98 jobs found in Houston

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. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate's or higher degree in a Comission on Accreditation for Health Informatics and Information Managment 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...

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,...

Compliance Auditor position starting salary $33,280 annually. Higher starting salary with the right experience combined with generous salary growth potential. Job Summary: This position focuses on reporting. High level of attention to detail is required; proofreading or editing skill set is a plus. Must have ability to manage deadlines with multiple priorities, work under pressure, and appropriately handle confidential information. Ability to communicate professionally with all levels of personnel in the firm. Impeccable judgment, discretion, respect, and integrity is required. Must appreciate high volume in a fast-paced environment. This position reports directly to Attorney Group Director. Job Responsibilities: Reports to Group Director Must have knowledge of required performance metrics Must be able to work within dashboards Creation of standard reports to include customized reports as requested Create and/or maintain meticulous records, spreadsheets, and...

*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...

Responsibilities HIM/Medical Records Analyst/Coding Specialist Opportunity West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades. Our 176-bed acute care facility is fully accredited and included a 16-bed residential treatment center for adult chemical dependency. We offer a broad range of behavioral health programs for children, adolescents and adults. Treatment is offered at multiple levels of care including inpatient, partial hospitalization and intensive outpatient. We are available 24 hours a day, seven days a week to assist you and answer your questions about treatment options and insurance coverage. The hospital is easily accessible off the Southwest Freeway near the Galleria. Visit us online at: https://westoakshospital.com/ West Oaks Hospital is seeking a dynamic and talented HIM/Medical Records Coding Specialist to join our team of compassionate, dedicated professionals. The HIM/Medical...

Senior Professional Fee Coder San Antonio Summary Baylor College of Medicine CHRISTUS Childrens in San Antonio seeks a highly motivated and competent professional to serve as a Senior Professional Fee Coder. The candidate will manage and support the day?to?day functions of the revenue cycle under the direction of the Lead, Revenue Cycle. The role requires expertise in documentation reviews, denial analysis, coding, provider education, and revenue integrity initiatives. Job Duties Review provider documentation for compliance and accuracy; flag potential coding issues. Compile data for dashboards and audit summaries; support denial trend analysis and root cause identification. Assist in creating educational materials, handouts, and training sessions; track attendance. Serve as a resource for basic coding and documentation questions; route complex inquiries to Lead, Revenue Cycle. Provide administrative and operational support for revenue cycle projects and other...

Explore Opportunities With Kelsey-Seybold Clinic Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing Together. In coordination with the Senior Coder, this position reviews, interprets and verifies diagnostic, clinical, and infusion codes for all oncology providers and extenders based on clinical reports within the EMR system and according to correct coding principles, current NCCI rules and LCD coverage determinations ensures that the proper codes are on all claims prior to submission for all charges for the cancer...

divh2Inpatient/DRG Validation Coding Auditor/h2pThe Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities, and optimizes reimbursement by ensuring that the diagnosis/procedure codes and supporting documentation accurately support the services rendered and comply with ethical coding standards/guidelines and regulatory requirements. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations./ppHas an extensive understanding of reimbursement guidelines, specifically related to DRG (MS, APR, Tricare, etc.) payment systems./ppConducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding,...

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...

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...

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 >>

Compliance Coding Auditor Hours: Variable Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $48.140 - $62.110 - $76.080 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit...

Explore Opportunities With Kelsey-Seybold Clinic Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing Together. Primary Responsibilities: Upon the order of a qualified practitioner or provider, the Medical Imaging Supervisor will utilize equipment that produces ionizing radiation and/or other energies used in medical imaging to obtain studies for diagnostic purposes according to policies, procedures, and protocols of the KSC Medical Imaging Department and Kelsey-Seybold Clinic The Medical Imaging Supervisor will...

