51 casc coder jobs found

Explore opportunities with Kelsey-Seybold Clinic , part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. Primary Responsibilities: Provides coding and coding-auditing services for physician and facility documentation Reviews operative reports and clinical documentation to accurately assign CPT, ICD, and HCPCS codes using current NCCI guidelines and LCD coverage determinations Ensures timely and accurate charge capture to support efficient billing and optimal...

Job Description Job Description Specialty Senior Medical Coder – General Surgery Location: Irving, TX COMPENSATION & SCHEDULE • $35.75/hr (Non-CGSC Certified) | $42.00/hr (CGSC Certified – General Surgery) • Monday–Friday | 8:00 AM–5:00 PM • W2 | Temp to Perm • Start Date: 03/16/2026 ROLE IMPACT: The Specialty Coder Senior – General Surgery ensures accurate, compliant coding for high-dollar inpatient and outpatient professional services. This role drives revenue integrity by reducing denials, supporting clean claims, and maintaining a minimum 95% coding accuracy rate. Success is defined by precise code assignment, strong documentation review, and consistent productivity in a remote environment. Key Responsibilities • Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes in accordance with Official Coding Guidelines and AMA CPT standards • Code inpatient and outpatient Evaluation & Management (E/M) and surgical/operative procedures, generating accurate...

Job Title Coders, Bill Reviewers, And Payment Integrity Reviewers Job Description Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures...

Medical Coder Revenue Cycle Management is looking for a Medical Coder to join our team. Remote opportunity after in-person training. The Medical Coder is responsible for reviewing medical documentation and accurately assigning CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS codes depending on the encounter type. The position ensures accurate billing, compliance, and optimized reimbursement across outpatient and/or facility (inpatient) settings. Essential Functions: Assign accurate diagnosis and procedure codes based on medical record documentation using CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS. Review provider documentation to ensure coding is supported and complete for billing submission. Apply proper modifiers, sequencing, and coding conventions appropriate to the setting (inpatient or outpatient). Ensure compliance with coding regulations, organizational policies, and HIPAA standards. Meet coding productivity and quality benchmarks. Collaborate with clinical, billing,...

Job Description Job Description Description: Job Title: Certified Coder Job Type: Full-time Location: Remote Worker, Texas We are seeking a highly skilled Certified Coder to join our team. The successful candidate will be responsible for reviewing and analyzing medical records to ensure accurate coding of diagnoses and procedures. The ideal candidate will have a strong attention to detail, excellent analytical skills, and the ability to work independently. Strong background in pain management, orthopedic surgery, neurosurgery, and ASC billing. Responsibilities: - Review and analyze medical records to ensure accurate coding of diagnoses and procedures - Assign appropriate codes to medical procedures and diagnoses using ICD-10 and CPT coding systems - Ensure compliance with all coding guidelines and regulations - Communicate with healthcare providers to clarify diagnoses and procedures as needed - Maintain accurate and up-to-date records of all coding...

Job Description Job Description Description: This position requires someone to have a Coding certification through AAPC, and a minimum of 3 years coding and billing experience. Job Duties: Code and Bill pain management procedures Serve as the primary coding resource for the practice Billing job duties as assigned, to possibly include working payer denials, AR reports, and taking patient calls Superior analytical and problem-solving skills Flexibility and ability to manage a variety of assignments Performs other duties as assigned. Qualifications: Upbeat individual who relates easily with others. Excellent communicator Medical office and EHR experience is preferred, but not required. Previous pain management or ASC experience is preferred. Ability to meet attendance standards. Requirements: Education and Experience/Technical Skills High School diploma Minimum of four years’ work experience in a medical business office setting Minimum of one-year work...

Overview The Revenue Cycle Medical Billing Specialist is responsible for the overall account resolution of patient accounts within the revenue cycle management (RCM) process. Ensures timely billing of claims to payers and follow up of denials, appeals, recoupments and balance management. Ability to audit and provide feedback on the billing process and outcomes. Works cooperatively with other departments to ensure timely billing, reporting and patient account management. Supports the organization’s strategic plan and workplace inclusion initiatives. Abides by the organization’s mission in performing job duties. Demonstrates an understanding and commitment to PPGT’s culture of quality, safety and risk awareness. Responsibilities Reviews submission of claims by third party billing team to the clearinghouse to ensure accuracy. Processes reimbursements and payment adjustments with attention to detail, timeliness, and accuracy. Makes corrections and prepares appeals related to claim...

