63 coder ii jobs found in Temple, TX

Job TitleThis Coder II will be part of the Cath lab team therefore, experience with Cath lab coding highly preferred in addition to the CIRCC certification.Our Core Values are:We serve faithfully by doing what's right with a joyful heart.We never settle by constantly striving for better.We are in it together by supporting one another and those we serve.We make an impact by taking initiative and delivering exceptional experience.Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:Immediate eligibility for health and welfare benefits401(k) savings plan with dollar-for-dollar match up to 5%Tuition ReimbursementPTO accrual beginning Day 1Note: Benefits may vary based upon position type and/or level.The Coder II is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding.The Coder II may...

Job Summary This Coder II will be part of the Cath lab team; experience with Cath lab coding highly preferred in addition to the CIRCC certification. The Coder II is skilled in three or more types of outpatient, profee, or low acuity inpatient coding. The Coder II may code low acuity inpatients, one‑time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, the job requires proficiency for inpatient and outpatient, for multi-specialties. The Coder II uses ICD‑10‑CM, ICD‑10‑PCS, HCPCS, CPT, and other coding references, ensuring accurate coding and grouping (e.g., MS‑DRG, APR‑DRG, APC, etc.). The Coder II will abstract and enter required data. Essential Functions of the Role Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. Reviews diagnostic and procedure...

Baylor Scott & White Health in Temple, Texas seeks a Coder II to join the Cath lab team. This role demands expertise in Cath lab coding and the CIRCC certification. Responsibilities include accurate coding of diagnosis and procedures, ensuring proper billing and reconciling any issues. Proficiency in ICD-10-CM, ICD-10-PCS, HCPCS, CPT, along with E/M coding for multiple specialties is essential. #J-18808-Ljbffr

Coder II Under general supervision of the Director, the Coder II provides consistency and efficiency in outpatient claims processing and data collection to optimize APC reimbursement and facilitate data quality in outpatient services. Reviews, audits, and reports on charge capture. Maintains patient confidentiality at all times. Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position. Analyzes IP, OP, Recurring, & SDC records and appropriately codes per coding guidelines, ICD-10-CM and CPT rules and updates, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear...

Under general supervision of the Director, the Coder II provides consistency and efficiency in outpatient claims processing and data collection to optimize APC reimbursement and facilitate data quality in outpatient services. Reviews, audits, and reports on charge capture. Maintains patient confidentiality at all times. ESSENTIAL JOB FUNCTIONS Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position. Analyzes IP, OP, Recurring, & SDC records and appropriately codes per coding guidelines, ICD-10-CM and CPT rules and updates, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous,...

Coder II (Denials) - FT - Days Are you looking for a rewarding career with a top-notch health care company? We're looking for a qualified Coder II (Denials) like you to join our Texas Health family. Position highlights include: Work location: Remote work Work hours: Monday Friday generally between 7:00 am 6:00 pm HIMS Coding Department highlights: Flexible hours/scheduling once training is complete Work life balance Opportunities for advancement Qualifications: Education: H.S. Diploma or Equivalent REQUIRED and Associates's Degree Related field preferred Experience: 2 Years Professional (Profee) Coding experience. Completion of advanced level training in medical terminology, anatomy and physiology, or similar REQUIRED Licenses and Certifications: CPC - Certified Professional Coder Upon Hire REQUIRED or CCS-P - Certified Coding Specialist - Physician-based Upon Hire REQUIRED and Other Specialty certification such as CGSC, COSC, CCC, etc. Upon Hire Preferred...

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. Job Summary And Qualifications The candidate must have Home Health Coding experience. As a Home Health Coder II, you will be responsible for reviewing and coding for home health and hospice utilizing clinical notes (i.e., H&P, recent Discharge summary progress notes, F2F notes, etc.). You will document recommendations for coding and OASIS edits. You will work with team lead and/or denials team to resolve coding related issues. You will serve as a key promoter of the Home Health and Hospice & Family Care and is responsible for setting the tone of Parallon coding as a service organization, continuously seeking to understand, meet and exceed customer expectations and needs. What you will do in this...

