19 rcm coder jobs found

Job Description Job Description Job Posting: Medical Biller/Coder Clarius Medical Group PLLC – Sugar Land, TX (On-site)About Us Clarius Medical Group PLLC is a dynamic and patient-centered internal medicine and geriatrics practice. We aim to provide top-tier primary care across various settings including clinics, hospitals, and specialized facilities. Based in Sugar Land and extending our services throughout the Greater Houston area, we are committed to employing advanced EHR systems and interactive tools such as eClinicalWorks and Healow to enhance patient care and outcome measures. Position Summary We have an exciting opportunity for a Full-Time Medical Biller/Coder to join our administrative team. This position requires a professional who is well-versed in both front-end and back-end billing operations, applicable in outpatient or multi-site healthcare environments. The role involves close collaboration with healthcare providers, the practice management team, and external...

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 Description Job Description Description: Pain Specialists of America 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 (“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...

Senior DRG Coder - RCO Coding (Remote) Galveston, Texas, United States New Business, Managerial & Finance UTMB Health Requisition # 2603788 EDUCATION & EXPERIENCE: Minimum Qualifications: Three years of related experience. Preferred Qualifications: Experience with communicating, training, and educating providers in proficiency. Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations. REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS: One of the following: CCS – Certified Coding Specialist (AHIMA) or RHIA – Registered Health Information Administrator (AHIMA) or RHIT – Registered Health Information Technician (AHIMA) JOB SUMMARY: To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options. ESSENTIAL JOB FUNCTIONS: Selects records from EPIC WQ...

Coding Specialist To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options. Selects records from EPIC WQ according to priority. Reviews all federally insured and other patient discharge encounters for accurate coding and sequencing of diagnoses and procedures. Correctly assigns ICD-10 -CM diagnoses and I C D - 1 0 - P C S procedure codes and enters appropriate codes into EPIC Encoder. Identifies responsible staff and resident physicians for each procedure coded. Always protects confidentiality of patient information. Participates in section meeting and office in-services. Attends and participates in coding education sessions. Keeps coding knowledge and skills current through attending continuing education activities and reviewing pertinent literature. Obtains required CEU's for certification and completes any required...

Odessa Regional Hospital, LP is seeking a Medical Coder to analyze patient charts and ensure accurate documentation before coding. The ideal candidate should have a strong background in medical billing and coding with experience in CPT and ICD-10 codes. This position requires effective communication skills and the ability to work collaboratively with healthcare providers and billing teams. A high school diploma or equivalent along with relevant training is essential. Bilingual candidates are preferred. #J-18808-Ljbffr

Encompass Health is seeking a skilled HIMS Coder to ensure accurate medical coding and maintain data integrity in Dallas, Texas. Your role involves precise coding of medical records using ICD-10-CM and CMS 13 group codes, upholding compliance with all regulatory guidelines. We provide affordable healthcare benefits, generous paid time off, and many growth opportunities within a supportive community. If you're looking to align your career with your values while making a significant impact, consider joining us! #J-18808-Ljbffr

University Health - San Antonio is seeking an entry-level coder to work under the direct supervision of the Outpatient Coding and Reimbursement Manager. The role involves assigning ICD-10-CM and CPT diagnosis for basic ancillary services and promoting guest relations. Applicants should have a high school diploma or equivalent, and completion of a coding program is preferred. A valid certification from AAPC, AHIMA, or NCCT must be obtained within 18 months of employment. #J-18808-Ljbffr

Preferred Qualifications: Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations. Radiation Oncology Coding experience. REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS: CCA – Certified Coding Associate (AHIMA) CCS – Certified Coding Specialist (AHIMA) CCS-P – Certified Coding Specialist – Physician Based (AHIMA) RHIA – Registered Health Information Administrator (AHIMA) CPC – Certified Professional Coder (AAPC) CPC-A – Certified Professional Coder – Apprentice (AAPC) JOB SUMMARY: 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. ESSENTIAL JOB FUNCTIONS: Reviews documentation in EPIC and/or on paper as provided to appropriately assign ICD-10-CM, PCS and CPT codes. Communicates with and provides feedback to the...

Encompass Health Corporation is seeking a skilled HIMS Coder to join our team in Dallas, Texas. This position involves accurately coding medical records and maintaining compliance with regulations. Ideal candidates will have relevant certifications and a commitment to quality patient care. Working with Encompass means joining a leader in inpatient rehabilitation, with opportunities for growth in a supportive environment. We offer competitive benefits, including medical plans, paid time off, and a 401(k) matching program. #J-18808-Ljbffr

Encompass Health Business Services is looking for a skilled HIMS Coder in Dallas, Texas. This role focuses on accurate coding of medical records, ensuring data integrity, and supporting healthcare efficiency. You will play a vital role in translating medical information using ICD-10-CM and CMS 13 group codes. Successful candidates must have relevant certifications and a background in Health Information Technology. The position offers a competitive benefits package, including medical plans, paid time off, and opportunities for education reimbursement. #J-18808-Ljbffr

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: Three (3) or more years of hands-on experience in professional medical billing, with demonstrated knowledge of charge review, claim edits, and rejection/denial workflows. Demonstrated knowledge of ED/OBS infusion coding. Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations. 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 – Physician Based (AHIMA) or RHIA – Registered Health Information Administrator...