Hours of Work : 10-20 Days Of Week : Flexible Work Shift : PRN (United States of America) Job Description : In this highly technical, fast-paced, and challenging position, you’ll collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement. Establishes an accurate database for case mix indices and for statistical reporting and trend analysis. The Coder II is proficient in coding DRG based records as well as all other payers. Job Requirements High School Diploma or Equivalent - Required Minimum of 2 years DRG based coding experience in an acute care hospital, experience using encoder. Accredited coding courses from an institution of higher learning, Medical Terminology, Anatomy and Physiology CCS or CPC Certification - Strongly preferred. Job...

Hours of Work :10-20Days Of Week :FlexibleWork Shift :PRN (United States of America)Job Description :Your Job:In this highly technical, fast-paced, and challenging position, you'll collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement. Establishes an accurate database for case mix indices and for statistical reporting and trend analysis. The Coder II is proficient in coding DRG based records as well as all other payers.Your Job Requirements:High School Diploma or Equivalent - RequiredMinimum of 2 years DRG based coding experience in an acute care hospital, experience using encoder.Accredited coding courses from an institution of higher learning, Medical Terminology,Anatomy and PhysiologyCCS or CPC Certification - Strongly preferred.Your Job...

Job Title Responsibilities: Performs the functions of all services of IP coding. Responsible and accountable for coding and DRG accuracy, timeliness of coding, and utilization of systems used to perform coding functions. Maintains relationship with Coding Manager/Supervisor, CDI team, Business Office and Case Management staff. Performs primary function of coding inpatient records, to include DRG assignment and validation. Maintains knowledge of outpatient coding and other areas to assist as needed. Utilizes the 3M Encoder to code and classify accurately all medical records according to ICD-10-CM/PCS. Responsible and accountable for maintaining performance skills. Qualifications 1. Three to Five years coding experience required (Inpatient preferred) 2. Advanced training in medical coding (ICD10-CM/PCS, CPT and APC). 3. Medical terminology, anatomy and physiology required. 4. Computer skills. 5. Ability to read medical reports, interpret lab values pertinent to coding...

Job Summary The Coder 2 is skilled in three or more types of outpatient, profee, or low‑acuity inpatient coding. The Coder 2 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, team members in this job code are proficient for inpatient and outpatient, for multi‑specialties. The Coder 2 uses the International Classification of Disease (ICD‑10‑CM, ICD‑10‑PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS‑DRG, APR‑DRG, APC, etc.). The Coder 2 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...

Job Posting Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched appropriately to the codes and if...

Hours of Work : 10-20 Days Of Week : Flexible Work Shift : PRN (United States of America) Job Description : Your Job: All potential candidates should read through the following details of this job with care before making an application. In this highly technical, fast-paced, and challenging position, you'll collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement. Establishes an accurate database for case mix indices and for statistical reporting and trend analysis. The Coder II is proficient in coding DRG based records as well as all other payers. Your Job Requirements: • High School Diploma or Equivalent - Required • Minimum of 2 years DRG based coding experience in an acute care hospital, experience using encoder. • Accredited coding courses from an...

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...

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: Ensures that coding compliance initiatives are met with all record types. Reviews and analyzes medical records and abstracted data submitted by the coding staff to determine the accuracy of code assignment and adequacy of clinical documentation according to regulatory requirements. Performs frequent internal reviews and education maintenance long‑term to ensure accuracy in the ever‑changing environment of coding, documentation, quality initiatives, and impact to reimbursement. Can code, train, and educate on all types of outpatient medical records to provide timely coverage in all coding areas helping to ensure accuracy, stability, and efficiency in our revenue cycle. Code several different specialties, help train new coders, review records for provider audits, assist with new physician...

Baylor Scott & White Health in Belton, Texas is looking for a skilled Coder 2. The role requires expertise in outpatient and inpatient coding, including ICD-10 and CPT. Candidates must have at least a high school diploma and two years of coding experience. Important certifications include CCS, COC, or CPC among others. The position offers benefits like health insurance, a 401(k) plan, and tuition reimbursement. Join a dedicated team committed to accurate coding and billing practices. #J-18808-Ljbffr

Baylor Scott & White Health is seeking a Coder 2 in Killeen, Texas. This role is pivotal for accurate coding of outpatient, professional fee, and low-acuity inpatient services. Candidates must have a minimum of 2 years experience and hold one of several coding certifications, including CCS or CPC. The position offers immediate health benefits, a 401(k) savings plan, and tuition reimbursement. Strong knowledge of ICD-10 and CPT coding is essential for success in this role. #J-18808-Ljbffr

Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams in order to clarify questions and ensure timely return to the client. Core Duties & Responsibilities Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched appropriately to the codes and if not, obtains them. Read & apply policy guidelines and healthcare terminology and delineate...

