67 coder jobs found in Houston

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...

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: Provides coding and coding-auditing services for physician and facility documentation Reviews operative reports and clinical documentation to accurately assign CPT, ICD, and HCPCS codes using current NCCI guidelines and LCD coverage determinations Ensures timely and accurate charge capture to support efficient billing and optimal revenue cycle performance Serves as a liaison to...

Entry-Level Medical Coder / Billing Assistant 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...

Medical Coder Lead Revenue 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. ESSENTIAL FUNCTIONS: Serve as a resource and consultant for coders on complex or specialty coding scenarios. Review and provide guidance on challenging cases to ensure coding accuracy and compliance. Partner with auditors to resolve discrepancies and identify trends in coding errors. Provide mentoring and technical support to coders promoting knowledge sharing and best practices. Assist in developing and updating coding procedures guidelines and reference materials. Collaborate with clinical...

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...

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: Provides coding and coding-auditing services for physician and facility documentation Reviews operative reports and clinical documentation to accurately assign CPT, ICD, and HCPCS codes using current NCCI guidelines and LCD coverage determinations Ensures timely and accurate charge capture to support efficient billing and optimal...

A leading healthcare provider in Houston is seeking a Senior Outpatient Coder to ensure accurate assignment of diagnostic and procedure codes for day surgeries. Candidates should possess an Associate's degree or equivalent experience, along with at least three years of outpatient coding experience. Required certifications include RHIT, RHIA, CCS, CCA, CCS-P, or CPC. This role involves teamwork and effective communication to enhance coding accuracy and compliance with regulatory guidelines. Computer proficiency is essential for EHR and coding software use. #J-18808-Ljbffr

Overview At Houston Methodist, the Lead Inpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. Houston Methodist Standard...

A healthcare provider organization in Houston seeks a Risk Adjustment Coding Specialist II to ensure compliance with Medicare documentation requirements, conduct audits, and mentor staff. Candidates must have 3-5 years of experience in risk adjustment coding, relevant certification, and reliable transportation for travel. This position follows a hybrid model requiring travel to provider offices, offering a competitive salary between $70,000 and $85,000 per year. #J-18808-Ljbffr

Job Description 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 official coding...

Level: Experienced Job Location: Houston, TX 77092 Position Type: Experienced Travel Percentage: None Job Shift: Day Sagis Diagnostics is an entirely physician-led sub-specialty pathology group supported by a CAP-accredited histology lab located in the heart of Houston, Texas. Led by a team of board-certified pathologists, our lab is at the forefront of diagnostic science. We offer the highest quality services to physicians, physician groups, ambulatory surgery centers, and hospitals. One of our many strengths is we develop strong collaborative relationships with each of our referring physicians by offering accurate, prompt, and clear diagnoses in a personal and customized manner. Position Title: Pathology Medical Coder Department: Medical Billing & Revenue Cycle Employment Type: Full-Time Work Location: On-Site We are seeking an experienced Pathology Medical Coder with strong knowledge across podiatry, surgical pathology, hematology, and toxicology. This role will...

A leading pathology diagnostics firm in Houston is seeking an experienced Pathology Medical Coder to ensure accurate coding and compliance. Responsibilities involve coding for surgical pathology, podiatry, hematology, and toxicology, assisting with claims review and appeals, and collaborating with billing teams. Candidates should have 3-5 years of relevant coding experience and may possess AAPC or AHIMA certifications. This is a full-time, on-site role with a focus on quality and accuracy. #J-18808-Ljbffr

A healthcare support provider is seeking remote medical billers and coders. This role involves processing medical claims and administrative support in a flexible, work-from-home environment. Ideal candidates are detail-oriented and organized, with or without prior experience. The position offers both part-time and full-time opportunities and requires an independent contractor status. Compensation varies based on experience and client needs. #J-18808-Ljbffr

Community Health Choice, Inc. (Community) is a non‑profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: Programs Medicaid State of Texas Access Reform (STAR) program for low‑income children and pregnant women Children's Health Insurance Program (CHIP) for the children of low‑income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre‑existing conditions. Community Health Choice (HMO D‑SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D...

An established industry player is seeking a Senior Outpatient Coder to ensure accurate coding for outpatient encounters. This role involves working with complex medical records and collaborating with healthcare professionals to maintain high standards of coding quality. The ideal candidate will have a strong background in ICD-10-CM and CPT coding, along with experience in utilizing electronic health record systems. Join a forward-thinking organization that values initiative and continuous improvement, and contribute to enhancing the quality of healthcare data management. #J-18808-Ljbffr

A healthcare services provider in Houston, Texas, is seeking a Medical Coder to review clinical documentation and accurately assign ICD-10-CM and CPT-4 codes. Candidates must have a High School Diploma or GED, relevant coding certifications, and significant experience in medical coding, particularly in emergency or hospital environments. This position demands proficiency in Microsoft Office and familiarity with patient accounting systems. Competitive salary and opportunities for career growth are offered. #J-18808-Ljbffr

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 as needed Communicate with providers,...

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 following is required: Certified Professional...

A healthcare company in Houston is seeking a Certified Medical Coder to review and code inpatient and outpatient medical records. You will ensure compliance with ICD-10-CM and HCPCS guidelines while meeting productivity standards. Candidates need a high school diploma, relevant certifications, and at least three years of experience in risk adjustment. AAPC or AHIMA credential is required. The role also values attention to detail and knowledge in managed care. #J-18808-Ljbffr

A leading healthcare organization in Houston is seeking a Value Based Coder II to join its Quality Management/Risk team. This role is crucial for reviewing patient medical records to identify coding opportunities and deliver provider education on HCC. Candidates should have a Bachelor’s degree or equivalent experience, with at least 5 years in healthcare and certification as a CPC, CCS, or CRC. Strong knowledge of coding guidelines and excellent communication skills are essential. This is an opportunity to contribute significantly to process improvement initiatives. #J-18808-Ljbffr

A leading healthcare provider in Houston seeks a motivated individual for a coding position. This role involves coding and abstracting medical records, ensuring accuracy for reimbursement, and working closely with physicians. Candidates need a high school diploma and a coding certification, with strong communication and Microsoft Office skills. The position emphasizes professionalism and effective interaction in a fast-paced healthcare environment. #J-18808-Ljbffr

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. PEOPLE ESSENTIAL FUNCTIONS Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders. SERVICE ESSENTIAL FUNCTIONS Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query...

A non-profit managed care organization in Houston is seeking a Risk Adjustment Coder II to provide advanced support for medical record reviews and ensure accurate coding of chronic conditions. The ideal candidate will have a Bachelor's degree or extensive experience in risk adjustment, along with relevant coding certifications. Key responsibilities include coding compliance, conducting documentation reviews, and collaborating with various departments to improve accuracy. A strong background in coding standards and methodologies is essential for this role. #J-18808-Ljbffr

Community Health Choice, Inc. (Community) is a non‑profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 members with the following programs: Medicaid State of Texas Access Reform (STAR) program for low‑income children and pregnant women Children’s Health Insurance Program (CHIP) for the children of low‑income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre‑existing conditions. Community Health Choice (HMO D‑SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription...