49 jobs found in Austin, TX

Senior Coding Auditor / Quality Specialist (Automation) The Senior Coding Auditor / Quality Specialist (Automation) is a senior-level individual contributor responsible for identifying systemic coding variance and rework drivers, defining automation-ready coding logic and edge cases, and validating AI-assisted coding outputs for accuracy and compliance. Operators serve as subject matter experts in specific revenue cycle domains while maintaining literacy across the end-to-end revenue cycle. They redesign workflows, identify upstream root causes, build knowledge graphs, participate in design sessions, and validate emerging automation and AI-driven models. Core Responsibilities: Act as the domain SME while maintaining literacy across the full revenue cycle. Identify structural root causes that drive downstream rework, friction, and leakage. Design future-state workflows and operating models with measurable impact. Build and maintain domain-specific knowledge graphs capturing...

Daniel J. Leeman, MD is a well established boutique Ear, Nose, Throat practice located in the Mueller Neighborhood in Austin, Texas 78723. Our team is looking to add a Medical Billing Specialist to our growing team! Qualifications: Minimum of (1) to (3) years of billing/collections experience within a clinic or physician practice. ENT preferred. High school diploma required; formal billing education preferred. Strong working knowledge of insurance plans, including Medicare and Medicaid. Strong working knowledge of ICD-10 and CPT coding. Strong working knowledge of claim appeals, denials, and their processes. Proficiency in computer software use, including Microsoft Office, EMR and Practice Management systems. Effective time management and the ability to prioritize work. Excellent communication skills and the ability to interact with all levels of management, staff, and physicians. Ability to read and interpret medical charts. Essential Job...

Coding Compliance Auditor This position is responsible for conducting coding audits, communicating results and recommendations to providers, management, and executive administration, and providing training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, CDT, HCPCS and ICD?10 codes on an annual basis. Responsibilities Essential Duties: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical and/or dental record notes to reported CDT, CPT, HCPCS, and ICD codes with consideration of applicable FQHC and payer/title/grant coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with the Office of the CMO and provider leadership to identify and assist providers with coding. Report findings and...

Job Description Job Description Outpatient Professional Medical Coder Greenberg-Larraby, Inc. (GLI) is actively seeking a skilled Outpatient Professional Medical Coder to join our dynamic healthcare team based in Temple, TX This position is onsite in Temple, TX. In this role, you will be responsible for reviewing and coding outpatient medical records, ensuring adherence to coding standards and guidelines. Your expertise will play a vital role in ensuring accurate billing and compliance, contributing to the overall quality of patient care at GLI. You'll collaborate effectively with healthcare providers to clarify clinical documentation and ensure that all coding assignments align with the latest coding practices. If you are a detail-oriented professional ready to excel in a collaborative environment, we invite you to apply! Requirements Minimum Requirements: One active coding credential required: RHIT, RHIA, CCS, CCS-P, or CPC At least three (3) years of...

A compliance-focused organization in Austin, Texas, is seeking a Solutions Support, Compliance Manager to conduct on-site safety and compliance audits. This role is essential for verifying work quality, identifying risks, and ensuring all operations are compliant with safety requirements. The ideal candidate will have a strong background in field audits and safety inspections, with excellent reporting and presentation skills. This position will play a critical role in maintaining operational integrity and safety standards. #J-18808-Ljbffr

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 a Facilities Manager to oversee coding responsibilities within a hospital setting. The primary responsibilities include assigning Interim DRGs, attending mandatory meetings, adhering to coding guidelines, and meeting productivity standards across various hospital records. The role also involves resolving billing issues and expediting the billing process. Key Responsibilities Assign Interim DRGs as requested by hospital departments such as finance and medical management. Attend standard, scheduled, and mandatory meetings/education sessions. Follow coding guidelines and ensure the quality of coding for accurate reimbursement. Meet productivity standards for emergency, outpatient, day surgery, and series accounts. Assist with resolution of OCE, medical necessity, discharge status, missing procedure charges, and other...

Coding Account Resolution Specialist-Outpatient Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. We are seeking a Coding Account Resolution Specialist-Outpatient for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! The Coding Account Resolution Specialist-II (CARS-II) works outpatient coding related alerts/edits for SDC, OBV, and Wound Care, accounts, predominately post initial/final coding. The CARS-II performs the alert/edit resolution activities in the applicable systems. The...

Responsibilities Texas NeuroRehab Center is a specialized treatment facility located ten minutes from downtown Austin on 67 wooded acres. We have served the Austin community for over 60-years and are proud of our history and tenured leadership team. Today, Texas NeuroRehab Center provides complex medical and brain injury rehab for ages 13 years and older and neurobehavioral residential treatment services for children and adolescents. The capabilities of the facility as a whole allow for integrated and specialized care for children, adolescents and adults facing difficult challenges. Website:https://texasneurorehab.com/ Texas NeuroRehab Center is currently accepting applications for an Occupational Therapist (OT) - Medical Unit. An OT provides occupational therapy services to patients in an efficient and professional manner and therapeutically facilitates purposeful occupational role performances of patients in order to improve both physical and mental functioning...

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture...

