66 outpatient complex coder jobs found

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...

Professional Coder IWhat 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 hiring for a Professional Coder I to join their team of professionals in Revenue Cycle - Charging Code and Capture. The Certified Coder will be responsible for coding Emergency Medicine and resolving edits. Cardio, Emergency, and Gastro coding experience and familiarity with Epic are a plus!Department: Revenue CycleStatus: Full-timeLocation: Remote (2 weeks onsite for training @ 1851 Crosspoint Ave, 77054)Must live in Texas and can attend required onsite trainings and meetings. We do not provide lodging or mileage reimbursement for onsite trainings or meetings.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...

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...

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.

Hospital Coder - Inpatient Rehabilitation - Ernest Health Ernest Health is a network of rehabilitation and long-term acute care hospitals. Ernest Health hospitals provide specialized medical and rehabilitative services to patients recovering from disabilities caused by injuries or illnesses, or from chronic or complex medical conditions. Our hospitals are located in Arizona, California, Colorado, Idaho, Indiana, Montana, New Mexico, Ohio, South Carolina, Texas, Utah, Wisconsin, and Wyoming. We're looking for professionals with a passion for coding, attention to detail, and with excellent communication skills. The Coder is an integral part of the hospital's team, working closely with Physicians and Director of Patient Outcomes (DPO). Successful candidates will enjoy working both independently and collaborating with a team of clinical professionals. Key responsibilities include: Provide expertise in the areas of coding and classification systems to healthcare providers...

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...

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 into the electronic health record to support billing and reporting. Submit physician queries to clarify documentation and...

Certified Coder - Outpatient Neurosurgery | ContractProtouch Staffing is seeking an experienced Certified Coder for an exciting contract opportunity with a leading healthcare organization in Houston. This position is ideal for a knowledgeable coding professional with strong outpatient Neurosurgery and E/M coding experience who is ready to bring their expertise to a collaborative revenue cycle team.If you have a strong understanding of ICD-10-CM, CPT, modifiers, outpatient coding guidelines, and physician Neurology coding, we want to hear from you!Compensation & SchedulePay: $25.50/hourSchedule: Monday-FridayHours: 8:00 AM-5:00 PM40 hours per weekHybrid work environmentContract: August 31-November 28, 2026Position SummaryThe Certified Coder is responsible for reviewing clinical documentation and diagnostic information to accurately assign appropriate ICD-10-CM and CPT codes, modifiers, and other coding data for outpatient encounters.The successful candidate will ensure coding...

Certified Coder - Outpatient Neurosurgery | Contract Protouch Staffing is seeking an experienced Certified Coder for an exciting contract opportunity with a leading healthcare organization in Houston. This position is ideal for a knowledgeable coding professional with strong outpatient Neurosurgery and E/M coding experience who is ready to bring their expertise to a collaborative revenue cycle team. If you have a strong understanding of ICD-10-CM, CPT, modifiers, outpatient coding guidelines, and physician Neurology coding, we want to hear from you! Compensation & Schedule Pay: $25.50/hour Schedule: Monday-Friday Hours: 8:00 AM-5:00 PM 40 hours per week Hybrid work environment Contract: August 31-November 28, 2026 Position Summary The Certified Coder is responsible for reviewing clinical documentation and diagnostic information to accurately assign appropriate ICD-10-CM and CPT codes, modifiers, and other coding data for outpatient encounters. The...

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 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...

Overview Hospital Coder - Inpatient Rehabilitation - Ernest Health Ernest Health is a network of rehabilitation and long‑term acute care hospitals. Ernest Health hospitals provide specialized medical and rehabilitative services to patients recovering from disabilities caused by injuries or illnesses, or from chronic or complex medical conditions. Our hospitals are located in Arizona, California, Colorado, Idaho, Indiana, Montana, New Mexico, Ohio, South Carolina, Texas, Utah, Wisconsin, and Wyoming. CODER We’re looking for professionals with a passion for coding, attention to detail, and with excellent communication skills. The Coder is an integral part of the hospital’s team, working closely with Physicians and Director of Patient Outcomes (DPO). Successful candidates will enjoy working both independently and collaborating with a team of clinical professionals. Key responsibilities Provide expertise in the areas of coding and classification systems to healthcare providers...

SYSTEM West Virginia University Health System is seeking a Hospital Coder to ensure accurate coding assignments and compliant documentation across inpatient, observation and outpatient encounters. Responsibilities include complex coding, audits, and collaboration with physicians to optimize reimbursement. Ideal candidates hold AHIMA/AAPC certification, at least two years of coding experience, and the ability to maintain accuracy under pressure in a fast-paced hospital setting. #J-18808-Ljbffr

REMOTE Position (Monday-Friday, 8:00 AM-4:30 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. REMOTE Position (Monday-Friday, 8:00 AM-4:30 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...

