54 professional certified coder jobs found in Houston

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities: • Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) • Conduct utilization reviews to assess medical necessity and documentation compliance • Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases • Analyze medical records for payer disputes, recoupments, and appeals • Prepare detailed, defensible written audit reports • Provide expert review, affidavit support, deposition preparation, and testimony when...

Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to join our team. We are deeply rooted in the communities we serve, which means that our patients are often our family, friends, and neighbors, and it is special to be able to care for them. As one of the top healthcare systems, we are committed to your ongoing growth and development. After work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Coder Abstractor? Remote work schedule Our dynamic work environment includes many opportunities for growth and development Our efforts directly impact patient satisfaction and outcomes Our employees work in positive, supportive, and compassionate environments built on our organizational values. Skills At least 1 years recent coding experience including coding surgical cases preferred. Experienced in coding hospital inpatient and...

Rooted Talent Solutions is seeking remote medical billers and coders for flexible, project-based work. Entry-level applicants are welcome, with opportunities to break into billing and coding. Position is remote (work from home) with flexible hours and pay varying by experience and project complexity. Independent contractor arrangement (1099) applies, offering autonomy and scheduling flexibility. #J-18808-Ljbffr

Medical Billing Experience HOPEWELL STAFFING is a supplemental staffing company dedicated to setting a standard in our industry by providing patient centered quality advocates to all our clients. Our clients can look forward to having a top notch medical or allied staff that demonstrate a high level of professionalism, punctuality, and reliability. HOPEWELL STAFFING is sourcing candidates for a medical billing experience in the 77058 area. Ensure all schedules are confirmed daily with a goal of zero errors Meet with billing manager/supervisor to discuss and resolve schedule confirming issues Maintain complete, timely and accurate documentation of all schedule confirming issues in order to resolve them in a timely manner Meet weekly schedule confirming deadlines to ensure accurate billing and payroll Run and analyze billing reports daily to ensure accuracy Minimize schedule confirming errors Maintains confidentiality of and compliance with all company and patient information in...

Community Health Choice is a nonprofit managed care organization serving Texas. The Risk Adjustment Coder II will review complex medical records, code chronic conditions, and map to HCCs under CMS guidelines. The role supports Commercial and Medicare risk adjustment programs and helps ensure accurate documentation and coding. The coder will contribute to trainings, audits, and collaboration across departments to improve documentation quality and compliance. #J-18808-Ljbffr

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 as needed Manage denied or...

Job Description Job Description Certified Medical Coder Location: Houston, TX 77024 Work Arrangement: Hybrid Duration: 13 Weeks Position Overview We are seeking an experienced Certified Medical Coder with strong expertise in outpatient Neurosurgery and Evaluation & Management (E/M) coding. The ideal candidate will have a solid understanding of physician-service coding, ICD-10-CM, CPT-4, and appropriate use of modifiers. Key Responsibilities Perform accurate and timely coding for outpatient Neurosurgery physician services . Code outpatient Evaluation & Management (E/M) services. Apply ICD-10-CM diagnosis codes accurately. Assign appropriate CPT-4 procedure codes. Apply modifiers appropriately based on documentation and coding guidelines. Review clinical documentation to determine appropriate codes and ensure coding accuracy. Ensure compliance with applicable coding guidelines and payer requirements. Work effectively in a hybrid environment...

Professional Coder I What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. UTHealth is hiring for a Professional Coder I to join their team of professionals in Revenue Cycle - Charging Code and Capture. The Certified Coder will be responsible for coding Emergency Medicine and resolving edits. Cardio, Emergency, and Gastro coding experience and familiarity with Epic are a plus! Department: Revenue Cycle Status: Full-time Location: Remote (2 weeks onsite for training @ 1851 Crosspoint Ave, 77054) Must live in Texas and can attend required onsite trainings and meetings. We do not provide lodging or mileage reimbursement for onsite trainings or meetings. Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top...

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...

