91 professional fee coder jobs found

Division: CHRISTUS Children's Hospital - San Antonio Work Arrangement: Onsite only Location: San Antonio, TX Salary Range: $63,052 to $80,000 FLSA Status: Nonexempt Work Schedule: Monday - Friday, 8 a.m. - 5 p.m. Summary Baylor College of Medicine- CHRISTUS Children's in San Antonio is seeking a highly motivated and competent professional to serve as a Senior Professional Fee Coder with primary responsibilities for managing and supporting the day-to-day functions of the revenue cycle under the direction of the Lead, Revenue Cycle. The candidate must be skilled in performing complex tasks required in healthcare services within the revenue cycle, to include documentation reviews, denial analysis, and educational initiatives but not limited to coding and provider education. The ideal candidate will have strong operational skills and ability to gain the confidence of faculty, staff, leaders, colleagues, etc. Will have experience with revenue integrity and can...

Senior Professional Fee Coder – San Antonio Summary Baylor College of Medicine – CHRISTUS Children’s in San Antonio seeks a highly motivated and competent professional to serve as a Senior Professional Fee Coder. The candidate will manage and support the day‑to‑day functions of the revenue cycle under the direction of the Lead, Revenue Cycle. The role requires expertise in documentation reviews, denial analysis, coding, provider education, and revenue integrity initiatives. Job Duties Review provider documentation for compliance and accuracy; flag potential coding issues. Compile data for dashboards and audit summaries; support denial trend analysis and root cause identification. Assist in creating educational materials, handouts, and training sessions; track attendance. Serve as a resource for basic coding and documentation questions; route complex inquiries to Lead, Revenue Cycle. Provide administrative and operational support for revenue cycle projects and other assigned...

Job Description Job Title: Senior Professional Fee Coder Division: Patient Business Services Work Arrangement: Hybrid Location: Houston, TX Salary Range: $63,052 to $74,178 FLSA Status: Nonexempt Work Schedule: Monday – Friday, 8 a.m. – 5 p.m. Summary The Patient Business Service (PBS) Coding department is looking for an experienced mid-level coder to review and abstract CPT, ICD-10 and HCPCS coding for physician services. Our coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges. The PBS Coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine as well as outpatient facility charges at McNair Cancer Center. We focus on...

A leading healthcare institution in Texas is seeking a highly motivated Senior Professional Fee Coder to manage revenue cycle functions. Responsibilities include reviewing provider documentation, denial analysis, and assisting with coding education and compliance. Candidates should have a high school diploma, significant experience, and CPC certification. This position offers a chance to contribute to revenue integrity initiatives in a respected academic environment. #J-18808-Ljbffr

A healthcare institution in Houston seeks an experienced mid-level coder to review CPT, ICD-10, and HCPCS coding for services. The coder will ensure accurate documentation for clean insurance claims and timely charge processing. Candidates should possess a high school diploma, CPC certification, and three years of relevant experience. Proficiency in Microsoft Office and Epic EHR is preferred. This position allows for remote work opportunities and is not eligible for visa sponsorship. #J-18808-Ljbffr

Summary The Patient Business Service (PBS) Coding department is looking for an experienced mid-level coder to review and abstract CPT, ICD-10 and HCPCS coding for physician services. Our coders assist in maximizing the revenue by completely capturing and accurately documenting physician, professional, and departmental charges to ensure submission of clean insurance claims, as well as accurate patient statements. They apply correct coding guidelines to patient charge encounter, while assuring timely turnaround of charges. The PBS coding department is responsible for accurately capturing the revenue for all physician specialties at Baylor College of Medicine as well as outpatient facility charges at McNair Cancer Center. We focus on providing accurate and compliant coding assistance by coders who are certified and up-to-date on coding rules and regulations. The ideal candidate will have good organizational, communication and critical thinking skills, and can work well independently...

