107 professional coder jobs found in Houston

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 organization...

Job TitleExperienced CPC-Certified Medical CoderJob DescriptionMUST 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,...

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...

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 required Interpret CMS...

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. 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 organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year) The longer you stay, the more vacation you'll accrue! Longevity Pay (Monthly payments after two years of service) Build your future with our awesome retirement/pension plan! We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as... Free financial and...

Professional Coder IIWhat 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.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 organization (benefits, insurance, etc.), plus:100% paid medical premiums for our full-time employeesGenerous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)The longer you stay, the more vacation you'll accrue!Longevity Pay (Monthly payments after two years of service)Build your future with our awesome retirement/pension plan!We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...Free financial and legal...

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...

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....

Memorial Hermann Health System in Houston, TX seeks an experienced Medical Coder to review clinical documentation and assign ICD-10-CM/CPT-4 codes for billing, reporting, and regulatory compliance. The role reports to the Coding Manager and requires knowledge of outpatient neurosurgery coding. Minimum qualifications include CCS, CPC, RHIT, CMC, or CCA credentials, plus 2 years in outpatient neurosurgery and E/M coding. #J-18808-Ljbffr

Value Based Coder IIInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.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...

Job Details Level: Experienced Job Location: Houston, TX 77092 Position Type: Experienced Education Level: High School Salary Range: $23.00 - $25.00 Hourly Travel Percentage: None Job Shift: Day 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. Qualifications Minimum 3-5 years of pathology coding experience (required) Hands‑on experience coding: Surgical pathology (88300-88399) IHC and special stains Hematology / bone marrow cases Toxicology testing Strong...

Certified CoderPride 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 DiplomaCertification(s): Certified Coding Specialist (CCS)/ Certified Professional Coder...

Submitting a candidate to this position is acknowledgement that the candidate 1) will follow all client policies and procedures, 2) will adhere to the terms of the MSA and 3) has all the requirements and specialty experience that the position requires. Refer to client Fees and Procedure Statement for additional information Job Summary 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 conditions and procedures as documented in the ICD-10-CM & CPT4 Official Guidelines for Coding and Reporting. Typically reports to Coding Manager Job Description Minimum Qualifications Education High School Diploma or GED required, Associate Degree in medical area, preferred Licenses/Certifications Certified Coding Specialist (CCS), or Certified Professional Coder (CPC), or Registered...

Location: Houston, Texas, United StatesCompany: Houston MethodistPosted: 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 STATUSNon-exemptQUALIFICATIONSEDUCATIONAssociate’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 degreeEXPERIENCEOne year of relevant outpatient coding experience or completion of the Houston Methodist Coding Apprentice ProgramLICENSES AND CERTIFICATIONSRequiredMust have one of the following:•RHIT - Certified Health Information Technician (AHIMA)•RHIA - Registered Health Information...

TEKsystems is seeking an Intermediate ED Coder to review emergency department medical records and assign ICD-10-CM, CPT/HCPCS codes and E/M levels in line with ACEP guidelines and payor rules. Work from home on a contract basis based out of Houston, TX, handling ~100 charts per day across outpatient services. You will analyze documentation from nursing, physicians, and laboratories, ensure charge capture, and participate in audits and process improvements while staying current with CMS/NCCI #J-18808-Ljbffr

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 need...

2,5 K Sign On/CODER II FT DAYSFull-timeJob DescriptionSign on bonus available for coder with at least one year current/recent acute care (inpatient) experience.The ideal candidate will collect, analyze, assign and sequence all codes for: diseases, operations, newborns, and complications for each patient discharge, outpatient surgery or outpatient observation according to the latest coding systems.Qualifications:Must have completed college level medical terminology, anatomy, and physiology and survey of disease.-Minimum of one year experience in coding and abstracting required. Inpatient coding experience required.Houston, TXExp 1-2 yrsDeg BachReloBonusAdditional InformationAll your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

