders while maintaining departmental quality standards. #J-18808-Ljbffr

Methodistsurgicalassociates is seeking a Coder for a full-time position in Dallas, Texas. This role involves reviewing medical records for accurate assignment of CPT, HCPCS, and ICD-10 codes, ensuring compliance with guidelines. The ideal candidate must possess coding certifications and have experience in surgical coding. Our team enjoys competitive salaries and an excellent benefits package, including medical, dental, and retirement plans, contributing to our reputation as a great place to work. #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

About Us Here at Baylor Scott & White Health we promote the well‑being of all individuals, families, and communities. Baylor Scott and White is the largest not‑for‑profit healthcare system in Texas that empowers you to live well. Our Core Values Are We serve faithfully by doing what’s right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering an exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar‑for‑dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job...

Job Overview Role type: Risk Adjustment Coding Auditor. Quantity of resources: 2. Duration: 6 months. JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skills MS Suite CPC certified CRC certified 5+ years of risk adjustment experience Equal Opportunity Statement We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr

Altegra Health is looking for remote Certified Coders to review medical records and assign appropriate ICD-9-CM codes. The ideal candidate will have an active nursing license or coding certification and extensive experience with outpatient diagnosis coding guidelines. Your responsibilities will include abstracting pertinent patient information, ensuring compliance with coding standards, and maintaining quality assurance in chart assignments. This role demands strong attention to detail and the ability to work independently. #J-18808-Ljbffr

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...

Certified Mobile Notary Service https://certifiedmobilenotaryservice.com Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Validate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary, Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. Follow specific payer guidelines for appeals submission Escalate exhausted appeal efforts for resolution Work payer projects as directed Research contract terms/interpretation and compile necessary supporting documentation for appeals, Terms & Conditions for Internet enabled...

Methodist Health System is looking for a remote coder to ensure accurate assignment of medical codes including CPT®, HCPCS, and ICD-10 for professional services. Responsibilities include reviewing documentation and engaging with healthcare providers to enhance coding accuracy. Candidates should possess coding certifications and at least two years of coding experience. The role offers comprehensive benefits such as medical, dental, and vision insurance, as well as a matched retirement plan. #J-18808-Ljbffr

Overview The Revenue Cycle Medical Billing Specialist is responsible for the overall account resolution of patient accounts within the revenue cycle management (RCM) process. Ensures timely billing of claims to payers and follow up of denials, appeals, recoupments and balance management. Ability to audit and provide feedback on the billing process and outcomes. Works cooperatively with other departments to ensure timely billing, reporting and patient account management. Supports the organization’s strategic plan and workplace inclusion initiatives. Abides by the organization’s mission in performing job duties. Demonstrates an understanding and commitment to PPGT’s culture of quality, safety and risk awareness. Responsibilities Reviews submission of claims by third party billing team to the clearinghouse to ensure accuracy. Processes reimbursements and payment adjustments with attention to detail, timeliness, and accuracy. Makes corrections and prepares appeals related to claim...

Job Description Job Description 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...

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. Job Summary 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. Responsibilities Accurately and productively code/abstract patient health documentation for Tenet facilities. Utilize coding abilities to review flagged...

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...

Hours of Work :8-430Days Of Week :M-FWork Shift :Job Description :Location:Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus.Job Relationships:Reports to Coding ManagerCertification Requirements:Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC PreferredSkills, Credentials, Professional QualificationsHigh school diploma or equivalent; Associate degree is an assetA minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical codingStrong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policiesIndependently disciplined in time management and productivityExperience in electronic medical record software, preferably EpicMicrosoft Office proficientAbility to communicate written and oral coding information to healthcare professionalsJob Summary:Responsible for the review of...

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...

Medical Coder - Professional Fee (ProFee) | On-Site Healthcare Job in Dallas, TX Experienced ProFee Medical Coder needed for an on-site revenue cycle opportunity supporting outpatient and physician coding for a leading healthcare provider. If you have strong experience with Cath Lab and Cath/EP procedures, this medical coding job could be an excellent next step in your healthcare career. We are seeking an experienced Medical Coder with Professional Fee (ProFee) expertise for an on-site opportunity supporting revenue cycle operations. This role is ideal for a detail-oriented coding professional with strong knowledge of outpatient and physician-based coding, including Cath Lab and Cath/EP procedures. Located in Dallas, Texas in the 75246 area, this opportunity offers the advantages of working in a well-established healthcare hub with convenient access to a vibrant metropolitan setting, professional growth opportunities, and a dynamic clinical environment. If you are passionate...

Job Description REMOTE position WebEx video interview will be conducted prior to an offer MUST be able to work 40 hrs/week without issue Applicant must have the necessary equipment for the contract; 2 monitors, keyboard, mouse, web camera. If not, Agency must supply ahead of start date. Knowledge and Expertise: Must demonstrate a solid understanding of Coding Guidelines and CPT Guidelines for E/M (Evaluation and Management). Must be able to answer questions to gauge their coding knowledge. Clinic Coding Experience: Must have experience in clinic coding, including: Office-type procedures Vaccinations E/M leveling Modifiers: Familiarity with modifiers used in the clinic setting is essential. Risk Adjustment Experience: While Risk Adjustment experience is acceptable, the candidate must also possess clinic coding experience as well. Experience in Specialty Areas: The candidate must have experience in at...