28 coder 3 jobs found in Houston

Medical Coder US Heart and Vascular is in need of a Medical Coder to join our team at Houston Cardiovascular Associates in Houston, TX. Responsibilities: Reviews encounter in a timely manner and resolves all coding-related edits. Reviews medical records and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers, ensuring compliance with all applicable guidelines. Generates physician queries following established procedures. Provides feedback and education as required. Confirms that all applicable USHV and Coding Guidelines are followed while coding and resolving edits. Performs charge entry of professional services, including but not limited to non-invasive tests and hospital or office-based visits. Abstracts information needed for billing. Performs charge reconciliation via logs, visit schedules, and other reports when applicable to the department. Meets the required coding quality and productivity expectations per department policy and procedures....

Value Based Coder II The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement. 1. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation...

Medical Coder US Heart and Vascular is in need of a Medical Coder to join our team at Houston Cardiovascular Associates in Houston, TX. Position Summary The Professional Fee Medical Coder, Level 3 reviews medical documentation that physicians or other healthcare professionals complete to validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers for clinic and hospital-based professional encounters. The Coder applies coding conventions per official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for complex surgical coding in the inpatient and outpatient settings. May also be assigned E/M encounters, ancillary diagnostic procedures, and other inpatient and outpatient visits. Responsibilities: Reviews encounter in a timely manner and resolves all coding-related edits. Reviews medical records and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers, ensuring compliance with all...

Job Summary And Responsibilities As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. The Coder I is responsible for abstracting and assigning valid CPT ICD-9/10 and HCPCS codes to ensure appropriate reimbursement in accordance with federal state and private health plans as well as organization and regulatory guidance. This role typically responsible for...

Description The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Essential Job Duties 1. Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. 2. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. 3. Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts...

A non-profit managed care organization in Texas is seeking a Risk Adjustment Coder II to conduct complex medical record reviews and code chronic conditions accurately. This role requires 3-5 years of experience in risk adjustment coding and relevant certifications. The ideal candidate will ensure compliance with coding guidelines and contribute to departmental goals. Strong analytical and interpersonal skills are essential, along with proficiency in Microsoft 365. This position supports high-quality healthcare access for members. #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...

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...

A leading healthcare organization seeks a Coder in Houston, Texas, responsible for coding medical records accurately while ensuring compliance with healthcare regulations. This role requires attention to detail and communication skills, pairing 1-3 years of coding experience with the knowledge of coding standards. Candidates should have a high school diploma or GED. The competitive pay range is $24.15 - $34.12 per hour, highlighting the organization's commitment to quality care. #J-18808-Ljbffr

A healthcare organization in Houston seeks a Coder responsible for translating medical records into standardized codes for accurate claims processing. The ideal candidate will have a High School diploma and 1-3 years of physician coding experience, with a strong attention to detail and communication skills. Preference is given to those with Electronic Health Record experience and coding certification. This role offers a competitive pay range, ensuring compliance with healthcare regulations. #J-18808-Ljbffr

Where You’ll Work Baylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke’s Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart® Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke’s also has three community emergency centers offering adult and pediatric care for the Greater Houston area. Job Summary and Responsibilities The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on...

Job Summary and Responsibilities As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients' medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. The Coder I is responsible for abstracting and assigning valid CPT ICD-9/10 and HCPCS codes to ensure appropriate reimbursement in accordance with federal state and private health plans as well as organization and regulatory guidance. This roles typically...

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...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an Inpatient Coder to handle charge entries, coding, and processing of various medical services. The primary responsibilities include working with specific coding specialties, managing shared work queues, and ensuring accurate coding of procedures and high dollar accounts. Key Responsibilities Process charge drops and dummy codes, ensure all CPT/modifiers are correctly applied. Work with GI CPT codes and handle high dollar hematology accounts. Collaborate with TCH coding team and follow supervisory directions for task assignments. Qualifications CPC, RHIT, or AHIMA Certification Proficiency in Epic software 3-5 years of experience in inpatient/DRG/HB/surgical coding with specialty experience Must have personal computer, Teams/Samantic VIP access on phone Skills Technical: Epic...

Position Summary: The Professional Coder II is responsible for reviewing medical documentation provided by physicians or other health care professionals to validate or assign and sequence CPT/HCPCS, ICD-10CM, and modifiers for both clinic and hospital based professional encounters. The Coder applies coding conventions in accordance with official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for inpatient/outpatient E/M encounters including office or hospital outpatient procedures, radiology and emergency department visits. Position Key Accountabilities: Resolves edits and assigns diagnosis and procedure codes. Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits. Reviews medical record and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers ensuring compliance with all applicable guidelines. Approves and...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

About Us 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,...

Are you ready to make a real difference in people's lives? Join the Harris Center for Mental Health and IDD as a Medical Coding Auditor . Under the direction of the Compliance Manager, the Medical Coding Auditor conducts medical record audits to ensure that documentation meets required standards and regulations. Maintains up-to-date information on all the standards set by JCAHO, Medicare, Medicaid, and other entities relating to medical records. Reviews medical records for coding accuracy and completeness. Prepares audit reports that highlight deficiencies and suggest solutions. Your Role in Action Analyzes medical records and identifies documentation deficiencies. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Ensures compliance...

About the Clinic Luna Therapeutics is a rapidly expanding gynecological practice with a new clinic located just south of Houston’s Texas Medical Center. Our new specialty clinic focuses exclusively on chronic and recurrent urinary tract infections and complex gynecological care. After three years of significant growth, we are opening this second location to meet increasing patient demand. Our original Luna OBGYN location will continue to provide Obstetrics-only care. Across both sites, three providers rotate on assigned days within the Luna network. Position Summary We are seeking an experienced In‑House Medical Biller & Coder to manage coding accuracy, claims submission, reimbursement workflows, and compliance for a high‑volume gynecological practice. The ideal candidate has strong Medicare experience and is comfortable supporting audit processes. Responsibilities Assign accurate ICD‑10, CPT, and HCPCS codes for gynecological services and procedures....

A healthcare provider in Houston seeks a Coder to ensure precise communication with insurance companies and accurately translate medical records into standardized codes. The ideal candidate will have a high school diploma or GED along with 1-3 years of coding experience. Responsibilities include maintaining compliance with coding standards and communicating with clinical and administrative teams. This position offers a pay range of $24.15 - $34.12 per hour. #J-18808-Ljbffr

A leading healthcare organization is seeking a full-time Medical Coder in Houston, Texas. This role involves coding outpatient surgery services, adhering to official guidelines. Candidates must have a High School Diploma/GED and a professional coder certification, along with 3+ years of relevant coding experience. Offering remote work flexibility, the position includes a competitive pay rate of $20.00 to $35.72 per hour, based on experience and qualifications. Join us to help improve health outcomes in communities across the U.S. #J-18808-Ljbffr

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Healthcare isn't just changing. It's growing more complex every day. ICD-10 Coding replaces ICD-9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. Who are we? Optum360 . We're a dynamic new partnership formed...

What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in. Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full‑time employees Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year) The longer you stay, the more vacation you’ll accrue! Longevity Pay (Monthly payments after two years of service) Build your future with our awesome retirement/pension plan! We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as: Free financial and legal counseling Free...

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