31 clinical coder ii jobs found

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....

Professional Coder II What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. UTHealth is seeking Professional Coder II candidates to join its Revenue Cycle Charge Capture team. Responsibilities include coding and resolving edits for Diagnostic Imaging coding. Cardiology, radiology and cardiology coding experience, along with Epic proficiency, are preferred. Department: Revenue Cycle Status: Full-time Location: Remote (2 -4 weeks onsite for training @ 1851 Crosspoint Ave, 77054) Occasionally, onsite meetings/additional training, etc. Must live in Texas (TX) **We DO NOT provide lodging or mileage reimbursement for training** Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization...

Job Title Dallas, TX 8hr shift M-F Looking for someone with outpatient or inpatient hospital coding compliance or coding auditing experience. CPC or CCS certification. Responsibilities: Assign, sequence, validate, and edit codes for multi-specialty professional outpatient/inpatient encounters for both adults and pediatrics Assign appropriate E/M, ICD-10-CM and/or CPT codes based on documentation and/or payer requirements HEDIS measures CAT II code reporting for HTN, diabetes, obesity, and cervical cancer Review NCCI and nosology edits for accurate code capture Review LCD's and/or payor policies to appropriately resolve coding edits Evaluate medical record for provider signature and validate provider facility credentials Resolve and/or clarify clinical data as necessary Review and run data reports to monitor individual productivity Utilize current coding guidelines, Coding Clinic, CPT Assist for coding accuracy guidance

Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education...

Job Description Job Description Coder Analyst II Job ID:156893 Location: Fort Worth, TX 76102 Pay: $36.00/hour Schedule: Mon - Fri , 8am -5pm Duration: Temp 26 week contract Job Summary We are seeking an experienced HIM Coder Analyst II to join a healthcare team in Fort Worth. This position is ideal for a certified medical coding professional with strong ICD-10-CM and CPT-4 hospital outpatient coding experience , particularly with ambulatory surgery and observation cases. The HIM Coder Analyst II will review medical record documentation, accurately assign diagnosis and procedure codes, abstract required information, and ensure coding meets applicable Medicare/Medicaid rules and guidelines. Key Responsibilities Review and interpret patient medical records to identify diagnoses and procedures. Assign ICD-10-CM and CPT-4 codes accurately and to the highest level of specificity. Primarily code complex ambulatory surgery, special procedure,...

Summary:The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines.Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records.Primarily codes complex ambulatory surgery and observation visit medical records.Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting.Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as...

Description The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. Job Details This is a remote position. Essential Functions & Responsibilities Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Maintain HIPAA compliance Additional duties as assigned Knowledge & Skills Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or exceed...

Medical Coder - Multi-Specialty (Hospital & Clinic) Location: Kingwood or Remote Employment Type: Full-Time Reports To: Revenue Cycle Manager Position Summary We are seeking a highly skilled, detail-driven, and high-producing Certified Medical Coder with multi-specialty experience to join our growing healthcare organization. This role requires strong proficiency in both hospital and outpatient clinic coding, with specialty expertise in: • Cardiology • Urology • Dermatology • General Surgery • Pulmonology The ideal candidate has 2+ years of coding experience, maintains current certification (AAPC or equivalent), and consistently demonstrates accuracy, productivity, and strong clinical understanding across multiple service lines. This is a high-impact role within a performance-driven, collaborative organization focused on compliance, precision, and revenue integrity. Core Responsibilities Coding & Documentation Review • Accurately assign...

Citizens Medical Center is a not-for-profit hospital known for compassionate patient care, clinical expertise, and bringing advanced medical services to the South Texas region since 1956. Today, Citizens is a 338-bed acute care hospital with over 1,000 dedicated employees. Citizens offers a generous benefit package that includes retirement plans upon hire, and an excellent medical plan with optional insurance plans to choose from. If you are interested in pursuing a career with an award-winning hospital, welcome home. The Physician Coder I performs evaluation/management coding for clinic, inpatient, and outpatient encounters as well as coding for in-office ancillary services and minor procedures. Assigns and sequences all codes for services rendered. Collaborates with coders, billers, clinical staff, managers, and healthcare professionals to ensure accurate coding assignment and to resolve any coding-related claim denials. JOB DUTIES AND RESPONSIBILITIES Job Specific Assigns...

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...

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...

Job Number: 180041, Job Title: Risk Adjustment Coder II, Salary: $27.69 - $34.62 JOB SUMMARY 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,...

Position Summary: The Professional Coder II is responsible for reviewing medical documentation provided by physicians or other health care professionals to validate or assign and sequence CPT/HCPCS, ICD-10CM, and modifiers for both clinic and hospital based professional encounters. The Coder applies coding conventions in accordance with official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for inpatient/outpatient E/M encounters including office or hospital outpatient procedures, radiology and emergency department visits. UTHealth is seeking Professional Coder II and III candidates to join its Revenue Cycle - Charge Capture team. Responsibilities include coding and resolving edits for Diagnostic Imaging coding. Cardiology, radiology and cardiology coding experience, along with Epic proficiency, are preferred. Department: Revenue Cycle Status: Full-time Location: Remote (2 -4 weeks onsite for...

