154 quality medical coder jobs found

HUMBLE VASCULAR SURGICAL CENTER INC in San Antonio, TX is seeking a Certified Professional Coder to join our billing team. The role focuses on accurate chart review, coding with ICD-10-CM and CPT-4, and timely submission of claims. Ideal candidates hold a Certified Professional Coding Certificate, an associate degree or 5 years coding experience, and possess solid knowledge of medical terminology, anatomy, and regulatory guidelines. #J-18808-Ljbffr

Surgery Partners, Inc. is seeking a certified professional coder to review medical records, code outpatient charts, and assist various facility staff and physicians. The role requires clear written and verbal communication, and proactive problem solving to identify collection trends and improve processes. The ideal candidate holds a CPC certification, an associate’s degree or equivalent experience, and strong knowledge of ICD-10-CM coding and medical terminology. #J-18808-Ljbffr

Huntsvillememorial is seeking a Coder II who will provide consistency and efficiency in outpatient claims processing. Responsibilities include analyzing and coding records, monitoring data quality, and training healthcare professionals on coding guidelines. The ideal candidate will have an associates degree in health information services and AHIMA certification. Strong computer skills and attention to detail are essential. This position offers a comprehensive health care plan and professional development opportunities. #J-18808-Ljbffr

Lead Coder page is loaded## Lead Coderlocations: Corpus Christi, TXtime type: Part timeposted on: Posted Yesterdayjob requisition id: JR111075# ****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...

Medical Billing and Coder EL PASO, Texas Medical Billing and Coding Specialist $23.87 per hour Temporary 3 to 6 Months Job Summary: We are seeking a detail-oriented and dependable Medical Billing and Coding Specialist to join our team in a fast-paced healthcare environment. The ideal candidate will accurately assign medical codes, process insurance claims, and ensure timely reimbursement while maintaining compliance with all federal, state, and payer regulations. Key Responsibilities: Review patient medical records and assign accurate ICD-10-CM, CPT, and HCPCS codes. Prepare, submit, and follow up on insurance claims for timely reimbursement. Verify patient insurance eligibility and benefits. Resolve billing discrepancies, denied claims, and payment issues. Maintain accurate patient billing records and documentation. Communicate professionally with patients, insurance companies, and healthcare providers regarding billing inquiries. Ensure compliance with...

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...

GENERAL SUMMARY OF DUTIES: Reviews 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 RECEIVED: Billing & Coding Supervisor Education/Experience Certified Professional Coding Certificate. Associate’s degree preferred or 5 years medical coding experience. Must have functional knowledge of medical terminology, anatomy, and physiology. Prior experience coding with ICD-10-CM. Knowledge Knowledge of clinic policies and procedures. Knowledge of pain management coding, and Spine procedure coding Knowledge of computer systems, programs, and spreadsheet applications. Knowledge of medical terminology. Knowledge of collection practices. Knowledge of...

Job Posting Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched appropriately to the codes and if...

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...

Job Posting CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians! Assigns and aligns predefined codes, tabulates the data into the computer system, generates new codes, resolves edits and denials, and maintains proper records in accordance with CLS guidance and procedures. Conducts regular reviews to ensure billing is timely, accurate, and in compliance. Job Description Assist with implementing and maintaining system-wide billing and coding quality audits. Understands, interprets and applies coding guidelines for coding audits. Review of medical records to determine coding accuracy of all documented diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including but not limited to...

Job Title Coders, Bill Reviewers, And Payment Integrity Reviewers Job Description Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures...

Medical Compliance Auditor We are searching for a Medical Compliance Auditor - someone who works well in a fast-paced setting. In this position, you will review and approve or deny medical claim appeals and perform clinical audits of medical records submitted in support of services billed by providers. This process includes clinical judgment, utilization review, application of product benefits, understanding of regulatory requirements for Medicaid managed care and fraud and abuse, and verification of medical necessity utilizing nationally recognized criteria. Think you've got what it takes? Job Duties & Responsibilities Assess the treatment plan, clinical information, and medical necessity of all requested services Utilizes established criteria to appropriately review billed services within established timeframe required. Consults with medical directors and clinical staff regarding patient's history and current care needs and whether services billed were appropriate....

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,...

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...

