15 jobs found in Spring

A company is looking for an Inpatient Coder 2 Certified / HIM Coding. Key Responsibilities Reviews inpatient clinical documentation to assign diagnosis and procedure codes Codes high dollar and complex accounts, ensuring adherence to coding guidelines and standards Collaborates with clinical documentation specialists and other departments for compliance and reimbursement purposes Required Qualifications Associate's Degree or equivalent experience Two to three years of experience in an acute care hospital Certified Coding Specialist (CCS) certification required Strong knowledge of ICD-10-CM and ICD-10-PCS coding Familiarity with various DRG methodologies and IP Rehabilitation coding rules

A company is looking for a Medical Auditor II in Revenue Cycle Management. Key Responsibilities Conduct regular audits to verify accuracy of medical codes Review documentation to ensure appropriate code assignment and compliance Track and report coding errors while maintaining detailed records of audit findings Required Qualifications 3+ years of coding/auditing experience in professional fee and/or risk adjustment settings CPC certification through AAPC or CCS certification through AHIMA 3+ years of data analysis and formula creation experience in Microsoft Excel Advanced knowledge of HCC Risk Adjustment and coding guidelines Experience using data to drive process improvement

A company is looking for an Outpatient Coding Auditor. Key Responsibilities Perform quality reviews and audits of coding staff to ensure compliance with standards Provide educational feedback and training to coding staff based on audit findings Identify and communicate documentation issues that impact coding accuracy Required Qualifications Completion of a formal coding program with preference for AHIMA and AAPC credentials (CCS, RHIT, CIC) 5+ years of progressive experience in professional medical coding/reimbursement Comprehensive understanding of ICD-10-CM, ICD-10-PCS, and coding guidelines Ability to work in multiple client systems and proficiency with Microsoft Office applications Experience with Cerner, EPIC, and 3M 360 Encompass preferred

A company is looking for a Certified Coder CPC, CSS (Remote). Key Responsibilities Conducts ongoing member medical chart reviews and accurately abstracts ICD-10 and CPT codes Documents findings from chart reviews and provides feedback to leadership and providers Facilitates training and education for the provider network on coding updates and risk adjustment Required Qualifications At least 2 years of medical coding experience or equivalent education and experience Certified Professional Coder (CPC) and Certified Coding Specialist (CCS) Knowledge of CMS and AHA clinic coding Ability to maintain confidentiality and comply with HIPAA regulations Proficiency in Microsoft Office suite and applicable software programs

A company is looking for a Medical Records Coder-Senior. Key Responsibilities Reviews and assigns diagnostic and procedural codes based on medical record documentation Abstracts patient-related data and codes diagnoses and procedures using ICD-10 and CPT codes Ensures timely and accurate billing by reviewing charge documents and performing charge capture verification Required Qualifications Proficiency in ICD-10 and CPT coding Accreditation from a professional coding organization (e.g., AHIMA, AAPC, RHIT, RHIA, CCS) Five years of experience in medical record abstraction and coding High School diploma or GED In-depth understanding of medical terminology, anatomy, and physiology

A company is looking for a Coding Specialist III. Key Responsibilities Assigns ICD-10-CM and PCS codes for inpatient visits and codes for physician visits at high quality levels Validates MS-DRG or APC assignments and abstracts clinical data Mitigates coding-related claims scrubber edits and participates in client meetings and training sessions Required Qualifications An active AHIMA or AAPC credential One year of relevant coding experience within the last six months Passing score of 80% on specific pre-employment tests Experience with Meditech and Epic is a plus

A company is looking for a Risk Adjustment Coder. Key Responsibilities Perform code abstraction of medical records, ensuring accurate assignment of ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes Review medical records to validate documentation meets CMS requirements and identify improvement opportunities Support the Medicare Risk Adjustment team by educating providers on compliance and maintaining coding quality audits with a minimum accuracy of 95% Required Qualifications, Training, and Education Must have at least three recent years of experience in HCC/Risk Adjustment and/or inpatient coding Hold relevant certifications such as CPC, CRC, RHIT, or RHIA from AAPC or AHIMA Strong knowledge of clinical terminology, disease processes, anatomy, physiology, and pharmacology Familiarity with claims processing procedures and state, federal, and Medicare regulations Must reside in New York, New Jersey, or Connecticut

