19 coder 6 jobs found

DHR Health - US:TX:McAllen - Days 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...

Job Summary JOB SUMMARY The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. ESSENTIAL DUTIES AND RESPONSIBILITIES Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver...

Job Summary The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD‑10, CPT, HCPCS codes and modifiers from medical record documentation. The role requires utilizing multiple resources to support code assignment, resolving coding denials and pre‑bill coding edits, and maintaining productivity and accuracy through internal audits. Level II responsibilities include evaluation and management coding, radiology, and emergency department coding. Essential Duties and Responsibilities Assign ICD‑10, CPT, HCPCS and modifier codes from documentation Review and appropriately resolve pre‑bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Maintain an accuracy rate of at least 95.5% in monthly internal audits Effectively present coding issues to internal and external stakeholders Deliver information in one‑on‑one or small group formats to peers Meet deadlines and complete assignments before monthly...

Job Summary The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. You must be able to utilize multiple resources to support code assignment and possess knowledge on how to resolve coding denials and pre‑bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. Essential Duties and Responsibilities Assign ICD-10, CPT, HCPCS and modifier codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed an accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal clients, or external clients Deliver information in a one‑on‑one or...

Associate Director - Medical Science Liaison - Gastroenterology- Dallas TX Apr 28, 2026 $152K - $244K Purpose: Scientific and Clinical Experts (SEs/CEs) are individuals who are noted for their expertise in a therapeutic area and as a result have special needs for in‑depth and cutting‑edge information, because they treat patients, design and implement novel research, and educate colleagues and students. The Medical Science Liaison (MSL) program is specifically designed to meet these needs through a field‑based group of medical professionals with deep content knowledge about specific disease states, Lilly and competitive compounds and the landscape within the therapeutic areas they represent. MSLs recognize and communicate feedback and insights of strategic importance from their interactions with SEs and CEs, to better inform Lilly’s strategic direction for research and commercialization. By facilitating scientific exchange between industry and the scientific community, MSLs have...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Cardio experience is required. This is a hybrid position so you must be located in the Houston area. Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions...

Overview Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many...

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...

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 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,...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Cardio experience is required. This is a hybrid position so you must be located in the Houston area. Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions...

Compliance Auditor, Billing and Coding Compliance The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, assist with internal compliance policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and regulations, and UT Health San Antonio policies. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Responsibilities Provide oversight on billing compliance auditing, monitoring, and educational activities within the compliance department. Performs audits of electronic and manual documentation, coding, and billing systems. Conducts close-out meetings with senior management of audited departments. Maintain current knowledge of changes in federal and state coding and...

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 an experienced Outpatient Coder. The primary responsibilities include prioritizing and coding patient records using ICD10-CM, ICD 10-PCS, and CPT codes, abstracting data from medical files, assisting with quality assurance and utilization review functions, and applying appropriate modifiers. Key Responsibilities Prioritize and code patient records using ICD10-CM, ICD 10-PCS, and CPT codes. Abstract data from medical files and maintain required statistics. Assist with quality assurance and utilization review functions. Apply appropriate modifiers as needed. Qualifications 4+ years of outpatient coding experience. Coding certification accredited from AAPC or AHIMA. Experience with same day surgeries, injections, and observations. Preferred experience with Meditech Xpanse and 3M systems....

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 an Inpatient Coder responsible for ensuring diagnostic and procedure codes are accurately assigned to inpatient encounters, based on documentation within the electronic medical record. This role requires maintaining compliance with established rules and regulatory guidelines. Key Responsibilities Ensure accurate assignment of diagnostic and procedure codes to inpatient encounters. Maintain compliance with established rules and regulatory guidelines in coding practices. Qualifications Current certifications such as RHIT, RHIA, or CCS. Preferred experience with Epic EMR systems. Experience 1+ years of experience working for a large not-for-profit health system. Benefits Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances). Health...

Job Title Handles new claims, posting payments and appeals of lower complexity. Provides customer service and processes medical and billing record requests. Essential Functions/Job Competencies/Physical Requirements The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description. Reviews, generates, and processes emergency ambulance transport medical claims Determines appropriate CPT and ICD 10 codes based on the medical data and narrative furnished in ePCR (electronic Patient Care Report) and if additional medical information of ePCR is needed to bill accordingly Serve as additional support staff to manage the numerous amount of medical claims that come from EMS related services Retrieves hospital face sheets to obtain health insurance information and reviews and...

JOB SUMMARYSupport and provide coding and compliance training to clinical personnel, billing, and / or other client staff.Establish effective communication with clinical staff, and / or hospital staff to address documentation, coding, and reimbursement issues.Use knowledge of coding and compliance guidelines to identify potential billing / reimbursement issues.Participate in special audits and system administration as necessary.ESSENTIAL DUTIES AND RESPONSIBILITIESInclude the following.Others may be assigned.Performs diagnosis data submissions to Client, Vendors and internal StakeholdersDevelop monthly productivity and revenue projectionsResponsible for chart assignment oversight and monitoring accounts on holdPrepares data collection reports for leadershipMonitors diagnosis submission progress; Audit diagnosis submission files to ensure accuracyReviews, analyzes and oversight of prebill / post bill reviews and pending accountsWorks to resolve workflow, systems and complex matters...

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 dedicated Coding Auditor. The position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based on documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. The role includes performing data quality reviews to ensure data integrity, coding accuracy, and revenue preservation. Additional duties involve participating in quality review and performance improvement projects throughout the department and/or facility. Key Responsibilities Ensure accuracy in code assignment of diagnosis and procedure for outpatient and inpatient encounters. Maintain compliance with established rules and regulatory body guidelines. Conduct data quality reviews to ensure data...

Salary: $14.76 Hourly Location : Laredo, TX Job Type: Full-time Job Number: A262913-2 Department: Health (29/60/61/62/64/65/80) Division: Ambulance Opening Date: 05/28/2026 Closing Date: Continuous Job Description GENERAL SUMMARY Handles new claims, posting payments and appeals of lower complexity. Provides customer service and processes medical and billing record requests. Essential Functions/ Job Competencies/ Physical Requirements ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description. Reviews, generates, and processes emergency ambulance transport medical claims Determines appropriate CPT and ICD 10 codes based on the medical data and narrative furnished in ePCR (electronic Patient...

Dental Billing Specialist Evenflow Solutions has a client that is looking for a Dental Billing Specialist in Frisco, Texas to add to their team. 3- 6 month contract position Dental experience is a must This will be a W-2 position working with Evenflow Solutions. Benefits are available to you through our company while you are working the contract position. Employees will be required to report to the office located in Frisco Texas - 5 days per week (Monday through Friday) Hours are 8:00 am and 5:00 pm and some overtime may be available After 45 days of in office training there is a possibility that this position will become a hybrid position working remote three days per week. The Medical Billing Specialist position will consist of working closely with the clinics to ensure that all claims are being processed in a timely manner. Responsible for both billing and collections based on an assigned region. Responsible for resolving invalids, rejections, and...

A medical billing services provider is seeking motivated Medical Billing and Coding Specialists to join their team in Houston, Texas. The position offers remote work and requires completion of a self-paced online course within 6 months. Responsibilities include reviewing medical records, coding treatments using CPT codes, and submitting claims to ensure timely reimbursement. Ideal candidates will possess excellent typing and mathematical skills, attention to detail, and a high school diploma. Join a dynamic team that supports your growth in medical billing and coding. #J-18808-Ljbffr