112 coder 3 jobs found

South Texas Health System is seeking a skilled medical coder to ensure accurate inpatient coding and DRG assignments. The ideal candidate will have 3-5 years of coding experience, advanced training in ICD10-CM/PCS, and a commitment to compliance with organizational policies. Responsibilities include coding inpatient records and maintaining knowledge across coding areas. This position allows for remote work, requiring high-speed internet and a compliant work area. Candidates must possess necessary certifications and a high school diploma or higher education. #J-18808-Ljbffr

Join Our Caring Community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities Deliver coding and documentation education to providers and clinic staff within IPA clinics. Be a consultative resource and ongoing support for providers in assigned clinics. Conduct documentation audits to identify gaps, trends, and opportunities for improvement. Perform quarterly chart reviews to support coding accuracy...

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...

Posted 2 days ago Description Summary: POSITION SUMMARY: Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM codes for billing, internal and external reporting, research, and regulatory compliance. Accurately code outpatient conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient encounters. Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures. Utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and...

Coder II, Coding US:TX:McAllen | Health Information Management | Full Time This is a mid-level, work from work position. Coder is responsible for: Analyzing provider documentation Assign and sequence ICD-10-CM, CPT/HCPCS appropriately Append billing modifiers when appropriate Reconcile CPT(s) Resolves billing edits according to 3M Code editor Participates in educational activities and attends staff meetings. Position Education/Qualifications: Coding credential from an accredited coding organization required Credentials from AHIMA, AAPC preferred Extensive knowledge of medical terminology Knowledge of Coding Guidelines Knowledge of CPT rules and regulations Knowledge of NCCI policies Highly reliable Must be a team player with good people skills and possess strong initiative to get daily work finished and processed Maintain productivity levels Job Knowledge/Experience: Extensive experience in medical coding, medical terminology, and anatomy and physiology...

Description Summary: Responsible for maintaining current and high-quality ICD-10-CM/PCS coding for all Inpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting. Inpatient coding is applicable towards all regional Inpatient encounters. Coder will work collaboratively with various CHRISTUS Health HIM and Clinical Documentation Specialists to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional...

Become a part of our caring community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities: You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will...

Become a part of our caring community Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities: You will deliver coding and documentation education to providers and clinic staff within IPA clinics. You will be a consultative resource and ongoing support for providers in assigned clinics. You will conduct documentation audits to identify gaps, trends, and opportunities for improvement. You will...

The US Oncology Network is seeking a Coding Specialist to join Texas Oncology in Richardson, TX. This full-time hybrid remote role supports the Central Business Office at 3001 E President George Bush Hwy, Richardson. You will perform medical record coding, assign ICD-9 and CPT-4 codes, and ensure compliance with coding guidelines. Ideal candidates have 1 year of coding experience (3 years preferred), knowledge of ICD-9/CPT-4, and RHIT certification is a plus for Senior level. #J-18808-Ljbffr

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. The Role: Accounts Receivable Specialist The Accounts Receivable Specialist performs collection and follow up activities with third party payers to resolve outstanding balances, secure accurate and timely adjudication, and achieve successful closures of aged accounts receivable. What You'll Be Doing: Performing online account status checks and following up with payers by phone, email, etc. on outstanding claim balances of assigned accounts Clearly document in EMR system patient account notes, the payment status of the account, and/or actions taken to secure payment. If applicable, requests account for additional follow up activity within a prescribed number of days in accordance with payer specific filing requirements or processing time required for insurance to complete processing. Must note all actions taken within the notes section to ensure all prior touches have been...

Certified Medical Coder Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system Selects and accurately records all appropriate records and data on assigned chart abstraction projects Ability to meet productivity and accuracy requirements Performs other duties as assigned Qualifications High School Diploma or GED required A certification in one of the following is required: Certified...

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...

Medical Coder Optional Work from Home HCVA - Museo 8th Floor Main - Houston, TX 77004 Overview Position Type: Full Time Education Level: High School Diploma/GED Category: Other Positions Description US Heart and Vascular is in need of a Medical Coder to join our team at Houston Cardiovascular Associates in Houston, TX. Position Summary The Professional Fee Medical Coder, Level 3 reviews medical documentation that physicians or other healthcare professionals complete to validate, assign, and sequence CPT/HCPCS, ICD-10CM, and modifiers for clinic and hospital-based professional encounters. The Coder applies coding conventions per official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for complex surgical coding in the inpatient and outpatient settings. May also be assigned E/M encounters, ancillary diagnostic procedures, and other inpatient and outpatient visits. Responsibilities: Reviews encounter in...