A company is looking for a Home Health Coder (RN or Certified Coder). Key Responsibilities Review and code home health documentation in accordance with ICD 10 and payer guidelines Complete accurate OASIS review and ensure appropriate coding and sequencing Collaborate with clinicians to clarify documentation and ensure compliance Required Qualifications Active RN license or coding certification required (HCS D, COS C, or equivalent preferred) Home Health coding experience required Strong knowledge of ICD 10 coding guidelines Experience with OASIS review and documentation standards Experience with EMR systems preferred

A family medicine practice in Spring, Texas is looking for an experienced Medical Biller and Coder to join their team. The ideal candidate will have 3-5 years of experience in medical billing, coding, and a strong understanding of ICD-10, CPT, and HCPCS coding systems. Responsibilities include coding diagnoses, submitting insurance claims, and maintaining patient records while ensuring HIPAA compliance. The position offers flexibility, competitive salary, and a supportive work environment. #J-18808-Ljbffr

A family medicine practice in Spring, Texas is searching for an experienced Medical Biller and Coder to join their team. The ideal candidate will have 3-5 years of experience, strong coding knowledge, and familiarity with medical billing software. Responsibilities include accurately coding diagnoses, submitting insurance claims, and managing billing discrepancies. This role offers competitive benefits including health insurance, paid time off, and flexible work options. Join a supportive team dedicated to exceptional patient care. #J-18808-Ljbffr

Job Description Job Description Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. We are looking for a detail-oriented professional with proven expertise in medical billing, coding, revenue cycle management, and a strong background in family or internal medicine. This position is in-person or hybrid. Candidates must reside within a reasonable commuting distance of The Woodlands, TX. Fully remote candidates will not be considered. ⚠️ IMPORTANT: Any individual or company reaching out about this position outside of this platform will be automatically disqualified. --- KEY RESPONSIBILITIES • Accurately code diagnoses, procedures, and visit documentation using ICD-10, CPT, and HCPCS coding systems • Review and audit daily charts to ensure complete, accurate, and compliant coding • Prepare and submit insurance claims to payers in a timely and compliant manner • Monitor and manage accounts receivable (A/R),...

Job Description Job Description Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Medical Biller to join our team! As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable spending much of the day on the phone. Responsibilities Assist clients with processing insurance claims through both private insurance and Medicaid/Medicare Note and process all necessary forms from the insurance Assist patients in navigating the billing and insurance...

A family medicine practice in The Woodlands, TX, is looking for an experienced Medical Biller and Coder to handle billing and coding tasks. The ideal candidate has 3-5 years of experience specifically in family or internal medicine and a strong knowledge of ICD-10 and CPT coding. This position offers the flexibility of hybrid work and requires candidates to have eClinicalWorks experience. Join a supportive team dedicated to enhancing healthcare documentation and billing compliance. #J-18808-Ljbffr

Benefits 401(k) 401(k) matching Bonus based on performance Competitive salary Employee discounts Health insurance Paid time off Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. We are looking for a detail-oriented professional with proven expertise in medical billing, coding, revenue cycle management, and a strong background in family or internal medicine. This position is in-person or hybrid. Candidates must reside within a reasonable commuting distance of The Woodlands, TX. Fully remote candidates will not be considered. ⚠️ IMPORTANT: Any individual or company reaching out about this position outside of this platform will be automatically disqualified. Key Responsibilities Accurately code diagnoses, procedures, and visit documentation using ICD-10, CPT, and HCPCS coding systems Review and audit daily charts to ensure complete, accurate, and compliant coding Prepare and submit insurance...

Benefits: 401(k) 401(k) matching Bonus based on performance Competitive salary Employee discounts Flexible schedule Free uniforms Health insurance Paid time off Parental leave Woodlands Primary Healthcare is seeking an experienced Medical Biller and Coder to join our growing family medicine practice. We are looking for a detail-oriented professional with proven expertise in medical billing, coding, and revenue cycle management. Key Responsibilities: Accurately code diagnoses and procedures using ICD-10, CPT, and HCPCS coding systems Prepare and submit insurance claims to payers in a timely and compliant manner Follow up on unpaid claims and manage claim denials effectively Investigate and resolve billing discrepancies with insurance providers Maintain comprehensive and confidential patient records Ensure all documentation meets HIPAA compliance standards Support revenue cycle processes to maximize reimbursements Required Qualifications:...