32 professional coder jobs found in Houston

Professional Coder II 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. The Professional Coder II working in our Ob/Gyn Department is responsible for reviewing medical documentation provided by physicians or other health care professionals to validate or assign and sequence CPT/HCPCS, ICD-10CM, and modifiers for both clinic and hospital based professional encounters. The Coder applies coding conventions in accordance with official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for inpatient/outpatient E/M encounters including office or hospital outpatient procedures, radiology and emergency department visits. 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...

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,...

A healthcare organization is looking for a Certified Coder II for a full-time remote position in Houston, Texas. The role involves reviewing clinical documentation for accurate coding and compliance, requiring outpatient coding experience and relevant certifications. Responsibilities include assigning appropriate ICD-10-CM codes and ensuring adherence to ethical coding standards. Candidates should have excellent communication skills and contribute to a compassionate healthcare experience. This is a critical role that supports patient care and organizational success. #J-18808-Ljbffr

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 Part D prescription...

divh2Medical Coder Auditor/h2pRevenue Cycle Management is looking for a Medical Coder Auditor to join our team. Remote opportunity after 30-90 day in-person training./ppSUMMARY: The Medical Coder Auditor is responsible for reviewing coded encounters to ensure accuracy, compliance, and alignment with coding guidelines, payer rules, and organizational policies. This role provides feedback to coders, identifies trends in errors, and supports coding education and process improvement initiatives./ppESSENTIAL FUNCTIONS:/pulliConduct retrospective and prospective coding audits to ensure coding accuracy and compliance with regulations./liliReview coded documentation for completeness, accuracy, and adherence to ICD-10-CM, CPT, HCPCS, and/or ICD-10-PCS guidelines./liliIdentify coding trends, error patterns, and compliance risks and develop corrective action plans./liliProvide feedback and education to coders to improve accuracy and consistency./liliCollaborate with providers and clinical...

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...

Coders, Bill Reviewers, And Payment Integrity Reviewers 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...

Colorectal Surgery Coder We are seeking an experienced Colorectal Surgery Coder to join our remote team. This role is ideal for someone with strong colorectal-specific coding experience, the ability to work in a fast-paced environment, and the confidence to collaborate with surgeons and coding peers. If you're detail-oriented, efficient, and passionate about surgical coding accuracy, we want to hear from you. Job Responsibilities Code colorectal surgeries accurately and efficiently Work directly in PMD systems Pull up auto notes and complete all required coding fields Follow "do not level" requirement Maintain coding productivity and accuracy standards Work Environment & Expectations 100% remote role Standard hours: 8 AM5 PM CST, with flexible start options (7, 8, or 9 AM CST) Must reside in an approved state Top Required Skills 2+ years of colorectal coding experience 5+ years of overall medical coding experience CPC certification required No facility...

Inpatient/DRG Validation Coding Auditor The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities, and optimizes reimbursement by ensuring that the diagnosis/procedure codes and supporting documentation accurately support the services rendered and comply with ethical coding standards/guidelines and regulatory requirements. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations. Has an extensive understanding of reimbursement guidelines, specifically related to DRG (MS, APR, Tricare, etc.) payment systems. Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG...

Medix - 6621 Fannin Street [Medical Records Clerk] As a Coder at Medix, you'll: Analyze medical records to assign appropriate codes for billing and insurance purposes; Ensure accuracy and compliance with coding guidelines and regulations; Collaborate with healthcare professionals to clarify diagnoses and procedures; Maintain confidentiality of patient information; Update coding knowledge through continuous education and training; Assist in audits and reviews to improve coding processes and accuracy...Hiring Immediately >>

Compliance Coding Auditor Hours: Variable Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $48.140 - $62.110 - $76.080 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do The Compliance Coding Auditor is responsible for the administration of the Sharp HealthCare's (SHC's) compliance audit program. The position provides oversight and maintenance of a high-quality, effective, best practices coding, billing, and reimbursement audit...

Sagis Diagnostics is an entirely physician-led sub-specialty pathology group supported by a CAP-accredited histology lab located in the heart of Houston, Texas. Led by a team of board-certified pathologists, our lab is at the forefront of diagnostic science. We offer the highest quality services to physicians, physician groups, ambulatory surgery centers, and hospitals. One of our many strengths is we develop strong collaborative relationships with each of our referring physicians by offering accurate, prompt, and clear diagnoses in a personal and customized manner. Position Title: Pathology Medical Coder- This is 100% onsite- NOT REMOTE Department: Medical Billing & Revenue Cycle Employment Type: Full-Time Work Location: On-Site Position Summary We are seeking an experienced Pathology Medical Coder with strong knowledge across podiatry, surgical pathology, hematology, and toxicology . This role will be responsible for accurate...

