6 pro fee coder jobs found in Houston, TX

In this high-impact Outpatient Pro-Fee Coding role, you will move beyond simple data entry to perform true clinical extraction, navigating complex operative reports across General Surgery, Plastics, ENT, and Neurosurgery to identify CPT and ICD-10-CM codes. Working within Epic, you'll master a shared work queue where you'll apply advanced logic-including modifiers, dummy codes, and Prop 99-to ensure seamless charge drops for high-dollar encounters. This is a position designed for the technical "detective" who thrives on a 95% quality benchmark and maintains a sharp pace of 12 surgical charts or 18 E/M visits per hour. You'll join a collaborative, remote environment that prizes technical accuracy and peer-to-peer knowledge sharing, offering a highly flexible "5-to-5" style schedule that empowers you to own your workflow while tackling the industry's most intricate surgical specialties. Schedule: Flex schedule. Can start as early as 5am in their timezone and be on as late as...

*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. *...

Registered Nurse Clinical Coder DRG Audit 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 payer-side 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 ICD-10 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. Communicate audit findings clearly and professionally through written reports and outbound calls as needed. Collaborate with internal teams to support audit...

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...

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 include: *...

$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...