Join Our Team as a Specialty Coder Sr. (Cardio/Vascular) - Remote Opportunity!Are you an experienced coding professional with a passion for cardiovascular and vascular procedures? We're seeking a dedicated Specialty Coder Sr. to join our remote team, focusing on high-dollar inpatient and outpatient coding for cardiovascular and vascular surgeries and diagnostics. If you have a keen eye for detail, a strong understanding of ICD-10-CM, ICD-10-PCS, and CPT coding, and a desire to contribute to accurate medical billing, this is your chance to advance your career in a supportive and dynamic environment. What You'll Do: Code complex cardio/vascular procedures and diagnoses with precision, maintaining a 95% or higher accuracy rate Review clinical documentation and diagnostic results to ensure complete and accurate coding Abstract data into electronic medical record systems, verifying patient dispositions and physician information Collaborate with HIM and Clinical Documentation...

Responsibilities Under direct supervision, responsible for conducting reviews of inpatient and outpatient coding, ensuring compliance with federal regulations, and maintaining up-to-date coding guidelines and policy changes. Perform all tasks required to facilitate medical billing, including abstracting complex patient‑related data from medical records and coding diagnoses and procedures using ICD-10 and CPT classification systems. Work in a hybrid arrangement—remote and/or on campus. Candidates must reside within commuting distance of UT Health San Antonio. On‑site orientation and training are required upon hire. Transition to remote work is contingent on meeting productivity and quality standards set by the supervisor. Remote coders may be required to attend occasional on‑campus training and meetings. Requirements Proficiency in ICD-10 and CPT coding. In‑depth understanding of medical terminology, anatomy, and physiology. Meticulous attention to detail and accuracy....

Jobtailor in Texas is seeking a healthcare coder to perform reviews of inpatient and outpatient coding, ensuring compliance with federal regulations and maintaining up‑to‑date coding guidelines. You will abstract complex patient data from medical records and assign diagnoses and procedures using ICD-10 and CPT systems. The role offers a hybrid work arrangement—remote and on campus. Candidates must reside within commuting distance of UT Health San Antonio; on-site orientation is required. #J-18808-Ljbffr

Job Title Medical Coding Specialist Job Description Under direct supervision, responsible for conducting review of inpatient and outpatient coding, assuring coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes. Performs all tasks required to facilitate medical billing to include abstracting complex patient related data from medical records and coding of diagnoses and procedures using the ICD-10 and CPT classification systems. This position will be a hybrid position working remote and/or on campus. Candidate being considered would need to live within commuting distance of UT Health San Antonio. Upon hire candidate will be required to be onsite for orientation and training. Transition to remote work is contingent on meeting productivity and quality standards as determined by supervisor. Remote Coders may be required to occasionally attend on campus training and meetings. Responsibilities Reviews, interprets,...

Overview Hospital Coder - Inpatient Rehabilitation - Ernest Health Ernest Health is a network of rehabilitation and long‑term acute care hospitals. Ernest Health hospitals provide specialized medical and rehabilitative services to patients recovering from disabilities caused by injuries or illnesses, or from chronic or complex medical conditions. Our hospitals are located in Arizona, California, Colorado, Idaho, Indiana, Montana, New Mexico, Ohio, South Carolina, Texas, Utah, Wisconsin, and Wyoming. CODER We’re looking for professionals with a passion for coding, attention to detail, and with excellent communication skills. The Coder is an integral part of the hospital’s team, working closely with Physicians and Director of Patient Outcomes (DPO). Successful candidates will enjoy working both independently and collaborating with a team of clinical professionals. Key responsibilities Provide expertise in the areas of coding and classification systems to healthcare providers...

Outpatient Coder (Remote)Full-time • Work From HomeMust have Surgical/OBS coding experience and documented billing edit experienceOb SummaryAs part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position.Job ResponsibilitiesVerifying accuracy of assigned CPT codes for complex and/or error prone procedures,Verifying the diagnosis coding accuracy for complex and/or error prone encounters,Validating certain discharge dispositions,Reviewing charge and procedure mismatches,Reviewing codes with revenue integrity for NCD/LCD coverage,Reviewing invalid codes, code conflicts, and missing modifiers,Working with other team members in...

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...

Medical CoderOptional Work from Home • HCVA - Museo 8th Floor Main - Houston, TX 77004OverviewPosition Type: Full TimeEducation Level: High School Diploma/GEDCategory: Other PositionsDescriptionUS Heart and Vascular is in need of a Medical Coder to join our team at Houston Cardiovascular Associates in Houston, TX.Position SummaryThe 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 a timely manner and...

Senior Clinical Coding SpecialistThe 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...

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...