A federal healthcare staffing agency is seeking a Medical Coder II to support military healthcare facilities. The role involves coding various medical encounters with accuracy and compliance. Candidates must have 4+ years of coding experience or 2+ years within an MTF, along with active coding certifications. This position is fully remote, contingent on federal contract award, making it ideal for coders who thrive in high-volume environments. #J-18808-Ljbffr

Join the Harris Health System Team! Medical Technologist Supervisor - Microbiology - Ben Taub Hospital Pay: $87,755.20 - $114,067.20/year Job Status: Full-Time Location: Houston, TX Job Reference #: 177131 Benefits: Day 1 Benefits - Available the first day of hire Medical, Dental, and Vision insurance Flexible Spending Accounts (FSAs) Short- and Long-Term Disability insurance Life insurance 401(k) retirement plan Employee Assistance Program Subsidized parking Credit union Employee disaster relief Tuition Reimbursement - Available after 6 months of employment About the Position: Harris Health System is seeking a Medical Technologist Supervisor for the Microbiology Laboratory at Ben Taub Hospital. This position supervises medical technologists performing both routine and specialized diagnostic testing in the hospital laboratory setting. The supervisor ensures accuracy, quality, and compliance in all testing processes while supporting...

Join us in empowering our clients with a commitment to excellence in healthcare services! We offer exciting career opportunities across the globe, paving the way for a fulfilling career path. Explore the possibilities and discover your next career journey with us! Please be aware of employment scams. We recommend vigilance while verifying the authenticity of job offers and communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of recruitment. If you suspect fraudulent activity, please contact us directly through our official channels to protect your personal information. This position is contingent upon contract award and will be located onsite with potential travel requirements. Conduct complex tests across various domains including chemical, biological, hematological, immunologic, and bacteriological analyses. Examine body fluids and cells for analysis, including blood matching for...

Job Title: Invoicing Specialist Location: Houston, TX 77058 Job Type: Full-Time, Hybrid Schedule Reports To: A/R Manager Pay: $19.00 - $20.00 per hour. Benefits: Full-time employees are eligible for competitive benefits, including health/vision/dental, 3 weeks PTO, 9 paid holidays, and a matching 401k plan. Schedule: Monday - Friday, 8:00 AM to 5:00 PM. Ability to WFH Mondays and Fridays after 90-day probationary period. Job Summary: Principle Health Systems is on the hunt for a detail-savvy, invoice-wrangling guru to join our team as an invoicing specialist. Your mission (should you choose to accept it): Tame the data monster: Navigate through mountains of data like a pro, organizing, analyzing, and mastering data sets. Invoice with Flair: Ensure every invoice is accurate, timed to perfection, and compliant, because precision + speed = efficiency! Champion the AR Cycle: You'll play a vital role in making sure payments flow smoothly, keeping...

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. Primary Responsibilities: Upon the order of a qualified practitioner or provider, the Medical Imaging Supervisor will utilize equipment that produces ionizing radiation and/or other energies used in medical imaging to obtain studies for diagnostic purposes according to policies, procedures, and protocols of the KSC Medical Imaging Department and Kelsey-Seybold...

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...

Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and insurance landscape, including...

About Us MedAR is a dedicated medical billing company specializing in pathology, radiology and anesthesia services. We partner with healthcare providers to streamline their revenue cycle and ensure accurate reimbursement. We are currently seeking a meticulous and experienced Pathology Medical Coder to join our expert team. Job Summary The Pathology Medical Coder will be responsible for accurately applying billing codes to pathology reports for our client base. This role is crucial for ensuring compliance and maximizing revenue for our clients. The ideal candidate will have a deep understanding of CPT, ICD-10-CM, and HCPCS coding guidelines, with a specific focus on pathology services. Key Responsibilities Review provider documentation and accurately assign CPT, ICD-10-CM, and HCPCS codes to pathology and laboratory services, including surgical pathology, cytology, and molecular diagnostics. Apply correct modifiers and ensure NCCI edits, MUE , and payer...

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...