Job Description Job Description Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched...

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas. The HIM Coder/Biller is responsible for the accurate assignment of ICD-10-CM diagnosis codes and resolution of claim edits for outpatient records across the hospital. Reports to: Facility Coding Manager Job Specific Responsibilities Assign accurate diagnosis codes for outpatient, ancillary laboratory, and diagnostic services. Maintain current knowledge of coding guidelines, regulatory requirements, and medical billing processes. Perform coding quality reviews and audits as assigned. Troubleshoot and resolve SVC (Simple Visit Coding) errors while identifying process improvement opportunities to prevent billing delays. Review and resolve claim edits and denials, identifying corrective actions and preventative measures to improve claim accuracy. Collaborate with internal departments to support efficient revenue cycle operations...

Location 9401 SW Freeway,Houston, TX, 77074,UnitedStates Base Pay $64,208.00 / Year Job Category Professional Employee Type Full-time Required Degree 4 Year Degree Are you ready to make a real difference in people’s lives? Join the Harris Center for Mental Health and IDD as a Regulatory Compliance Auditor. The Regulatory Compliance Auditor provides coordination between the Authority and contracted services programs by technical review of the medical records, billing service codes, contracts and other documents. The Regulatory Compliance Auditor is responsible for carrying out programmatic and departmental goals and objectives as stipulated by Texas Administrative Code (TAC), Medicaid Guidelines, Texas Resiliency and Recovery Guidelines, and Quality Practices of the Agency. This position provides center‑wider oversight to the Intellectual Disability Division (IDD) and Mental Health Division (MH), Forensics and CPEP, related to compliance standards, state and federal guidelines, and...

Description Providence is calling for Compliance Auditor - Remote The Revenue Cycle Compliance Hospital Auditor conducts audits to evaluate compliance with a wide variety of Federal and State laws, regulatory rules & regulations, PSJH policies and procedures. Areas of audit focus for this position may involve clinical and non-clinical services, including but not limited to revenue cycle: Rev Cycle departments, Rev Cycle Billing Offices, External Vendor; HIM Coding, Revenue Integrity RI, Chargemaster CDM, EPIC, and Clinical Documentation CDT. This position works collaboratively with Case Management, Utilization Review, Revenue Integrity, our PB Professional Revenue Cycle Compliance Team, Clinical Risk, Internal Legal Affairs and Finance under the supervision of the Rev Cycle Compliance Senior Manager. The Revenue Cycle Compliance Hospital auditor navigates and analyzes data across both the Clinical EMR and Epic Billing systems. This includes reviewing...

Responsibilities Position Summary Performs the functions of all services of IP coding. Responsible and accountable for coding and DRG accuracy, timeliness of coding, and utilization of systems used to perform coding functions. Maintains relationship with Coding Manager / Supervisor, CDI team, Business Office and Case Management staff. Performs primary function of coding inpatient records, to include DRG assignment and validation. Maintains knowledge of outpatient coding and other areas to assist as needed. Utilizes the 3M Encoder to code and classify accurately all medical records according to ICD-10-CM/PCS. Responsible and accountable for maintaining performance skills. Qualifications Three to Five years coding experience required (Inpatient preferred) Advanced training in medical coding (ICD10-CM/PCS, CPT and APC) Medical terminology, anatomy and physiology required Computer skills Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract...

Job ID#: 39377 Position Overview The ProFee Surgery Coder supports the RW - Onshore department in various functions, including performing accurate professional fee coding, resolving edits and rejections, and ensuring pro-fee coding compliance. This role is critical in enabling onshore revenue cycle operations to optimize pro-fee billing and revenue capture. This role involves coding, auditing, providing expertise, and identifying process improvements. Role Responsibilities In addition to the responsibilities listed below, the ProFee Surgery Coder may be required to perform other duties as assigned by leadership to support efficient business operations. The essential functions of this role are listed below: Code professional fees for surgical services accurately Review denials and rejections related to surgery coding Query providers on documentation for surgery coding Conduct audits on surgery coding accuracy Provide surgery coding education and training Perform other...