The Coder II is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder II may code low acuity inpatients", one time ancillary/series, emergency department, observation, day surgery, and/or professional fee Coder, Physician, Coding Specialist, Healthcare, Patient, Sound

A leading medical institution is seeking a Senior Professional Fee Coder to join its Patient Business Services team in Houston, TX. This hybrid role requires proficiency in CPT, ICD-10, and HCPCS coding. The ideal candidate will have at least 5 years of experience and a Certified Professional Coder (CPC) credential. Responsibilities include reviewing coding edits, abstracting codes from records, and participating in physician education. Strong organizational and communication skills are essential for success. #J-18808-Ljbffr

Responsibilities One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.' Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. At UHS and all its subsidiaries, our Human Resources departments and recruiters are here...

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, and assigns diagnostic and procedural...

Summary Performs independent inpatient and outpatient medical coding by reviewing full electronic and paper records to assign accurate ICD, CPT, and HCPCS codes. Abstracts clinical, demographic, and utilization data to support workload reporting, billing, reimbursement, and compliance. Validates documentation, resolves ambiguities with providers, updates data systems, meets closeout deadlines, and provides guidance to improve documentation quality and data integrity. Duties Help Total Rewards of a Allied Health Professional Provides outpatient and inpatient medical coding support within Health Information Management (HIM), typically as part of a centralized coding team under a Coding Supervisor and Coding Lead. Independently reviews complete health records to assign International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) codes. Abstracts and validates clinical, demographic, and...

Medical Records Technician (Coder-Outpatient) Performs independent inpatient and outpatient medical coding by reviewing full electronic and paper records to assign accurate ICD, CPT, and HCPCS codes. Abstracts clinical, demographic, and utilization data to support workload reporting, billing, reimbursement, and compliance. Validates documentation, resolves ambiguities with providers, updates data systems, meets closeout deadlines, and provides guidance to improve documentation quality and data integrity. Provides outpatient and inpatient medical coding support within Health Information Management (HIM), typically as part of a centralized coding team under a Coding Supervisor and Coding Lead. Independently reviews complete health records to assign International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) codes. Abstracts and validates clinical, demographic, and utilization data; enters information...

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 Fulltime Remote Position (40 hour work week) Pro-fee Inpatient Hospitalist Experience needed for this role 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...

SPECIALTY SCOPE FOR THIS CODER II POSITION TO INCLUDE BUT NOT LIMITED TO: Upper Extremity: - Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair - Elbows: Cubital tunnel release, Bursectomy, Arthroplasty - Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) - Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: - Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy - Pelvis: Fracture repairs - Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs - Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs,...

JOB SUMMARY The Coder II is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder II may code low acuity inpatients', one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. For professional fee coding , individuals in this job code will be proficient for inpatient and outpatient, for multi-specialties. The Coder II utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) The Coder II will abstract and enter required data. ESSENTIAL FUNCTIONS OF THE ROLE Analyzes and interprets documentation from medical...

Job Description Job Description At Broadway Ventures , we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider—we're your trusted partner in innovation. Position Summary We are seeking an experienced Certified Coder to support medical review activities through complex coding validations and quality assurance efforts. This role requires deep expertise in Medicare coding guidelines, DRG validation, and CMS FFS RAC Program requirements. Education High School Diploma required Associate degree or higher preferred Licensure / Certifications Certification from an accredited...

Description Under moderate supervision, responsible for reviewing, auditing, and data entry of medical bills for multiple states and lines of business within both Worker’s Compensation and Commercial Health arenas. This would include analysis for the fee schedule or usual and customary application, as well as PPO interface, while meeting contractual client requirements. Essential Job Functions Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts Analysis and review of 1 or more assigned states having fee schedules Utilize Fee Schedules, Online Documents, Client instructions, and other training material to properly review medical bills Review medical bills for compensability and relatedness to injury Reprice medical bills to Workers’ Compensation Fee Schedule and PPO Network Research usual and customary/fee schedule applications and system interface as appropriate Reviews...

