21 profee coder jobs found in Houston

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...

Medical Coder Revenue Cycle Management is looking for a full-time 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,...

Job Description Job Description Westside Podiatry is searching for a confident professional that is adept at medical insurance billing, coding, and receivables recovery, with a strong background in Athena. The candidate must have proven productivity track record, great attitude, thrive in a fast paced production environment, be quality oriented, and possess the ability to adapt to a variety of technologies. You will work closely with patients, providers, insurance companies, and medical/surgical representatives to ensure the proper revenue for the practice. Skills Required: You must have at least 3 years of in-depth medical business office experience. This should include experience with coding, posting, electronic remittance filing, A/R, plus strong positive working relationships with patients and insurance companies. We will only consider candidates with medical billing experience. Critical and analytical thinking is key. Must be able to work independently and in a team...

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,...

Remote Medical Biller & Coder (Entry-Level Welcome) Location: Remote (Work From Home) Type: Independent Contractor (1099) Company: Rooted Talent Solutions Compensation: Based on experience and project availability About the Opportunity Rooted Talent Solutions is expanding its network of healthcare professionals and is currently accepting applications for remote medical billers and coders. Whether you have years of experience or are looking to break into the field, we welcome motivated, detail-oriented individuals ready to support healthcare providers with billing and coding needs. This role is project-based and offers flexible hours, making it ideal for professionals seeking remote, independent contractor work in the healthcare space. Key Responsibilities Process and submit medical claims accurately and efficiently Review patient charts and assign proper ICD-10, CPT, and HCPCS codes Communicate with insurance companies, providers, and team members...

*Description* The Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records. Essential Duties and Responsibilities Code diagnostic and procedural information from the record using ICD-10-CM/PCS and CPT-4/HCPCS classification systems. Utilize a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal intermediary guidelines. Work cooperatively with the medical staff and other health care professionals in obtaining documentation to complete medical records and ensure quality coding. Select the DRG for each inpatient discharge and APC for each outpatient visit. Ensure coding compliance based on approved coding guidelines and conventions. Abstract medical data from the record to complete a discharge abstract on each inpatient, ambulatory...

Company DescriptionDelivering Digital Outcomes. Driving Real Impact.Sutherland is the preferred digital transformation partner for iconic brands worldwide, unlocking new value for their business, people, and customers.Job DescriptionIn 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.QualificationsAt least 2 years of inpatient coding experience in a trauma 1 setting.RHIA, RHIT, and/or CCS, CIC certificationStrong communication, analytical and research skills with a keen attention to detailAdditionally, your background must include demonstrated knowledge of:Coding concepts for facility diagnosis and procedure coding and DRG...

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 Medical CoderCertified 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 ResponsibilitiesFollows CMS Risk Adjustment guidelines and has a complete understanding of their real-world applicationReviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submissionCodes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification systemSelects and accurately records all appropriate records and data on assigned chart abstraction projectsAbility to meet productivity and accuracy requirementsPerforms other duties as assignedQualificationsHigh School Diploma or GED requiredA certification in one of the following is required:Certified Professional Coder...

Company Overview 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...

Inpatient Medical Coder– DRG Specialist - RemoteIn 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.QualificationsAt least 2 years of inpatient coding experience in a trauma 1 setting.RHIA, RHIT, and/or CCS, CIC certificationStrong communication, analytical and research skills with a keen attention to detailAdditionally, your background must include demonstrated knowledge of:Coding concepts for facility diagnosis and procedure coding and DRG assignmentLegal and policy directives pertinent to codingBe familiar with proper reference materials, standards and guidelines for codingExperience using various EMRs and encoders; or ability to...

Medical CoderRevenue Cycle Management is looking for a full-time 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 medical...

Description Certified Coder I with Mental Healthcare coding experience Senior PsychCare has an immediate opportunity for a Certified Coder I with Mental Healthcare coding experience to support our Billing Team in Houston. ABOUT US: Senior Psych Care provides fully integrative behavioral health services to the long-term care patient at their facility. Services include individual, family, and group therapies, along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team. Job Summary The Certified Coder is responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurate code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting of Physician Services. Principal Accountabilities Assigns codes for...

Certified Coder I with Mental Healthcare coding experience Senior PsychCare has an immediate opportunity for a Certified Coder I with Mental Healthcare coding experience to support our Billing Team in Houston. ABOUT US Senior Psych Care provides fully integrative behavioral health services to the long‑term care patient at their facility. Services include individual, family, and group therapies, along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team. Job Summary The Certified Coder is responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD‑10‑CM/CPT‑4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurate code conditions and procedures as documented in the ICD‑10‑CM Official Guidelines for Coding and Reporting of Physician Services. Principal Accountabilities Assigns codes for diagnoses,...

Senior Clinical Coding SpecialistThe 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...

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. 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 process. QUALITY/SAFETY ESSENTIAL...

This is a remote based position. Applicants can be located nationwide Back Medical Billing Specialist II #2878 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are someone who has a strong understanding of medical billing processes, payer guidelines, and attention to detail. We need someone who can ensure proper claim details, billing compliance, and timely claims resolution to support the organization's financial goals. In the role of Medical Billing Specialist II, you will be responsible for accurately preparing and submitting medical claims to appropriate payers. Tell us about your experience with Medical Billing or in Revenue Cycle Operations. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you?...

Make a difference! A diagnosis unlike any other, deserves a pharmacy unlike any other. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. We are hiring a Pharmacy Medical Billing Specialist at our Onco360 location in Houston, TX. Starting salary at $23 an hour. 8:30-5 EST Monday through Friday. A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion. We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth. We offer a...

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...

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)...

About Us Community Health Choice, Inc. (Community) is a non‑profit managed care organization 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 programs including the Medicaid State of Texas Access Reform (STAR) program for low‑income children and pregnant women; the 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 offering individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre‑existing conditions; and the Community Health Choice HMO D‑SNP, a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid. Improving members’ experiences is at the heart of every Community...