Methodist Health System in Dallas, Texas is looking for a Coder II to join their team. In this role, you will be responsible for classifying and abstracting inpatient/outpatient diagnoses and procedures, ensuring optimal reimbursement by assigning ICD-10-CM, ICD-10-PCS, and CPT codes. The ideal candidate will have at least 2 years of DRG based coding experience and a High School Diploma or equivalent. Preferred qualifications include CCS or CPC certification. A flexible PRN work shift is offered. #J-18808-Ljbffr

Responsibilities Under the general direction of the Director of the Health Information Management department the Coder II (RHIA) (RHIT) (CCS) is an advanced coding position that is responsible for providing a second level review of codes assigned to medical diagnoses and clinical procedures. The coder II will be assigning diagnostic and procedure codes based on abstracted information from the medical record utilizing ICD10-CM, ICD10 PCS and CPT. Qualifications MINIMUM EDUCATION: High School Degree or equivalent required; relevant experience in lieu of High School Diploma/GED education will be considered. Associates Degree preferred. MINIMUM WORK EXPERIENCE: 2 years of experience in a hospital setting coding both inpatient and outpatient. REQUIRED LICENSES/CERTIFICATIONS: Certification in RHIA, RHIT, or CCS. REQUIRED SKILLS, KNOWLEDGE, AND ABILITIES: Ability to code utilizing ICD10-CM, ICD10 ICD10 PCS and CPT, experience with an encoder. Knowledge of...

Risk Adjustment Coder II The 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...

Value Based Coder II Inspired 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...

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,...

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. Advanced...

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...

St Luke's Health is looking for a Value Based Coder II in Houston, Texas. This role involves reviewing patient medical records to enhance coding opportunities with a strong emphasis on Hierarchical Condition Categories (HCC). The ideal candidate will have 2+ years in outpatient coding and a deep understanding of risk adjustment principles. Responsibilities include providing education to network providers and ensuring compliance with coding guidelines. #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...

Community Health Choice, Inc. seeks a Risk Adjustment Coder II in Houston, Texas. The role involves advanced medical record reviews and coding of chronic conditions to ensure correct risk scoring, complying with CMS guidelines and internal policies. The ideal candidate has a Bachelor's degree or equivalent experience, and AHIMA/AAPC certification, along with 3-5 years of experience in risk adjustment coding. Join a team dedicated to improving healthcare quality for over 400,000 members. #J-18808-Ljbffr

UTHealth Houston is hiring a Professional Coder II & III for Revenue Cycle (Charge Capture). The role focuses on reviewing documentation, selecting CPT/HCPCS/ICD-10-CM codes, and ensuring regulatory compliance for inpatient and outpatient services. Telework is available with an onsite training period in Texas; strong coding background and AHIMA/AAPC certifications are highly valued. The department emphasizes accuracy, education, and timely coding. #J-18808-Ljbffr

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...

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. Responsibilities 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....

2,5 K Sign On/CODER II FT DAYS Full-time Job Description Sign 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. Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

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...

Home Health Coder II 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. As a Home Health Coder II, you will be responsible for reviewing and coding for home health and hospice utilizing clinical notes (i.e., H&P, recent Discharge summary progress notes, F2F notes, etc.). You will document recommendations for coding and OASIS edits. You will work with team lead and/or denials team to resolve coding related issues. You will serve as a key promoter of the Home Health and Hospice & Family Care and is responsible for setting the tone of Parallon coding as a service organization, continuously seeking to understand, meet and exceed customer expectations and needs. What you will do in this role: Reviews and codes from clinical notes Maintains or...

Methodist Health System is looking for a remote coder to ensure accurate assignment of medical codes including CPT®, HCPCS, and ICD-10 for professional services. Responsibilities include reviewing documentation and engaging with healthcare providers to enhance coding accuracy. Candidates should possess coding certifications and at least two years of coding experience. The role offers comprehensive benefits such as medical, dental, and vision insurance, as well as a matched retirement plan. #J-18808-Ljbffr