We are seeking a detail-oriented Certified Medical Coder (CPC) to review clinical documentation, extract data, and assign appropriate ICD-10, CPT, and HCPCS codes. Seniority level Entry level Employment type Full-time Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Beacon 360 Healthcare Consultants by 2x Sign in to set job alerts for “Certified Medical Coder” roles. Inpatient Medical Coder– DRG Specialist - Remote HIM/MEDICAL RECORDS ANALYST/CODING SPECIALIST-FT Sr Clinical Coding Specialist -Evaluation and Management Coder Inpatient Coding Compliance Auditor (Remote) Clinical Documentation Specialist (Remote -Texas Resident) - Clinical Data Houston, TX $70,000.00-$85,000.00 2 days ago Clinical Documentation Improvement Specialist Senior Consultant - Clinical Documentation Specialist Certified Coding Specialist I/II/III- Ob/Gyn Ambulatory Payment Classification Coordinator Find curated...

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...

Medical Coder Multi-Specialty (Hospital & Clinic) Location: Kingwood or Remote Employment Type: Full-Time Reports To: Revenue Cycle Manager Position Summary We are seeking a highly skilled, detail-driven, and high-producing certified medical coder with multi-specialty experience to join our growing healthcare organization. This role requires strong proficiency in both hospital and outpatient clinic coding, with specialty expertise in: Cardiology Urology Dermatology General Surgery Pulmonology The ideal candidate has 2+ years of coding experience, maintains current certification (AAPC or equivalent), and consistently demonstrates accuracy, productivity, and strong clinical understanding across multiple service lines. This is a high-impact role within a performance-driven, collaborative organization focused on compliance, precision, and revenue integrity. Core Responsibilities Coding & Documentation Review Accurately assign ICD-10-CM, CPT, and HCPCS Level...

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...

Job Title: HIM CODER ANALYST II Location: Fort Worth, TX (Remote) Duration: 3 Months with Possibility for Extension (26-Week Contract) Local Candidates Only Shift: Day Shift Start time no earlier than 6:00 AM CST Job Description Requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT-4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary, and clinic visit records. Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient...

37492142 Title: HIM CODER ANALYST II Location: Fort Worth TX Pay Rate: $35-40/HR on W2 26- Week Contract Local Candidates only (Remote) This is a day shift position with a start time no earlier than 6:00 AM CST. Required Qualifications: Minimum of two (2) years of current, full-time coding experience. Required certification: RHIA, RHIT, CCS, or CPC. Must provide current AHIMA continuing education certification records. Preferred Qualifications: Pediatric coding experience highly preferred. Previous hospital children's coding experience highly preferred. Epic experience highly preferred. Equipment Requirements: Contractor will be responsible for providing their own equipment. Two monitors are recommended to support daily job functions. Candidates must successfully complete an assessment before being considered for an interview. The hiring manager will identify candidates selected to move forward with the assessment and will provide the assessment link directly to the...

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...

Job Description Job Description HIM Coder Analyst II LOCATION Fort Worth, Texas | Onsite COMPENSATION & SCHEDULE * Pay: $35.00-$40.00/hour * Schedule: Full-time * Employment Type: W2 ROLE IMPACT Support accurate reimbursement, regulatory compliance, and quality reporting by reviewing outpatient medical records and assigning accurate ICD-10-CM and CPT-4 codes. Success in this role is measured by coding accuracy, productivity, effective provider communication, and adherence to coding guidelines and documentation standards. KEY RESPONSIBILITIES * Review and interpret outpatient medical records to assign ICD-10-CM and CPT-4 codes with the highest level of specificity for ambulatory surgery, observation, special procedures, emergency department, ancillary, and clinic encounters. * Code primarily complex ambulatory surgery and observation cases while maintaining a minimum coding accuracy rate of 95%. * Abstract required clinical and demographic information...

Associate Director - Medical Science Liaison - Gastroenterology (Dallas TX) Join to apply for the Associate Director - Medical Science Liaison - Gastroenterology (Dallas TX) role at BioSpace Associate Director - Medical Science Liaison - Gastroenterology (Dallas TX) 1 day ago Be among the first 25 applicants Join to apply for the Associate Director - Medical Science Liaison - Gastroenterology (Dallas TX) role at BioSpace At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. We’re looking for people who are determined to make life better for people around the world. Organization...

Ceris Certified Coder ICeris is seeking a Certified Coder. The Ceris Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This is a remote role.Essential Functions & Responsibilities:Receives claim and processes based on state rules and regulationsDetermines validity and compensability of the claim using CorVel proprietary programsMakes recommendations to referring officeCommunicates claim status with referring officeReads and comprehends all medical reportsAdheres to client and carrier guidelines and participates in claims review as neededAssists other claims professionals with more complex or problematic claims as necessaryAdditional duties/responsibilities as assignedComplies with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (IIPP), as well as, maintains HIPAA complianceKnowledge & Skills:Ability to learn rapidly to develop knowledge and understanding of claims practiceStrong...

Location :Medical Center - Fort WorthDepartment :HIM-CodingShift :First Shift (United States of America)Standard Weekly Hours :40Summary :The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare / Medicaid rules and guidelines.Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records.Primarily codes complex ambulatory surgery and observation visit medical records.Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all...