Job Summary Responsible for accurately interpreting patient records to learn to assign ICD-9 and/or ICD-10 diagnostic and CPT procedural codes patient records under the direction of the Coding Supervisor. Job Requirements Minimum Education High school diploma or equivalent Minimum Work Experience Required Licenses/Certifications Required Skills; Knowledge; and Abilities Knowledge of customer service principles and techniques Requires excellent written and verbal communication skills and strong customer service skills Requires proficiency in working with a PC; the Internet; and MS Windows Ability to gather and interpret clinical data Ability to establish/maintain cooperative working relationships with staff and providers Ability to communicate effectively and in a professional manner with all staff; managers; and physicians Ability to prioritize and multi-task

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...

divh2Medical Coder Lead/h2pRevenue Cycle Management is looking for a Medical Coder Lead to join our team! Remote opportunity after 30-90 day in-person training SUMMARY The Medical Coder Lead is responsible for serving as a subject matter expert in coding processes providing advanced technical guidance and ensuring coding accuracy compliance and productivity standards are met. The position supports coders and auditors through consultation mentoring and expertise on complex coding scenarios./ppESSENTIAL FUNCTIONS:/pulliServe as a resource and consultant for coders on complex or specialty coding scenarios./liliReview and provide guidance on challenging cases to ensure coding accuracy and compliance./liliPartner with auditors to resolve discrepancies and identify trends in coding errors./liliProvide mentoring and technical support to coders promoting knowledge sharing and best practices./liliAssist in developing and updating coding procedures guidelines and reference...

Location: Remote (cannot be from Ohio/CA/Washington State/North Dakota/NY) Schedule/Hours: Flex schedule. Can start as early as 5am in their timezone and be on as late as 7pm. Need to be on latest at 10am (Core hours 5am-2pm) 30 min lunch after 6 consecutive hours worked. Must work at least 1 hour when they log on. Required Skills CPC, RHIT, or AHIMA Certification Epic 3-5 years inpatient/DRG/HB/surgical coding (with specialty experience) Equipment: Must have their own computer. Teams/Samantic VIP access on their phone Responsibilities Assigns ICD-10-CM, ICD-10-PCS, and DRG codes to hospital inpatient records. Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes. Communicates with and provides feedback to the education team and/or providers. Reviews patient charges to determine necessary coding to complete the account. Identifies principle and secondary diagnoses and procedure codes from the...

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking an Inpatient Coder to handle charge entries, coding, and processing of various medical services. The primary responsibilities include working with specific coding specialties, managing shared work queues, and ensuring accurate coding of procedures and high dollar accounts. Key Responsibilities Process charge drops and dummy codes, ensure all CPT/modifiers are correctly applied. Work with GI CPT codes and handle high dollar hematology accounts. Collaborate with TCH coding team and follow supervisory directions for task assignments. Qualifications CPC, RHIT, or AHIMA Certification Proficiency in Epic software 3-5 years of experience in inpatient/DRG/HB/surgical coding with specialty experience Must have personal computer, Teams/Samantic VIP access on phone Skills Technical: Epic...

Job Description Job Description The Coding Network, LLC (TCN) is the country’s premier broker of remote coding and auditing services, structured as a virtual company connecting healthcare professionals and health systems across the country with over 800 US based single specialty coders and auditors. Flexible Hours: We understand that everyone’s schedule is different and, as such, auditors enjoy the flexibility to commit to as few as 15 hours a week to however many hours work for them to render auditing services. It is one thing to have the freedom to work from home, but TCN coders possess the freedom to utilize the full 24 hour clock and choose when to work beyond the traditional 9-5. Whether you’re looking for extra income in addition to your day job or to make a more robust commitment, we are able to accommodate you. Position & Responsibilities: In order to support the growing need for E&M services and surgical divisions, there are abundant opportunities for...

Job Description Job Description Remote Medical Biller & Coder (Entry-Level & Experienced) Company: Rooted Talent Solutions Location: Remote (Work From Home) Job Type: Independent Contractor (1099) Schedule: Flexible | Part-Time and Full-Time Opportunities ???? About the Role Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers. We’re hiring both experienced professionals and motivated individuals looking to enter the field. If you’re detail-oriented, organized, and eager to work from home, this could be the right opportunity for you. ???? Responsibilities Process and submit medical claims accurately and on time Assign appropriate ICD-10, CPT, and HCPCS codes Review documentation for coding compliance Follow up on denied or unpaid claims...

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...

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 Fulltime Remote Position (40 hour work week) Pro-fee Inpatient Hospitalist Experience needed for this role 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. Accurately code...

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 leading pathology diagnostics firm in Houston is seeking an experienced Pathology Medical Coder to ensure accurate coding and compliance. Responsibilities involve coding for surgical pathology, podiatry, hematology, and toxicology, assisting with claims review and appeals, and collaborating with billing teams. Candidates should have 3-5 years of relevant coding experience and may possess AAPC or AHIMA certifications. This is a full-time, on-site role with a focus on quality and accuracy. #J-18808-Ljbffr

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