48 cpc coder jobs found in Houston

About the Role Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the No Surprises Act, with a mission to resolve complex claim disputes and ensure fair payment outcomes. **CANDIDATES WITH PREVIOUS MEDICAL CODING EXPERIENCE WILL NOT BE CONSIDERED** What You'll Do * Review and validate claim data to determine appropriate payment outcomes. * Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. * Work primarily with emergency services claims, including ambulance and air ambulance cases. * Operate within a proprietary claims management system. * Collaborate with internal teams to clear a...

TEKsystems is seeking a Medical Coder in Houston, TX, to join a federally certified Independent Review Organization (IRO) focused on ensuring fair payment outcomes in healthcare claims. This contract-to-hire position involves validating claim data, analyzing CPT codes, and collaborating within a remote team. Ideal candidates should have a CPC certification and prior experience in medical collections. Competitive pay and comprehensive benefits are included. #J-18808-Ljbffr

A healthcare institution in Texas is seeking a Certified Coding Specialist for its Ob/Gyn Department. This remote position requires expertise in medical coding, including ICD-10CM and CPT guidelines, with 2 years of coding experience. The role offers a rewards package that includes 100% paid medical premiums for full-time employees, generous paid time off totaling around 37-38 days per year, and other employee wellness services. Join a renowned institution that values employee wellbeing and professional growth. #J-18808-Ljbffr

Memorial Hermann Health System is seeking a Cardio Certified Coder to join our team in Houston. This hybrid role involves reviewing clinical documentation and applying appropriate ICD-10-CM/CPT4 codes for billing and compliance. Candidates must have outpatient coding experience, strong communication skills, and relevant certification such as CCS or CPC. The position focuses on coding accuracy and adherence to ethical standards, contributing to a healthier community through quality care. #J-18808-Ljbffr

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient 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 degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA)...

Summary About the Position: This position is located at Brooke Army Medical Center, Fort Sam Houston, Texas. A recruitment or relocation incentive may be authorized. 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 internal audits of inpatient, outpatient, and ambulatory encounters to ensure coding accuracy and compliance. Trains coders, providers, and other staff on documentation, coding guidelines, and regulatory updates. Identify coding issues, reports non-compliance, and creates corrective action plans to resolve documentation or coding problems. Maintains and updates program templates based on ICD-10, CPT, and HCPCS changes or clinic practice updates. Direct and evaluate coding auditors, assign workload, provide training, and manage performance. Requirements Help Conditions of employment Appointment may be...

Coding Specialist 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...

Benefits 401(k) 401(k) matching Dental insurance Health insurance Paid time off Training & development Vision insurance Position Summary We are seeking a detail-oriented and knowledgeable Medical Biller and Coder to join our healthcare clinic team. This role is responsible for accurately coding medical procedures and diagnoses, submitting insurance claims, posting payments, and ensuring timely reimbursement while maintaining compliance with healthcare regulations and clinic policies. The ideal candidate is organized, professional, and committed to supporting quality patient care through accurate billing and coding practices. Essential Duties and Responsibilities Review patient charts, clinical documentation, and physician notes for accurate coding and billing Assign appropriate ICD-10, CPT, and HCPCS codes for services rendered Prepare and submit electronic and paper insurance claims in a timely manner Verify insurance eligibility, benefits, and authorization...

Broughton Group is seeking a Senior Inpatient Medical Coder to provide coding services for inpatient services in a remote capacity. The successful candidate will work with coding standards and provide critical documentation feedback to providers. This role emphasizes patient care through accurate coding processes, offering flexibility in work hours and competitive pay ranging from $23.41 to $41.83 per hour based on experience and qualifications. #J-18808-Ljbffr

Medical Coder Revenue Cycle Management is looking for a Medical Coder to join our team. Remote opportunity after in-person training. 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 with clinical, billing, and...

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

Coding Specialist 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...

