25 profee coder jobs found in Houston

Innova Solutions is seeking a Remote Pediatric ProFee Coder for a full-time, long-term position. The role requires expertise in ICD-10-CM, CPT, HCPCS, and payer guidelines, with proficiency in Epic and 3M encoder systems. Candidates must have 3+ years of ProFee coding and AHIMA or AAPC certification. This remote opportunity offers a comprehensive benefits package and a competitive pay range. Open to qualified W-2 applicants only. #J-18808-Ljbffr

Innova Solutions is seeking a Full-Time Pediatric Profee Coder for a remote, long-term contract engagement. The ideal candidate has 3+ years of profee coding experience, AHIMA or AAPC certification, and specializes in OB/GYN, Neonatology, Pediatric Hospital Medicine, and Cardiology procedures. You will apply ICD-10-CM, CPT, HCPCS guidelines, work with Epic and 3M encoder, and maintain high accuracy and productivity while communicating clearly with payers and care teams. #J-18808-Ljbffr

A client of Innova Solutions/ComforceHealth is immediately hiring for a Full-Time Pediatric Profee Coder Position type: FULL TIME Duration: Long Term Contract Location: Remote As a(n) Profee Coderyou will: Strong understanding of ICD-10-CM, CPT, HCPCS, and payer-specific guidelines Experience coding complex professional fee surgical cases Experience using Epic and 3M encoder/coding systems Ability to maintain high levels of coding accuracy, productivity, and compliance Strong communication and critical-thinking skills The ideal candidate will have: Minimum 3 years of recent ProFee coding experience AHIMA or AAPC certification required Specialty Experience (Must have One or more specialties) OB/GYN: Vaginal and cesarean deliveries, hysterectomies (including robotic-assisted procedures), prenatal care, and maternity services. Neonatology: NICU, neonatal critical care, intubations, and umbilical catheter procedures. Pediatric...

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...

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...

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...

Senior Clinical Coding Specialist 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...

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 with...

Medical Billing Specialist 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. This position is fully remote. 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...

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. This position is fully remote. 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...

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...

Location: Houston, Texas, United StatesSalary: $28.00 - $30.00/hrCompany: TEKsystemsPosted: 2026-10-19Location: Houston, Texas, United StatesSalary: $28.00 - $30.00/hrCompany: TEKsystemsPosted: Location: Houston, Texas, United StatesSalary: $28.00 - $30.00/hrCompany: TEKsystemsPosted: URGENTLY HIRING | 100% REMOTE | Emergency Department Medical CoderLooking for a fully remote coding opportunity with a stable workload and a team that values your expertise? We're partnering with a leading healthcare organization seeking experienced Emergency Department Medical Coders to support high-volume facility coding operations.This is an excellent opportunity for certified coders with Emergency Department experience who are looking to work from home while continuing to grow their coding knowledge and make a meaningful impact on healthcare operations.Why This Opportunity Stands Out100% remote positionMultiple openings availableOpportunity to support a large healthcare organizationLong-term...

At Houston Methodist, the Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to outpatient, emergency room, therapy, and/or clinic 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 Commission on Accreditation for Health Informatics and Information Management 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 outpatient coding experience or completion of the Houston Methodist Coding Apprentice Program LICENSES AND CERTIFICATIONS Required Must have one of the following:•RHIT - Certified Health Information Technician (AHIMA)•RHIA - Registered Health Information Administrator (AHIMA)•CCS...

Title: Medical Coding/ Education Specialist Location: Remote, preferably in Texas Compensation: $65,000 - $75,000 per year *Must have Post Acute Care Experience* We are seeking an accomplished Medical Coding and Education Specialist to join our healthcare team, focusing on enhancing coding accuracy and compliance within our post-acute care facilities. This role involves reviewing medical records, assessing for accurate provider cpt and ICD-10 codes, and developing educational materials. Additionally, the specialist will collaborate closely with our technology and revenue cycle teams to optimize EMR processes, streamline documentation, and reduce coding denials. Responsibilities: Conduct regular coding audits and reviews to ensure compliance with coding guidelines, regulatory requirements, and reimbursement policies. Develop and deliver educational materials, training modules, and resources on coding guidelines, regulatory updates, and documentation requirements specific to...

CommonSpirit Health invites a Value Based Coder II to join the Quality Management/Risk team in Houston, focusing on HCC coding and documentation improvement. The role involves reviewing records, educating providers, and monitoring CMS guidelines to enhance risk adjustment accuracy. Ideal candidates will have extensive CPT/ICD-10 knowledge, healthcare record systems experience, and a proven ability to deliver practical, hands-on education to clinical staff and providers in a high-volume hospital #J-18808-Ljbffr

Medical Billing Specialist job at Addison Group. Houston, TX. Job Title: Billing Specialist (CPC or CPC-A required) Location: Houston, TX (Hybrid: Onsite M–W, Remote Th–F) Industry: Healthcare Revenue Cycle / Medical Billing Pay: $19 – $23 / Hour (up to $25–26/hour for highly qualified candidates) Job Type: Contract-to-Hire Benefits: This position is eligible for medical, dental, vision, and 401(k) About the Opportunity We are seeking a Billing Specialist with CPC or CPC-A certification to join a healthcare revenue cycle team in Houston. This is a hybrid role (3 days onsite, 2 remote) with strong potential for long-term career growth. The Billing Specialist will focus on accurate and timely submission of claims, clearing errors, and ensuring provider satisfaction in a fast-paced environment. Key Responsibilities Process and submit medical claims (professional and facility) to payers accurately and efficiently Resolve loader errors and follow up on charge tasks to ensure...

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...

MUST HAVE CPC OR CPC-A JOB DESCRIPTION: Making payment determinations. For example, parties have gone back and forth and havent settled on a proper claim payout based on the CPT code. This person would say this is the right party, here is why, etc. They will be deciding payment determinations for claims. They must have their CPC or CPC-A, but they will not be doing any coding in this role. Will be working on/reviewing a lot of emergency services, ambulance services, air ambulance and non air ambulance so a lot of emergency providers. If they have knowledge/experience that is helpful but not required Doing validation/verification of the data and then picking a side not actual coding. Will be working in their internal database/system that houses all the claims and cases. HOURS: M-F 8am 4:30 CST Qualifications Prefer entry level coding candidate with no/little coding experience. Billing, Insurance Verification, OR Denials experience...

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...

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...

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 Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary **If you are located outside of the state of Texas -- you must be located in KANSAS, OKLAHOMA, TENNESSEE, LOUISIANA, GEORGIA, SOUTH CAROLINA, NORTH CAROLINA, or be willing to relocate to one of the eligible states (including Texas). ** Accounts are for Outpatient single and recurring accounts. No CPT coding. Will only code the ancillary/recurring accounts. They would not...

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 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...