Community Health Choice is a nonprofit managed care organization serving Texas. The Risk Adjustment Coder II will review complex medical records, code chronic conditions, and map to HCCs under CMS guidelines. The role supports Commercial and Medicare risk adjustment programs and helps ensure accurate documentation and coding. The coder will contribute to trainings, audits, and collaboration across departments to improve documentation quality and compliance. #J-18808-Ljbffr

At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following:•RHIT - Certified Health Information Technician (AHIMA)•RHIA - Registered Health Information Administrator (AHIMA)•CCS - Certified Coding...

Company Overview National Partners in Healthcare (NPH) is a progressive healthcare company specializing in anesthesiology. We partner with physicians and health systems to deliver high‑quality care, aligning synergies and best practices to achieve superior outcomes. We believe in a foundation of trust, transparency, and excellence. The company offers career advancement opportunities that support a healthy work/life balance. Position Summary The Certified Coder abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD‑10 and/or CPT‑4 codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Inputs and maintains data on procedures required for state or other reporting. Essential Duties and Responsibilities Codes anesthesia charge tickets. Reviews CPT, ICD‑10, ASA and HCPCS coding on charge tickets. Reviews anesthesia records for supporting documentation for charge...

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...

Altegra Health is looking for remote Certified Coders to review medical records and assign appropriate ICD-9-CM codes. The ideal candidate will have an active nursing license or coding certification and extensive experience with outpatient diagnosis coding guidelines. Your responsibilities will include abstracting pertinent patient information, ensuring compliance with coding standards, and maintaining quality assurance in chart assignments. This role demands strong attention to detail and the ability to work independently. #J-18808-Ljbffr

Pain Specialists of America Billing Specialist Pain Specialists of America ("PSA" or "Company") is a Texas-based, multisite comprehensive pain management company that includes over 15 locations, three ASCs, and one CLIA-certified laboratory in New Braunfels. PSA is growing rapidly. We require extremely competent, talented professionals who can support the business and help it achieve its strategic objectives. The Billing Specialist and all PSA employees must demonstrate an absolute commitment to excellence, respect and delivery of the highest quality patient care. The Billing Specialist must maintain all technical standards to meet continuous quality improvement needs, financial and delivery requirements. The position requires a strong medical business office background who is familiar with E&M, Surgical, ASC, and Anesthesia Coding. The coder must have common medical billing and coding practices. This position also requires some experience in revenue cycle management to...

Overview The Revenue Cycle Medical Billing Specialist is responsible for the overall account resolution of patient accounts within the revenue cycle management (RCM) process. Ensures timely billing of claims to payers and follow up of denials, appeals, recoupments and balance management. Ability to audit and provide feedback on the billing process and outcomes. Works cooperatively with other departments to ensure timely billing, reporting and patient account management. Supports the organization’s strategic plan and workplace inclusion initiatives. Abides by the organization’s mission in performing job duties. Demonstrates an understanding and commitment to PPGT’s culture of quality, safety and risk awareness. Responsibilities Reviews submission of claims by third party billing team to the clearinghouse to ensure accuracy. Processes reimbursements and payment adjustments with attention to detail, timeliness, and accuracy. Makes corrections and prepares appeals related to claim...

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...

Medical Coder III Location: Remote Duration: 12 Months Payrate: $27/hr. on W2 Will this role be fully remote?: Yes Are there any specific locations the candidates should be in (i.e., do they need to live in IL): Any approved states What is the expected schedule (include dates/time/time zone): 7-4pm or 8-5pm local time M-F. What are the day-to-day job duties? Abstract and review inpatient and outpatient medical records for (Hierarchical Condition Categories) HCCs to determine if the HCC is supported by the medical record documentation. Knowledge of ICD-9 ICD10 Official Coding Guidelines, AHA Coding Clinic, including Codling clinic clarifications for DOS year under review. CMS RADV Medical Reviewer Guidance (1/10/2020). Top Skills Required: Must have prior experience with CMS Contract Level Risk Adjustment Data Validation Audits (RADV) and HHS RADV audits and IPM audits. Must have prior vendor coding review experience. Must have the ability to complete chart review...

Certified Coder This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. This position is for a Certified Coder who will provide coding expertise and clinical support across a wide range of initiatives and processes. This role requires close collaboration with cross-functional teams to ensure alignment with both clinical and business objectives, while supporting the successful execution of projects. This position is full-time (40 hours/week), Monday - Friday. Employees must work an 8-hour shift...