24 professional coding auditor jobs found in Houston

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Inpatient Coder Seeking an experienced Inpatient Coder with a strong background coding complex cases within a large academic hospital. This role requires excellent sequencing skills and experience across a broad range of inpatient specialties. Key Responsibilities: Code complex inpatient medical records with a strong focus on accurate sequencing Code Med/Surg, cardiac procedures, surgeries, OB/moms & babies, transplants, orthopedics, neurology, gastroenterology, and oncology Review approximately 2 charts per hour based on complexity/length of stay Maintain approximately 95% coding accuracy with a strong emphasis on quality Complete initial charts for auditor review and incorporate feedback before independent coding Qualifications: 1+ year of inpatient coding experience Experience coding within a large academic/teaching hospital strongly preferred Strong sequencing knowledge required Experience with complex surgical and specialty cases AHIMA certification: CCS,...

Job Description Job Description Job Title: Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors to contribute their specialized expertise to an innovative healthcare AI project. In this role, you will help improve next-generation AI systems by reviewing, evaluating, and refining medical coding and audit-related content. This opportunity is ideal for professionals with strong experience in outpatient professional fee coding, auditing, and academic medical center environments. No prior AI experience is required—your healthcare expertise is what matters most. Key Responsibilities Conduct detailed reviews and audits of outpatient professional fee coding records for accuracy, compliance, and quality. Identify coding trends, gaps, risks, and opportunities for improvement. Evaluate audit findings using knowledge of academic medical center protocols and industry best practices. Document audit results and...

Job Description Job Description Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced Medical Auditors with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers. You will review coding records, identify compliance risks, and provide expert feedback to support AI-focused projects. No prior AI experience is required. Key Responsibilities Conduct detailed audits of outpatient professional fee coding records. Review coding accuracy, documentation, and compliance. Identify coding trends, gaps, risks, and improvement opportunities. Apply academic medical center standards and coding guidelines. Document audit findings and provide clear recommendations. Evaluate complex coding and documentation scenarios. Contribute to AI training through expert coding and audit feedback. Support audit program management and quality improvement initiatives. Required Qualifications...

Inpatient CoderSeeking an experienced Inpatient Coder with a strong background coding complex cases within a large academic hospital. This role requires excellent sequencing skills and experience across a broad range of inpatient specialties.Key Responsibilities:Code complex inpatient medical records with a strong focus on accurate sequencingCode Med/Surg, cardiac procedures, surgeries, OB/moms & babies, transplants, orthopedics, neurology, gastroenterology, and oncologyReview approximately 2 charts per hour based on complexity/length of stayMaintain approximately 95% coding accuracy with a strong emphasis on qualityComplete initial charts for auditor review and incorporate feedback before independent codingQualifications:1+ year of inpatient coding experienceExperience coding within a large academic/teaching hospital strongly preferredStrong sequencing knowledge requiredExperience with complex surgical and specialty casesAHIMA certification: CCS, RHIT, or RHIAEpic experience...

Medical Coding Auditor Medical Coder Supplemental Health Care is hiring Medical Coding Auditor Medical Coders for full-time contract assignments at a partnering skilled nursing facility in Houston, Texas. Whether you're looking to travel or stay local, we're committed to helping Medical Coding Auditor Medical Coders find the right fit with top healthcare facilities across the country. With more than 40 years of experience in healthcare staffing, Supplemental Health Care offers reliable support, competitive pay, and great benefits every step of the way. Qualifications: Current Texas Medical Coder License / Certification American Heart Association BLS 1 to 2 years of recent relevant experience Medical Coder Contract Details: $900 - $973 per week* 13-week contract with possibility to extend Shifts are usually 8 hours, Monday through Friday Apply today to get started with this Medical Coding Auditor Medical Coder contract opportunity, or talk to our team...

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 Responsible for providing accurate, reliable and effective education to physicians and extenders regarding outpatient procedural and diagnosis coding. This position performs individual and group documentation reviews, identifies opportunities for improvement, assists with implementation of physician lead CME documentation and coding courses and coordinates with physician...

