42 coder professional jobs found in Dallas, TX

Certified Coder This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is for a Certified Coder who will provide coding expertise and clinical support across a wide range of initiatives and processes. This role requires close collaboration with cross-functional teams to ensure alignment with both clinical and business objectives, while supporting the successful execution of projects. This position is full-time (40 hours/week), Monday - Friday. Employees must work an 8-hour shift...

Requisition number: 2377170 Job category: Medical & Clinical Operations This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. As the organization accelerates its digital transformation, Benefit Digitization and AI 10.0 efforts are key to improving efficiency, enhancing member and provider experiences, and managing long term costs. To achieve these goals, dedicated roles are needed to design, implement, and manage the digital capabilities that support these initiatives. This...

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...

## Coder 2 MMG - Cardiology CoderApplylocations: Dallas, Texastime type: Full timeposted on: Posted 19 Days Agojob requisition id: JR1000034818**Hours of Work :**8-430**Days Of Week :**M-F**Work Shift :****Job Description :****Location:**Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus.**Job Relationships:**Reports to Coding Manager**Certification Requirements:**Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC Preferred**Skills, Credentials, Professional Qualifications**High 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...

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,...

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...

Hours of Work :8-4:30Days Of Week :M-FWork Shift :Job Description :Your Job: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.Your Job 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 preferredMust hold Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P) with the appropriate level of experienceYour Job Responsibilities:Communicate clearly and...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Hours of Work : 10-20 Days Of Week : Flexible Work Shift : PRN (United States of America) Job Description : Your Job: 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 II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement. Establishes an accurate database for case mix indices and for statistical reporting and trend analysis. The Coder II is proficient in coding DRG based records as well as all other payers. Your Job Requirements: • High School Diploma or Equivalent - Required • Minimum of 2 years DRG based coding experience in an acute care hospital, experience using encoder. • Accredited coding courses from an institution of higher learning, Medical Terminology, • Anatomy and Physiology • CCS or CPC Certification -...

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...

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...

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...

Professional Coder The professional coder will be responsible for handling clinic charges, scrubbing chart for completeness, reviewing diagnosis codes, verifying procedures, along with communicating with providers regarding missing info and working edits. 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. The EEOC "Know Your Rights" Poster is available here....

*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...

Hours of Work : 8 am - 4:30pm Days Of Week : M-F Work Shift : Job Description : 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...

Data Quality Auditor 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). IP, OP Coding: Reviews medical records for the determination of accurate assignment of all documented ICD-10-CM codes for diagnoses and procedures. Abstracts accurate required data elements (facility/client specific elements) including appropriate discharge disposition....

Job Title Dallas, TX 8hr shift M-F Looking for someone with outpatient or inpatient hospital coding compliance or coding auditing experience. CPC or CCS certification. Responsibilities: Assign, sequence, validate, and edit codes for multi-specialty professional outpatient/inpatient encounters for both adults and pediatrics Assign appropriate E/M, ICD-10-CM and/or CPT codes based on documentation and/or payer requirements HEDIS measures CAT II code reporting for HTN, diabetes, obesity, and cervical cancer Review NCCI and nosology edits for accurate code capture Review LCD's and/or payor policies to appropriately resolve coding edits Evaluate medical record for provider signature and validate provider facility credentials Resolve and/or clarify clinical data as necessary Review and run data reports to monitor individual productivity Utilize Current Coding guidelines, Coding Clinic, CPT Assist for coding accuracy guidance

Coder II Hours of Work: 10-20 Days Of Week: Flexible Work Shift: PRN (United States of America) 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 II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement. Establishes an accurate database for case mix indices and for statistical reporting and trend analysis. The Coder II is proficient in coding DRG based records as well as all other payers. Job Requirements: High School Diploma or Equivalent - Required Minimum of 2 years DRG based coding experience in an acute care hospital, experience using encoder. Accredited coding courses from an institution of higher learning, Medical Terminology, Anatomy and Physiology. CCS or CPC Certification - Strongly preferred. Job...

Hours of Work : 8-4:30 Days Of Week : M-F Work Shift : Job Description : Your Job: 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. Your Job 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 Your Job Responsibilities : Communicate...

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...

Benefit Coder Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states 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 execution of 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 completeness and accuracy of data, resolve issues based on acquired learning and tools and escalate issues on a timely basis. Ensure that individual, team-specific and site-wide metrics are achieved. Activities include but...

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: 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. 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 patient medical records. Assign appropriate...

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...