Certified Coder - Outpatient Neurosurgery | ContractProtouch Staffing is seeking an experienced Certified Coder for an exciting contract opportunity with a leading healthcare organization in Houston. This position is ideal for a knowledgeable coding professional with strong outpatient Neurosurgery and E/M coding experience who is ready to bring their expertise to a collaborative revenue cycle team.If you have a strong understanding of ICD-10-CM, CPT, modifiers, outpatient coding guidelines, and physician Neurology coding, we want to hear from you!Compensation & SchedulePay: $25.50/hourSchedule: Monday-FridayHours: 8:00 AM-5:00 PM40 hours per weekHybrid work environmentContract: August 31-November 28, 2026Position SummaryThe Certified Coder is responsible for reviewing clinical documentation and diagnostic information to accurately assign appropriate ICD-10-CM and CPT codes, modifiers, and other coding data for outpatient encounters.The successful candidate will ensure coding...

Remote Profee Coder II Seeking an experienced Profee Coder II with strong inpatient hospitalist, observation, E/M, and multispecialty coding experience. This is an urgent need supporting a coding backlog, so candidates must be comfortable working independently and quickly reaching productivity expectations. Key Responsibilities: Perform inpatient hospitalist and observation Profee coding Code E/M services, modifiers, and diagnoses Review front-end charges and perform charge review Support outpatient Profee coding across Internal Medicine, Family Practice, Urgent Care, Pediatrics, Allergy, Pulmonary, GI, Urology, and other specialties Code Medicare Wellness visits and chronic conditions Apply current and 1995/1997 E/M guidelines Review denials when applicable, including surgical denials Maintain approximately 8 encounters/charges per hour after ramp-up Qualifications: Strong inpatient Hospitalist and Observation Profee coding experience required Surgical denial...

Remote Profee Coder IISeeking an experienced Profee Coder II with strong inpatient hospitalist, observation, E/M, and multispecialty coding experience. This is an urgent need supporting a coding backlog, so candidates must be comfortable working independently and quickly reaching productivity expectations.Key Responsibilities:Perform inpatient hospitalist and observation Profee codingCode E/M services, modifiers, and diagnosesReview front-end charges and perform charge reviewSupport outpatient Profee coding across Internal Medicine, Family Practice, Urgent Care, Pediatrics, Allergy, Pulmonary, GI, Urology, and other specialtiesCode Medicare Wellness visits and chronic conditionsApply current and 1995/1997 E/M guidelinesReview denials when applicable, including surgical denialsMaintain approximately 8 encounters/charges per hour after ramp-upQualifications:Strong inpatient Hospitalist and Observation Profee coding experience requiredSurgical denial experience highly preferredStrong...

Coding SpecialistResponsible 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 conditions and procedures as documented in the ICD-10-CM & CPT4 Official Guidelines for Coding and Reporting. Typically reports to Coding ManagerMinimum QualificationsEducation: High School Diploma or GED required, Associate Degree in medical area, preferredLicenses/Certifications: One of the following licenses is required:· Certified Coding Specialist (CCS), or· Certified Professional Coder (CPC), or· Registered Heath Information Technician (RHIT), or· Certified Medical Coder (CMC)· Certified Coding Associate (CCA)Experience / Knowledge / Skills:· Two (2) years outpatient Neurosurgery (Required), Required 2 Years outpatient E/M coding experience required, six (6) months of HCC experience preferred· Ability...

Risk Adjustment Coder IIThe Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a patient's risk score, by mapping diagnoses to Hierarchical Condition Categories (HCCs) while adhering to CMS guidelines and internal coding policies for the following programs: including, but not limited to, Commercial Risk Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). The Risk Adjustment Coder II will serve as a subject matter expert for risk adjustment and will assist in the development of team trainings, quality assurance audits, and collaborating with multiple departments across the organization.Job Specifications and Core Competencies:Provide advanced complex medical records reviews to identify and code all relevant diagnoses, including chronic conditions, utilizing ICD-10 coding guidelines for Commercial and Medicare risk...

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...

The Harris Center in Texas is seeking an experienced Medical Coder to join our Revenue Management team. This role reviews medical records, assigns CPT, HCPCS, ICD-10-CM codes, and DRGs to ensure accurate professional billing and compliant reimbursement. You will extract relevant information from records, resolve documentation gaps, and liaise with providers to clarify data while maintaining high accuracy and confidentiality. #J-18808-Ljbffr