87 professional coder associate jobs found

Certified Professional Coder Job Category: Finance and Accounting Full-Time On-site Odessa, TX 79761, USA Description Key Responsibilities: Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data...

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...

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 leadership from the...

Coding Specialist Properly codes and/or audits professional services for inpatient and/or professional and hospital outpatient technical services for multiple specialty areas to ensure accuracy and optimal reimbursement from all third-party payers. Education & Experience: Minimum Qualifications: Three years of multi-specialty coding experience. Proficient in coding Professional services, and/or Outpatient professional and hospital technical services. Experience with communicating, training, and educating providers in proficiency. Preferred Qualifications: Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations. Experience in OB and Women's Specialties in an outpatient or clinic setting. Required Licenses, Registrations, or Certifications: One of the following: CCA Certified Coding Associate (AHIMA) or CCS Certified Coding Specialist (AHIMA) or CCS-P Certified Coding Specialist...

Senior Clinical Coding Specialist 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...

Job Title This position is responsible for coding outpatient clinical and outpatient recurring accounts. All accounts should be completed within three (3) days following discharge. Position Supervisory Responsibilities Reports To: HIM Coding Manager Supervises: None Position Requirements Minimum Education: Completion of college level coursework in Medical Terminology and Anatomy and Physiology. Minimum Work Experience: Preferred: A minimum of one (1) year coding experience in an acute care hospital. A basic working knowledge of Medicare billing rules, regulations and local medical review policies as they impact reimbursement under APCs. Required Licenses/Certifications: CCA credentials (Certified Coding Associate) or CPC credentials (Certified Professional Coder) Required Skills, Knowledge, and Abilities: A through working knowledge of Medicare billing rules, regulations and local medical review policies as they impact reimbursement under APCs. Preferred Qualification:...

Coding Specialist Hours of Work: 8-430 Days Of Week: M-F Work Shift: Job Description: Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job Relationships: Reports to Coding Manager Certification Requirements: Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC Preferred Skills, Credentials, Professional Qualifications: High school diploma or equivalent; Associate degree is an asset A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies Independently disciplined in time management and productivity Experience in electronic medical record software, preferably Epic Microsoft Office proficient Ability to communicate written and oral coding information to healthcare professionals...

Data Quality Auditor Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Job Responsibilities/Duties: Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). IP, OP Coding: Reviews medical records for the determination of accurate assignment of all documented ICD-10-CM codes for diagnoses and procedures. Abstracts accurate required data elements (facility/client specific elements) including appropriate discharge disposition....

Job Posting Hours of Work: 8:00 - 4:30 Days Of Week: M-F Work Shift: Job Description Your Job: Responsible for assignment of accurate CPT/HCPCS, ICD10, and appropriate modifiers from medical record documentation (paper or electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation (paper or electronic) within the medical record. Aid in training and educating providers and staff on coding issues, and play a significant role in coding compliance activities. Job Requirements Bachelor Degree preferred -OR- Associate degree in Health Information Management preferred. A minimum of 2 years recent experience in the outpatient (primary care & surgical) setting. Surgical coding in Trauma, General Surgery, Orthopedics, and/or Neurosurgery preferred Must hold Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P) with the appropriate level of experience Job Responsibilities...

Job Description Job Description Job Summary: Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment complies with the official coding guidelines as supported by clinical documentation in health records. Validates abstracted data elements that are integral to appropriate payment methodology. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc.   Job Responsibilities/Duties: · Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

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,...

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...

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...

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...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

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 Location: Mischer Neuroscience Associates (Memorial City) HYBRID (Mon‑Fri, 8‑5p) position 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 and procedures as...

Job Description Job Description Certified Coder | $ 3 5 . 00 /hr. | 8 : 0 0 am to 5 : 0 0 p m / In Office / Temp orary What Matters Most Competitive Pay of $35.00 per hour Schedule: 8:00 am to 5:00 pm Location: Houston, Texas 77024 Contract role Weekly Pay with direct deposit or pay card When you work through Team1Medical, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program. Job Description One of the premier Healthcare organizations is seeking a Certified Coder for their Revenue Cycle department. Submit your resume and see what opportunities are available for you! Responsibilities: Review clinical documentation and diagnostic results to extract relevant medical data. Assign accurate ICD-10-CM and CPT4 codes, including modifiers, based on documentation. Ensure coding aligns with official ICD-10-CM & CPT4 Guidelines for Coding...

Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing and administrative teams Regularly update knowledge of coding systems...

SPECIALTY CODER – REMOTE JOB IN TYLER Summary: *CHRISTUS Health System offers the SpecialtyCoder position as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to further be considered for this position.* Responsible for maintaining current and high-quality ICD-10-CM and CPT coding of all professional services, including inpatient and outpatient Evaluation & Management (E/M), and operative/surgical procedures for multi-specialties. Via assigned work queues, verifies all charges and code assignments are correct. Accurately assigns appropriate modifiers to CPT codes. Communicates regularly with providers regarding coding concerns, missing/incomplete documentation, and coding policy updates. Responsible for assigned coding denial work queues. Requirements: · Minimum requirements: Completion of an AAPC or AHIMA approved Coding Certificate Program; High school diploma or GED · Minimum 2 years of multi-specialty physician...

A children's hospital in Corpus Christi, TX, is seeking a Lead Coder to ensure coding compliance and accuracy in medical records. This part-time role involves reviewing and analyzing medical records, providing feedback to the coding staff, and assisting in coder education. Candidates should have an associate degree, relevant experience, and CPC or CCS-P certification. This position is crucial for maintaining the integrity of the hospital's revenue cycle. #J-18808-Ljbffr

We are hiring a part-time Medical Coder to assign procedure and diagnosis codes for insurance billing, review claims data, research and correspond with insurance companies in an effort to obtain accurate reimbursement for healthcare claims. Responsibilities Utilize specialized medical classification software to assign procedure and diagnosis codes for insurance billing. Review claims data to ensure that assigned codes meet required legal and insurance rules and that required signatures and authorizations are in place prior to submission. Conduct medical records research and correspond with insurance companies and healthcare professionals to resolve issues resulting from denied claims. Adhere to coding policies and procedures consistent with the industry standard guidelines for CPT, ICD-9 and ICD-10. Answer coding questions. Review clinical documentation to ensure it meets level of CPT codes and ICD-10 codes. Perform related duties, as requested. Uphold the Organization's...

Job Description Responsible for assignment of accurate CPT/HCPCS, ICD10, and appropriate modifiers from medical record documentation (paper or electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation within the medical record. Aid in training and educating providers and staff on coding issues, and play a significant role in coding compliance activities. Job Requirements Bachelor’s Degree preferred, or Associate degree in Health Information Management preferred. A minimum of 2 years recent experience in the outpatient (primary care & surgical) setting. Surgical coding in Trauma, General Surgery, Orthopedics, and/or Neurosurgery preferred. Must hold Certified Professional Coder (CPC) or Certified Coding Specialist – Physician (CCS-P) with the appropriate level of experience. Job Responsibilities Communicate clearly and openly. Build relationships to promote a collaborative environment. Be accountable...