Inpatient Medical Coder DRG Specialist - Remote In this role, we will look to you to analyze and interpret complex records in order to identify and accurately bill for Trauma 1 facility Inpatient services. Specifically, you will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when necessary, obtain clarification when presented with conflicting, ambiguous, or non-specific documentation. Qualifications At least 2 years of inpatient coding experience in a trauma 1 setting. RHIA, RHIT, and/or CCS, CIC certification Strong communication, analytical and research skills with a keen attention to detail Additionally, your background must include demonstrated knowledge of: Coding concepts for facility diagnosis and procedure coding and DRG assignment Legal and policy directives pertinent to coding Be familiar with proper reference materials, standards and guidelines for coding Experience using various EMRs and...

Job Posting 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...

The University of Texas MD Anderson Cancer Center is seeking a Senior Clinical Coding Specialist to join its Revenue Operations and Coding team. The Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. This position works remotely and collaborates closely with coding professionals, leadership, and clinical partners. The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency. UT MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The ideal candidate brings strong expertise in clinical coding practices, including CPT, ICD-10, and regulatory guidelines, along with experience...

Job Description Job Description Certified Coder | $ 3 5 . 00 /hr. | 8 : 0 0 am to 5 : 0 0 p m / In Office / Temp orary What Matters Most Competitive Pay of $35.00 per hour Schedule: 8:00 am to 5:00 pm Location: Houston, Texas 77024 Contract role Weekly Pay with direct deposit or pay card When you work through Team1Medical, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program. Job Description One of the premier Healthcare organizations is seeking a Certified Coder for their Revenue Cycle department. Submit your resume and see what opportunities are available for you! Responsibilities: Review clinical documentation and diagnostic results to extract relevant medical data. Assign accurate ICD-10-CM and CPT4 codes, including modifiers, based on documentation. Ensure coding aligns with official ICD-10-CM & CPT4 Guidelines for Coding...

Medical Compliance Auditor We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers. This process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria. Job Duties & Responsibilities Assess the treatment plan, clinical information, and medical necessity of all requested services Utilizes established criteria to appropriately review billed services within established timeframe required. Consults with medical directors and clinical staff regarding patient's history and current care needs and whether services billed were appropriate. Refers case failing medical...

Bee-Busy-Wellness-Center-1 in Houston, Texas is looking for a detail-oriented Medical Biller and Coder to join our healthcare clinic team. You will be responsible for accurately coding procedures, submitting insurance claims, and ensuring timely reimbursements, all while maintaining compliance with healthcare regulations. The ideal candidate should have strong attention to detail, excellent communication skills, and proficiency in medical coding systems. Experience with electronic medical records and billing software is also preferred. #J-18808-Ljbffr

Gryphon Healthcare in Houston is seeking a Certified Medical Coder responsible for analyzing medical records and assigning codes such as ICD-10-CM and CPT. The ideal candidate will have over 3 years of experience, ensure coding accuracy, and work closely with healthcare professionals to optimize reimbursements. This fast-paced role requires strong analytical and problem-solving skills, along with the ability to maintain confidentiality. Join us to be part of a culture that values teamwork and accountability. #J-18808-Ljbffr

Corporate Office - Houston, TX Schedule: Full-Time, 40 hours per week About Gryphon Healthcare Gryphon Healthcare is a Houston-based revenue cycle management company serving healthcare providers nationwide. We pride ourselves on delivering results through accountability, transparency, and a hands‑on approach, what we call “The Gryphon Difference.” Our team is collaborative, driven, and committed to supporting one another while delivering exceptional outcomes for our clients. Job Summary The Certified Medical Coder will be responsible for analyzing medical records to abstract clinical data by assigning codes from patient records in accordance with the coding classification systems of ICD9-CM, ICD-10-CM and/or CPT, HCPCS, for busy Emergency Room facilities and physician services. Review medical records for completeness, accuracy, and compliance with medical and legal guidelines and in accordance with coding classification systems of ICD9-CM, ICD-10-CM and/or CPT, HCPCS. Ensure...

$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...

Certified Medical Coder 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...

Value Based Coder II Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. 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...

Certified Medical Coder 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:...