9 coding auditor educator jobs found in Houston

Professional Fee Coder II Division: Ambulatory Operations Work Arrangement: Hybrid Location: Houston, TX Salary Range: $57,320 to $67,435 FLSA Status: Nonexempt Work Schedule: Monday - Friday, 8 a.m. - 5 p.m. Summary The Patient Business Services (PBS) Coding department is looking for an experienced mid-level coder to review and abstract CPT, ICD-10 and HCPCS coding for physician services. Our coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges. The PBS Coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine as well as outpatient facility charges at McNair Cancer Center. We focus on providing...

Medical CoderRevenue Cycle Management is looking for a full-time Medical Coder to join our team! Remote opportunity after in-person training.SUMMARY: The Medical Coder is responsible for reviewing medical documentation and accurately assigning CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS codes depending on the encounter type. The position ensures accurate billing, compliance, and optimized reimbursement across outpatient and/or facility (inpatient) settings.Essential FunctionsAssign accurate diagnosis and procedure codes based on medical record documentation using CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS.Review provider documentation to ensure coding is supported and complete for billing submission.Apply proper modifiers, sequencing, and coding conventions appropriate to the setting (inpatient or outpatient).Ensure compliance with coding regulations, organizational policies, and HIPAA standards.Meet coding productivity and quality benchmarks.Collaborate with clinical, billing, and...

Certified Biller/Coder Specialist Avenue360 Health and Wellness Houston, Texas, United States About this position About Avenue360 Health and Wellness Avenue 360 is a FQHC that strives to provide high quality and caring service to promote healthy people and communities. Our 360-degree approach addresses medical needs and social and environmental challenges, like housing. Our compassionate care extends to those with and without insurance. We believe income must not determine the level of access to quality health care. Providing comprehensive, high quality, and caring service is the core of what we do, whether medical, hospice care, engaging adult activities, and supportive housing programs. We strive to address the many social determinants of healthy living in Greater Houston. Our Values PACT We take PRIDE in our work. We have a positive ATTITUDE. We are CURIOUS. We are COMMITTED. We are CARING and CUSTOMER-SERVICE oriented. We are a TEAM. We LEARN, GROW, and INNOVATE Role...

Medical Coder Revenue Cycle Management is looking for a full-time Medical Coder to join our team! Remote opportunity after in-person training. SUMMARY: The Medical Coder is responsible for reviewing medical documentation and accurately assigning CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS codes depending on the encounter type. The position ensures accurate billing, compliance, and optimized reimbursement across outpatient and/or facility (inpatient) settings. Essential Functions Assign accurate diagnosis and procedure codes based on medical record documentation using CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS. Review provider documentation to ensure coding is supported and complete for billing submission. Apply proper modifiers, sequencing, and coding conventions appropriate to the setting (inpatient or outpatient). Ensure compliance with coding regulations, organizational policies, and HIPAA standards. Meet coding productivity and quality benchmarks. Collaborate...

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 Childrens 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,...

Medical Data Coder Lead GeoControl Systems, Inc. as a HUBZone company, is required to maintain a Federally mandated level of employees that reside (home residence) in a qualified HUBZone. ONLY applicants whose home address lies in a qualified HUBZone will be considered for this position. You can verify whether you reside in a HUBZone by using the following website: https://maps.certify.sba.gov/hubzone/map Medical Data Coder Lead Belong. Connect. Grow. with the Human Health and Performance Contract 2 (HHPC2). We are a team of innovators, thinkers, creators, explorers, volunteers and dreamers and we all share one goal: to improve the world responsibly and safely. On HHPC2 we are at the forefront of safeguarding astronaut health, ensuring human performance, and advancing technologies for human space exploration. We are seeking a Medical Data Coder Lead to support the Lifetime Surveillance of Astronaut Health (LSAH) at the Johnson Space Center (JSC). What You'll Do: You will...

Summary About the Position: This is an open continuous announcement. Multiple vacancies exist and may be filled from this announcement at any of the locations listed. We accept applications on an ongoing basis; qualified applicants will be considered as vacancies become available. Salary negotiation may be available for those candidates who are new to Federal service. This is a Direct Hire Solicitation Learn more about this agency Duties Help Perform retrospective audits of diagnoses, E/M levels, procedures, and documentation to identify inaccurately coded services and ensure regulatory compliance. Review medical records, analyze coding accuracy trends, prepare finding reports, and coordinate results with leadership to drive performance improvement. Use encounter audits to identify operational and regulatory issues, ensures complete data capture, and support development of compliance plans. Develop and deliver one-on-one and group training on...

Avenue 360 in Houston is hiring a Hybrid Certified Biller or Coding Specialist to manage billing for multiple payer types and ensure accurate coding and timely submissions. You will review claims, resolve denials, perform audits, and educate providers on documentation to improve reimbursement. The role collaborates with clinical and revenue cycle leadership to maintain CMS, Medicaid, Medicare, and managed care compliance. #J-18808-Ljbffr

Brief Description The Harris Center for Mental Health and IDD, known as \"The HARRIS CENTER,\" is seeking an experienced Medical Coder to join our team. Under the direction of Director of Revenue Management, the Medical Coder utilizes knowledge of insurance regulations, health insurance contracts, and medical coding to perform a variety of revenue cycle support activities. Additionally, the medical coder is responsible for reviewing medical records to assure proper billing of the medical record, comparison of physician selected CPT and ICD-10 codes to the physicians' documentation to substantiate the level of coding, physician services to include identification of professional services and complete review of medical records to accurately optimize all professional services documented for billing. Your Role In Action Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and...