Medical Coder Revenue Cycle Management is looking for a full-time 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,...

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...

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...

Remote Position (MondayFriday, 8:00 AM4:30 PM) Hims-Op Coding Support Remote position (MondayFriday, 8:00 AM4:30 PM) Hims-Op coding support is needed to maintain timely Cvir coding and billing. Hospital Cvir coding experience is required. Proficient in coding and EHR software. Expert knowledge of ICD-10 CM and CPT modifiers. Expert knowledge in NCCI/OCE billing edits. Preferred: 2 years education/audit review or specialty/complex acute care OP surgical coding experience. Minimum 3 years acute care hospital outpatient surgical coding experience. Candidate must hold one of the following certifications CIRCC, COC, CPC or CCS. EEO: Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of minority/gender/disability/religion/LGBTQI/age/veterans.

The University of Texas MD Anderson Cancer Center is seeking a Senior Clinical Coding Specialist to join its Revenue Operations and Coding team. The Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. This position works remotely and collaborates closely with coding professionals, leadership, and clinical partners. The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency. UT MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The ideal candidate brings strong expertise in clinical coding practices, including CPT, ICD-10, and regulatory guidelines, along with experience...

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...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Job TitleReviews medical records, codes patient charges, and processes in a timely manner, and assists various facility staff and physicians. Must be an effective communicator who can express himself/herself on a daily basis in a professional manner both verbally and in writing, as well as a proactive professional who can identify collection trends and solve them in a timely manner.Supervision ReceivedBilling & Coding SupervisorEducation/Experience1. Certified Professional Coding Certificate. 2. Associate's degree preferred or 5 years medical coding experience. 3. Must have functional knowledge of medical terminology, anatomy, and physiology. 4. Prior experience coding with ICD-10-CM.Knowledge1. Knowledge of clinic policies and procedures. 2. Knowledge of pain management coding, and Spine procedure coding 3. Knowledge of computer systems, programs, and spreadsheet applications. 4. Knowledge of medical terminology. 5. Knowledge of collection practices. 6. Knowledge of...

Job Posting Title: Research Assistant Coder ---- Hiring Department: Special Education ---- Position Open To: All Applicants ---- Weekly Scheduled Hours: 30 ---- FLSA Status: Non-Exempt from FLSA ---- Earliest Start Date: Aug 11, 2026 ---- Position Duration: Expected to Continue Until Jul 31, 2027 ---- Location: UT MAIN CAMPUS ---- Job Details: Notes This position is fully in person and 30 hours a week. Purpose To code parent-child interaction videos, support in-person assessment visits, rate assessor fidelity, and participate in team meetings. Responsibilities Code parent-child interaction videos Support in-person child assessments Participate in lab meetings Rating assessment videos for fidelity of implementation Required Qualifications Bachelor's degree and one year of related expereince Previous experience behavioral coding parent-child interactions. Experience...

Baxter is seeking a Billing Specialist to oversee front-end medical billing for commercial insurance and government programs across Cardiology devices. You will ensure accurate posting, submission, and re-submission of billing data to insurers, resolve denials, and maximize reimbursement in a compliant, efficient revenue cycle environment. Role requires 3+ years in medical billing, strong Excel and payer portal experience, and meticulous attention to detail. #J-18808-Ljbffr

Job Description Job Description Pride Health is hiring a Certified Coder to support our client's healthcare facility in Houston , TX . Interested? Apply Today! Job Details: Schedule: Monday–Friday, 8:00 AM - 5:00 PM Location: Houston, TX 77024 Hybrid Job Type: Local contract Contract Length: 3 months + possible extension Pay Range: $21/hr. - $24/hr. On W2 *Pay offered is based on experience, expertise, credentialing, and education. Duties: Review clinical documentation and diagnostic results to identify and accurately code diagnoses, treatments, and procedures. Assign ICD-10-CM diagnoses, CPT-4 procedure codes, and appropriate modifiers for outpatient encounters. Apply current coding principles, official coding guidelines, and APC reimbursement requirements. Perform outpatient Evaluation and Management (E/M) coding accurately. Code neurology and neurosurgery services for physicians. Requirements: Education: High School...