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). ** Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data...

Salary: $2,451.00 - $2,909.45 Biweekly Location : Houston, TX Job Type: Full Time Job Number: 39605 Department: Administration and Regulatory Affairs Opening Date: 09/18/2026 Closing Date: 9/24/2026 11:59 PM Central POSITION OVERVIEW Applications accepted from: ALL PERSONS INTERESTED Job Classification: BARC SHELTER SUPERVISOR (Medical Division) Posting Number: 39605 Department: Administration & Regulatory Affairs Division: BARC Animal Shelter and Adoptions Reporting Location: 2700 Evella St., Houston, TX Workdays & Hours: Sunday -Thursday 9AM - 6PM* *Subject to Change DESCRIPTION OF DUTIES / ESSENTIAL FUNCTIONS Supervises the operations and activities of the Medical Services, including the work of Senior Animal Care Technicians (Medical) in the humane care and sheltering of animals within the facility. Supervises section, schedules and reviews work, and trains and evaluates employees. Interviews job applicants, conducts...

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,...

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...

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...

Description Are you a detail-oriented professional with a passion for precision and financial integrity? Join us at Clay Consulting as a Biller and play a vital role in supporting our mission to serve our nation's veterans with excellence and care. In this role, you'll combine your analytical skills with administrative expertise to ensure accurate billing and payment processing . Step into a purpose-driven career where your work directly contributes to the success of our healthcare operations. Location: 580 Westlake Park Blvd. Ste 700. Houston, Tx 77079 DUTIES/RESPONSIBILITIES: Process and post billing statements manually and electronically. Accept and reconcile payments from patients and insurance providers. Prepare and manage payment batches and deposits. Conduct audits of billing cycles to ensure accuracy and compliance. Review and assess Explanation of Benefits (EOBs) from insurance companies. Maintain accurate billing records and report...

The Harris Center for Mental Health and IDD, known as "The HARRIS CENTER," is seeking an experienced Medical Coder Relief 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 complications. Extracts relevant...

Dane Street is seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, and demand package reviews for personal injury and insurance cases. The role includes building defensible audit reports and providing deposition support as needed. The ideal candidate will review records across various payer environments, interpret CMS guidelines, and identify compliance risks while meeting strict deadlines. #J-18808-Ljbffr

Dane Street is seeking an experienced CPC-certified medical coder with multi-state experience to perform audits, utilization reviews, and provide litigation support as needed. The role requires reviewing records across multiple states and payer environments. The ideal candidate has 5–7 years of coding experience, strong CMS regulation knowledge, and prior demand package review or litigation support experience. Remote workspace is available along with a comprehensive benefits package. #J-18808-Ljbffr

Medical Data Coder Lead GeoControl Systems, Inc. as a HUBZone company, is required to maintain a Federally mandated level of employees that reside (home residence) in a qualified HUBZone. ONLY applicants whose home address lies in a qualified HUBZone will be considered for this position. You can verify whether you reside in a HUBZone by using the following website: https://maps.certify.sba.gov/hubzone/map Medical Data Coder Lead Belong. Connect. Grow. with the Human Health and Performance Contract 2 (HHPC2). We are a team of innovators, thinkers, creators, explorers, volunteers and dreamers and we all share one goal: to improve the world responsibly and safely. On HHPC2 we are at the forefront of safeguarding astronaut health, ensuring human performance, and advancing technologies for human space exploration. We are seeking a Medical Data Coder Lead to support the Lifetime Surveillance of Astronaut Health (LSAH) at the Johnson Space Center (JSC). What You'll Do: You will...

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...

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

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...

The Harris Center for Mental Health and IDD in Houston, TX seeks an experienced Medical Coder to support revenue management. The coder will review records, assign CPT/HCPCS/ICD-10-CM codes, and ensure accurate billing for professional services. Under supervision, responsibilities include coding accuracy, documentation audits, and collaboration with providers to resolve discrepancies while staying compliant with coding guidelines. #J-18808-Ljbffr

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,...

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...