A healthcare staffing company is seeking a Remote Medical Records Technician responsible for accurate inpatient coding and data validation. The role involves reviewing medical records, coding with ICD-10-CM/PCS, and collaborating with billing staff. Candidates should have a certification in health information coding and at least 3 years of coding experience in a healthcare setting. This full-time position supports the Central Texas Veterans Health Care System. #J-18808-Ljbffr

Professional Coder II/III What 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 seeking Professional Coder II and III candidates to join its Revenue Cycle – Charge Capture team. Responsibilities include coding and resolving edits for Emergency Medicine and ACTAT. Cardiology, Emergency, and Gastro coding experience, along with Epic proficiency, are preferred. Department: Revenue Cycle Status: Full-time Location: Remote (2 -4 weeks onsite for training @ 1851 Crosspoint Ave, 77054), Occasionally, onsite meetings/additional training, etc. Must live in Texas (TX) **We DO NOT provide lodging or mileage reimbursement for training** 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...

Job Description Job Description Nobility is a Scottsdale, Ariz.-based company offering leading-edge revenue cycle management (RCM) solutions to healthcare organizations of all sizes and specialties. We present a unique value proposition by providing working capital to our clients alongside advanced RCM and back office services. Nobility team members work in 21 U.S. states, with physical operating sites in Arizona, Colorado, Michigan, Nebraska, Ohio, Oklahoma, Tennessee and Texas. Billing support services and related software development are managed by wholly owned off-shore subsidiaries in Pakistan, Dubai and the Philippines. Widely recognized for pioneering the Nobility Pre-Funding solution, a guaranteed revenue model for healthcare providers, our company delivers exceptional outcomes centered on our values of Performance, Transparency and Communication. SUMMARY The Medical Billing Specialist will be a primary point of contact for their assigned portfolio of...

Certified Mobile Notary Service https://certifiedmobilenotaryservice.com Responsible for validating dispute reasons following Explanation of Benefits (EOB) review, escalating payment variance trends or issues to NIC management, and generating appeals for denied or underpaid claims. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Validate denial reasons and ensures coding in DCM is accurate and reflects the denial reasons. Coordinate with the Clinical Resource Center (CRC) for clinical consultations or account referrals when necessary, Generate an appeal based on the dispute reason and contract terms specific to the payor. This includes online reconsiderations. Follow specific payer guidelines for appeals submission Escalate exhausted appeal efforts for resolution Work payer projects as directed Research contract terms/interpretation and compile necessary supporting documentation for appeals, Terms & Conditions for Internet enabled...

Overview The Medical Billing Specialist will be a primary point of contact for their assigned portfolio of accounts. They will have full responsibility for the client relationship, provide both tactical and strategic oversight, and work with internal operations teams to solve issues as they arise. The Billing Specialist will utilize key operational & financial performance metrics for each account and be responsible for communicating results to the client. This is a in-person job in Fort Worth, Texas . Responsibilities Provide outstanding customer service to Nobility Clients Develop outstanding professional relationships with key stakeholders and Nobility Clients Monitor the claim adjudications; identify the trends and recommend actions to support teams. Serve as daily escalation point for clients Answer patient questions regarding billing issues Communicate with insurance companies on billing issues Work with various reports to improve A/R Work effectively with other...

## CBO Certified Coder IIApplylocations: Corpus Christi, TXtime type: Full timeposted on: Posted Todayjob requisition id: JR108278# ****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.*To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required. • Always maintains utmost level of confidentiality. • Adheres to hospital policies and procedures. • Demonstrates business practices and personal...

Key Responsibilities:Claims and Billing Operations. Prepare, review, and submit insurance claims (electronic and paper when needed) for professional and or facility services. Verify that claims include accurate patient demographics, insurance information, authorizations, diagnosis codes, procedure codes, modifiers, units, and supporting documentation as applicable. Maintain clean claim workflows and resolve claim edits and clearinghouse rejections promptly. A/R Follow-Up and Denials Management. Monitor accounts receivable aging and prioritize follow-up based on payer rules, dollar value, and timely filing limits. Investigate and resolve denials, underpayments, and request for information (medical records, referrals, authorizations). Submit corrected claims and appeals with appropriate documentation and accurate coding support. Payments and Patient Billing. Post and reconcile payments and adjustments from ERAs and EOBs. Identify and escalate payer payment variances and contract...