Rooted Talent Solutions invites remote medical billers and coders to join its network as independent contractors. Entry-level welcome; experience not required beyond motivation and attention to detail. Work from home with flexible hours on project-based assignments, handling claims, coding, and HIPAA compliance; access to common EHR platforms; compensation based on experience and project availability. #J-18808-Ljbffr

What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in. UTHealth is hiring for a Professional Coder I to join their team of professionals in Revenue Cycle - Charging Code and Capture. The Certified Coder will be responsible for coding Emergency Medicine and resolving edits. Cardio, Emergency, and Gastro coding experience and familiarity with Epic are a plus! Department: Revenue Cycle Status: Full-time Location: Remote (2 weeks onsite for training @ 1851 Crosspoint Ave, 77054) Must live in Texas and can attend required onsite trainings and meetings. We do not provide lodging or mileage reimbursement for onsite trainings or meetings Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare...

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...

Signature Performance is seeking a Medical Coder specializing in Surgery and Anesthesia for a remote role. You will review medical records, assign codes using ICD-10-CM/PCS, CPT, HCPCS, and ensure compliance with coding guidelines to support accurate reimbursement. Candidates should have at least 2 years of medical coding experience, AHIMA or AAPC certification, experience with EHR systems, and a commitment to accuracy, professionalism, and teamwork. #J-18808-Ljbffr

Remote Outpatient Surgery Coder *Location:* Remote ( must reside in either Virginia, North Carolina, Florida, Texas) *Schedule:* Full-Time, Monday-Friday (40 hours/week) *Start Time:* Flexible, typically between 5:00 AM and 8:00 AM About the Opportunity We are seeking an experienced *Outpatient Surgery Coder* to join a collaborative hospital coding team. In this role, you will be responsible for accurately reviewing clinical documentation and assigning ICD-10, CPT, and HCPCS codes for outpatient surgery, observation, and ancillary encounters. This position offers the opportunity to work in a supportive environment with strong leadership, ongoing quality review processes, and a balanced workload distributed through Epic work queues. Key Responsibilities * Code ambulatory surgery, observation, and ancillary encounters. * Review operative reports and clinical documentation to assign accurate ICD-10, CPT, and HCPCS codes. * Abstract clinical and demographic data into hospital...

Job Description Job Description Pride Health is hiring a Certified Coder to support our client's healthcare facility in Houston , TX . Interested? Apply Today! Job Details: Schedule: Monday–Friday, 8:00 AM - 5:00 PM Location: Houston, TX 77024 Hybrid Job Type: Local contract Contract Length: 3 months + possible extension Pay Range: $21/hr. - $24/hr. On W2 *Pay offered is based on experience, expertise, credentialing, and education. Duties: Review clinical documentation and diagnostic results to identify and accurately code diagnoses, treatments, and procedures. Assign ICD-10-CM diagnoses, CPT-4 procedure codes, and appropriate modifiers for outpatient encounters. Apply current coding principles, official coding guidelines, and APC reimbursement requirements. Perform outpatient Evaluation and Management (E/M) coding accurately. Code neurology and neurosurgery services for physicians. Requirements: Education: High School...

Pride Health is hiring a Certified Coder to support our client's healthcare facility in Houston , TX Interested? Apply Today! Job Details: Schedule: Monday-Friday, 8:00 AM - 5:00 PM Location: Houston, TX 77024 Hybrid Job Type: Local contract Contract Length: 3 months + possible extension Pay Range: $21/hr. - $24/hr. On W2 *Pay offered is based on experience, expertise, credentialing, and education. Duties: Review clinical documentation and diagnostic results to identify and accurately code diagnoses, treatments, and procedures. Assign ICD-10-CM diagnoses, CPT-4 procedure codes, and appropriate modifiers for outpatient encounters. Apply current coding principles, official coding guidelines, and APC reimbursement requirements. Perform outpatient Evaluation and Management (E/M) coding accurately. Code neurology and neurosurgery services for physicians. Requirements: Education: High School Diploma Certification(s):...

Job Summary and Responsibilities 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 risk-adjusting conditions and supporting provider documentation improvement. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding....

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 not,...

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:...

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...

Dane Street is seeking coders and bill reviewers to join our team. You will review reports accompanying medical records to ensure billing and coding accuracy and meet client deadlines. You will communicate with other reviewers and client teams to ensure clarity of information, provide QA oversight, and uphold program standards while pursuing strong growth potential. Remote work is encouraged where feasible. #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. 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...

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...

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...