15 profee coder jobs found in Houston

Job Description Job Description The Medical Billing Specialist is responsible for the timely and accurate submission of insurance claims, reviewing and updating denied claims for resubmission and performing reconciliations to ensure timely billing for services provided. The Medical Billing Specialist collaborates with patients, revenue cycle counterparts and work units, clinical staff, and insurance providers to drive the efficiency of the billing process and reduce the amount of denied claims. Essential Responsibilities: Reviews patient demographic and insurance information and confirms patient benefit details related to services provided by the clinic from insurance providers. Obtains necessary medical documentation from clinicians to provide to insurance companies as required for review and prior authorization of treatment. Documents authorization reference numbers in EMR and/or other systems. Updates and maintains EMR and/or other systems based on documentation...

A reputable healthcare organization is seeking a Coding Specialist to conduct reviews of medical records and assign proper International Classification of Disease codes. This remote position requires HCS-D certification and at least 1 year of coding experience. Candidates must effectively communicate with clinicians to ensure accurate coding. Join an organization committed to supporting the well-being of its employees and patients. #J-18808-Ljbffr

The Lead Medical Coding Specialist works in conjunction with the Coding Supervisor to ensure accuracy, consistency and efficiency in relation to code assignment for reimbursement and reporting purposes. The Lead Medical Coding Specialist will complete quality reviews for coding staff in order to validate code and reimbursement assignments. This position is a “working” Lead position and is expected to work alongside staff as well as provide direction. Basic Qualifications A minimum of a High School Diploma or GED, required CPC, CPC-H, CPC-P, CEDC or, CCS, preferred 4+ years experience coding ICD-10-CM, HCPCS and CPT codes, required 3+ years supervisory experience, required Experience coding emergency or hospital facility and ancillary services, preferred Experience coding inpatient and observation services, preferred Experience in applying IV infusion and injection codes, preferred Expertise in pathophysiology, anatomy, medical terminology, coding systems, techniques and...

Certified Medical Coder The 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 include following CMS risk adjustment guidelines and having a complete understanding of their real-world application. The coder reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission. They accurately and completely code all diagnoses and services from the medical record in accordance with the ICD-10-CM coding classification system. The coder selects and accurately records all appropriate records and data on assigned chart abstraction projects and is able to meet productivity and accuracy requirements. Other duties as assigned are also performed. Qualifications include a high school diploma or GED, a certification...

Explore Opportunities With Kelsey-Seybold Clinic 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. In coordination with the Senior Coder, this position reviews, interprets and verifies diagnostic, clinical, and infusion codes for all oncology providers and extenders based on clinical reports within the EMR system and according to correct coding principles, current NCCI rules and LCD coverage determinations ensures that the proper codes are on all claims prior to submission for all charges for the cancer...

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: 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...

Lead Medical Coding Specialist 4 days ago Be among the first 25 applicants The Lead Medical Coding Specialist works in conjunction with the Coding Supervisor to ensure accuracy, consistency and efficiency in relation to code assignment for reimbursement and reporting purposes. The Lead Medical Coding Specialist will complete quality reviews for coding staff in order to validate code and reimbursement assignments. This position is a “working” Lead position and is expected to work alongside staff as well as provide direction. Basic Qualifications A minimum of a High School Diploma or GED, required CPC, CPC-H, CPC-P, CEDC or, CCS, preferred 4+ years experience coding ICD-10-CM, HCPCS and CPT codes, required 3+ years supervisory experience, required Experience coding emergency or hospital facility and ancillary services, preferred Experience coding inpatient and observation services, preferred Experience in applying IV infusion and injection codes, preferred Expertise in...

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...

At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation 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 or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following:-RHIT - Certified Health Information Technician (AHIMA)-RHIA - Registered Health Information...

A leading health organization is seeking a Coding Specialist who will review medical records and assign proper ICD codes. This role allows for remote work from anywhere within the U.S. Candidates must be a Registered Health Information Administrator or certified as a Home Care Specialist. Pay ranges from $20.00 to $35.72 per hour based on experience. Join a team dedicated to making the health system work better for everyone. #J-18808-Ljbffr

Overview At Houston Methodist, the Lead Inpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. Houston Methodist Standard...

A non-profit health organization seeking a Certified Medical Coder to provide administrative and operational support. Responsibilities include reviewing claims for appropriateness, conducting research on medical records, and ensuring compliance with coding regulations. Requires strong analytical and critical thinking skills, along with a CPC or CCS certification. The ideal candidate will also have excellent interpersonal skills and experience with health plans. Opportunities for growth within a supportive team environment. #J-18808-Ljbffr

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. In coordination with the Senior Coder, this position reviews, interprets and verifies diagnostic, clinical, and infusion codes for all oncology providers and extenders based on clinical reports within the EMR system and according to correct coding principles, current NCCI rules and LCD coverage determinations ensures that the proper codes are on all claims prior to...

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...

About Us MedAR is a dedicated medical billing company specializing in pathology, radiology and anesthesia services. We partner with healthcare providers to streamline their revenue cycle and ensure accurate reimbursement. We are currently seeking a meticulous and experienced Pathology Medical Coder to join our expert team. Job Summary The Pathology Medical Coder will be responsible for accurately applying billing codes to pathology reports for our client base. This role is crucial for ensuring compliance and maximizing revenue for our clients. The ideal candidate will have a deep understanding of CPT, ICD-10-CM, and HCPCS coding guidelines, with a specific focus on pathology services. Key Responsibilities Review provider documentation and accurately assign CPT, ICD-10-CM, and HCPCS codes to pathology and laboratory services, including surgical pathology, cytology, and molecular diagnostics. Apply correct modifiers and ensure NCCI edits, MUE , and payer...