Key Responsibilities:Revenue Cycle & Claims ManagementSupport end-to-end revenue cycle operations, including insurance verification support, eligibility checks, claims submission, and follow-up through final resolution.Prepare and submit clean claims (professional/telehealth), ensuring accurate coding elements are present and required documentation is attached where applicable.Monitor claim status and payer portals; proactively work/monitor rejections, denials, and underpayments in conjunction with our third parties.Research, correct, and resubmit claims; submit appeals with supporting documentation as needed.Post payments and adjustments, reconcile payments against expected reimbursement, and identify variances.Patient Billing & PaymentsGenerate patient statements and resolve patient billing inquiries with clarity and professionalism.Handle refunds, credit balances, and payment plan workflows in accordance with internal procedures.Coordinate with internal teams to resolve...

A leading health data platform company is seeking an Inpatient Auditing Specialist to conduct facility coding audits and provide educational support on coding quality. This fully remote role offers a flexible schedule and requires 5+ years of experience in inpatient coding or auditing, preferably with relevant certifications. The ideal candidate will possess strong organizational and teamwork skills and maintain a high accuracy rate in coding operations. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Inpatient Medical Facility Coder Greenberg-Larraby, Inc. (GLI) is seeking an experienced Inpatient Medical Facility Coder to join our healthcare team at a well-known medical facility. In this role, you will be responsible for reviewing and coding inpatient medical records for our facility in Temple, TX. This role is located on-site at the Temple, TX. Your expertise in coding will ensure accurate billing and compliance with regulatory guidelines while supporting optimal patient care. You will work closely with healthcare providers to clarify documentation and ensure that all coding assignments are completed accurately and efficiently. This position requires a strong knowledge of ICD-10-CM/PCS and CPT coding systems, as well as attention to detail and excellent analytical skills. If you are a proactive coder with a passion for quality healthcare, we encourage you to apply! Requirements Minimum Requirements: At least one credential required: RHIT, RHIA, CCS,...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: This role involves comprehensive medical record reviews to extract vital medical and demographic data, accurately interpret and apply diagnoses and procedures using ICD coding systems, and contribute to reducing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES: Thoroughly review and interpret medical records, physician treatment plans, outcomes, and other relevant information to assign appropriate ICD codes for diagnoses and procedures. (65%) Abstract necessary data elements to fulfill statistical requests from the hospital, health system, and medical staff, ensuring all coded and abstracted information is accurately input into the designated system. (15%) Manage medical information efficiently and support cash flow by monitoring and addressing the unbilled coding report. (10%) Stay updated on ICD guidelines by participating in training, reviewing coding clinics,...

Become a part of our caring community and help us put health first Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Durable Medical Equipment (DME) auditing and is part of the PPI Coding Disputes Team with Humana. The Disputes Auditor - DME Outpatient Coding on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient DME coding disputes and expertise in...

Medical Billing Specialist To be considered, you must be located in the state of Texas or in the process of relocating to Texas. This is non-negotiable. Please do not apply if you are not located in Texas. Seeking a full-time, experienced medical billing specialist to join our Texas team. This is a remote position with the possibility of occasional travel. Our company provides revenue management support for medical practices located throughout the United States. Medical billing is one of the fastest-growing industries, offering numerous career opportunities. Our goal is to find someone willing to invest the time and effort in a career with us. General Purpose To contribute to the accuracy and timeliness of the revenue cycle process for each clinic on your designated team. To successfully function as part of a team and to be able to communicate professionally with clients and coworkers. Must understand and be able to perform every process in the revenue cycle:...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Join Datavant, a leading data platform company revolutionizing health data exchange. Our mission ensures that every healthcare decision is guided by the right data at the right time and in the right format. As the world's foremost health data network, our platform enables secure, accessible, and actionable data, empowering healthcare stakeholders including life sciences firms, government agencies, and care providers. By becoming part of Datavant's high-performing, values-driven team, you'll contribute to innovative technology solutions that address some of healthcare's most challenging issues. Our diverse team brings various professional, educational, and life experiences together to achieve our ambitious goals for the healthcare sector. What You'll Be Doing: Conduct audits of coded medical charts according to the client's guidelines as assigned by the quality supervisor. Navigate multiple client guidelines with ease. Maintain a 95% quality average at the...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Join Datavant, a leading data collaboration platform in healthcare, dedicated to securing and enhancing access to health data for a variety of organizations, including providers, health plans, researchers, and life sciences companies. By becoming part of our team, you will play an important role in transforming healthcare through innovative data solutions. We are currently seeking experienced and credentialed outpatient coders who are detail-oriented and knowledgeable in medical terminology. This fully remote position offers a flexible schedule, enabling you to contribute to the future of healthcare from the comfort of your home! Preferred Qualifications: We are particularly interested in outpatient coders with expertise in Cath coding, Endo, Observation coding, and Outpatient Surgery. Experience with Cerner and 3M is a bonus. Your Responsibilities: Review medical records and accurately assign codes for diagnoses and procedures. Properly sequence codes based on the...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Overview This position reports to the Director of Healthcare Compliance. Responsibilities include conducting billing and coding audits, and communicating results and recommendations to providers, management, and executive administration. This role will provide training and education to providers and ancillary staff. This position will support the implementation of changes to the CPT, HCPCS and ICD-10 codes on an annual basis. Responsibilities Essential Functions: Conduct prospective and retrospective chart reviews (i.e. baseline, routine periodic, monitoring, and focused) comparing medical record notes to reported CPT/HCPCS and ICD codes with consideration of applicable payer coding requirements. Identify coding discrepancies and formulate suggestions for improvement. Communicate audit results/findings to providers and/or ancillary staff and share improvement ideas. Work with medical staff department to identify and assist providers with coding. Report...