In this high-impact Outpatient Pro-Fee Coding role, you will move beyond simple data entry to perform true clinical extraction, navigating complex operative reports across General Surgery, Plastics, ENT, and Neurosurgery to identify CPT and ICD-10-CM codes. Working within Epic, you'll master a shared work queue where you'll apply advanced logic-including modifiers, dummy codes, and Prop 99-to ensure seamless charge drops for high-dollar encounters. This is a position designed for the technical "detective" who thrives on a 95% quality benchmark and maintains a sharp pace of 12 surgical charts or 18 E/M visits per hour. You'll join a collaborative, remote environment that prizes technical accuracy and peer-to-peer knowledge sharing, offering a highly flexible "5-to-5" style schedule that empowers you to own your workflow while tackling the industry's most intricate surgical specialties. Schedule: Flex schedule. Can start as early as 5am in their timezone and be on as late as...

Job Details Level : Experienced Job Location : IDX Coppell TX Site - Coppell, TX 75019 Position Type : Full Time Education Level : High School Job Category : Biotech About Us Inform Diagnostics, a Fulgent Genetics Company , is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology, urologic pathology, hematopathology, and breast pathology. Founded in 2011, our parent entity, Fulgent Genetics, has evolved into a premier, full-service genomic testing company built around a foundational technology platform. Through our diverse testing menu, Fulgent is focused on transforming patient care in oncology, anatomic pathology, infectious and rare diseases, and reproductive health. We believe that by providing a wide range of effective, flexible testing options in conjunction with best-in-class service and support, we can redefine the way medicine is managed for patients and clinicians...

Job Title: Surgery Coder - Colorectal Specialty Location: Remote Employment Type: Full Time Position Summary We are seeking an experienced Professional Fee Surgery Coder with a strong background in colorectal procedures. The ideal candidate will have a minimum of 2 years of colorectal-specific coding experience and a proven ability to handle high-volume coding efficiently and accurately. Key Responsibilities Accurately code colorectal surgical procedures for professional billing (Pro Fee). Maintain compliance with all applicable coding guidelines and payer requirements. Review operative reports and assign appropriate CPT, ICD-10, and modifiers. Ensure timely and accurate coding for approximately 30 cases per hour. Collaborate with clinical and billing teams to resolve coding discrepancies. Stay current with industry changes and updates in colorectal coding. Required Qualifications CPC Certification (Certified Professional...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Eligibility on day 1 for all benefits Dollar-for-dollar 401(k) match, up to 5% Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more...

Professional Coder The professional coder will be responsible for handling clinic charges, scrubbing charts for completeness, reviewing diagnoses codes, verifying procedures, and communicating with providers regarding missing information and working edits. We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. Skills and requirements: GED or High School Diploma CPC Certification 2 years of Pro Fee E/M Coding Experience Surgical coding experience

Gastroenterology ProFee Coder (E/M & Surgical) Company Description Vee Healthtek, Inc. delivers cutting‑edge solutions that transform healthcare organizations. We offer a comprehensive suite of services that leverage our industry expertise to provide the best value to our clients. Through close collaboration and a deep understanding of market trends, we create customized strategies that deliver tangible outcomes. Our technology‑driven services empower organizations to thrive in the evolving healthcare landscape, resulting in improved workflows, increased cost efficiency, and streamlined business processes. Learn more at www.veehealthtek.com. Job Summary The Gastroenterology ProFee Coder is responsible for accurate assignment of diagnosis, procedure, and Evaluation & Management (E/M) codes for physician professional services within a gastroenterology practice or health system. This role focuses exclusively on professional fee coding , ensuring compliance with CPT,...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not‑for‑profit healthcare system in Texas that empowers you to live well. Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Eligibility on day 1 for all benefits Dollar‑for‑dollar 401(k) match, up to 5% Debt‑free tuition assistance, offering access to many no‑cost and low‑cost degrees, certificates and more Immediate access to time off benefits At Baylor...