72 senior coder jobs found

JOB SUMMARY Responsible for assigning diagnostic and procedural codes (outpatient surgery, observation, infusion services, and interventional procedure records) to patient charts of moderate to high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. Coding Quality: Demonstrates ability to achieve accuracy and consistency in...

JOB SUMMARY This position will be functioning under minimal supervision while utilizing independent decision making. This position will assist the manager and supervisor in training new team members, coordinate inquiries from ancillary departments regarding DNFB and edit tasks. The Sr. Edit Coder will investigate and solve edit issues and communicate root cause data to management in order mitigate potential upstream and downstream impacts. Responsible for modifying and completing moderate to high complexity reviewing and resolving coding and charge edits using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Working in billing editor systems as required. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. Performs claim edit...

Senior Professional Fee Coder-San Antonio 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 demonstrate a professional, positive attitude with strong interpersonal and communication skills. Is able to work independently and collaboratively to meet deadlines. Also is highly detail-oriented,...

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 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

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

Senior Outpatient Coder 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 Hiermee the electronic medical record while maintaining compliance with established rules and regulatory guidelines. 117 FLSA Status Non‑exempt Qualifications Education Associate’s or higher degree in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree Experienceटा Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program Licenses and Certifications (Required) RHIT – Certified Health Information Technician (AHIMA) RHIA – Registered Health Information Administrator (AHIMA) CCS –...

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...

A leading educational healthcare institution in San Antonio is seeking a Senior Professional Fee Coder to oversee revenue cycle functions. Responsibilities include managing coding accuracy, conducting documentation reviews, and supporting educational initiatives. The ideal candidate should have five years of experience, a high school diploma or GED, and a Certified Professional Coder (CPC) designation. Proficiency in Microsoft Office and familiarity with EPIC are preferred. This full-time role offers an onsite work arrangement and is part of a collaborative environment. #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...

An established industry player is seeking a Senior Outpatient Coder to ensure accurate coding for outpatient encounters. This role involves working with complex medical records and collaborating with healthcare professionals to maintain high standards of coding quality. The ideal candidate will have a strong background in ICD-10-CM and CPT coding, along with experience in utilizing electronic health record systems. Join a forward-thinking organization that values initiative and continuous improvement, and contribute to enhancing the quality of healthcare data management. #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. PEOPLE ESSENTIAL FUNCTIONS Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders. SERVICE ESSENTIAL FUNCTIONS Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Job Description About the Role: We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact...

Explore Opportunities With Kelsey-Seybold Clinic Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing Together. In coordination with the Senior Coder, this position reviews, interprets and verifies diagnostic, clinical, and infusion codes for all oncology providers and extenders based on clinical reports within the EMR system and according to correct coding principles, current NCCI rules and LCD coverage determinations ensures that the proper codes are on all claims prior to submission for all charges for the cancer...

Explore opportunities with Kelsey-Seybold Clinic, part of the Optum family of businesses. Work with one of the nation's leading health care organizations and build your career at one of our 40+ locations throughout Houston. Be part of a team that is nationally recognized for delivering coordinated and accountable care. As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties. Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs. Join us and discover the meaning behind Caring. Connecting. Growing together. In coordination with the Senior Coder, this position reviews, interprets and verifies diagnostic, clinical, and infusion codes for all oncology providers and extenders based on clinical reports within the EMR system and according to correct coding principles, current NCCI rules and LCD coverage determinations ensures that the proper codes are on all claims prior to...

A healthcare provider organization in Houston seeks a Risk Adjustment Coding Specialist II to ensure compliance with Medicare documentation requirements, conduct audits, and mentor staff. Candidates must have 3-5 years of experience in risk adjustment coding, relevant certification, and reliable transportation for travel. This position follows a hybrid model requiring travel to provider offices, offering a competitive salary between $70,000 and $85,000 per year. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This position involves comprehensive medical record review to extract essential medical and demographic data. You will interpret and apply diagnoses and procedures using the ICD and CPT coding systems, contributing to the reduction of average accounts receivable days. ESSENTIAL RESPONSIBILITIES Thoroughly reviews and interprets medical information, physician treatment plans, outcomes, and determines the correct ICD-10 CM/CPT codes for diagnoses and procedures. (60%) Abstracts vital data elements to meet statistical requests from the hospital, health system, and medical staff, ensuring accurate entry of all coded/abstracted information into the designated systems. (15%) Manages medical information effectively and optimizes cash flow concerning the unbilled coding report. (10%) Stays updated with the latest changes and updates in ICD-10 CM/CPT guidelines through training...

Summary: Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty 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 and AMA CPT Guidelines. Coder will work collaboratively with various CHRISTUS Health departments, including but not limited to the HIM and Clinical Documentation Specialists, to ensure accurate and complete physician documentation to...

Job Title 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 codes based...

A healthcare management company in Schertz, Texas, seeks a skilled medical bill reviewer to audit and analyze medical bills for compliance with state regulations. The ideal candidate must have strong knowledge of medical terminology, relevant coding certifications, and two years of experience in medical billing, particularly in Workers' Compensation. You'll ensure accurate billing while maintaining productivity and quality standards in a fast-paced environment, fostering excellent relationships with healthcare providers and clients. #J-18808-Ljbffr

A prominent educational healthcare institution is seeking a DRG Coder to accurately code diagnoses and procedures for proper billing. This role necessitates at least three years of experience in hospital-based coding and certifications like CCS. Responsibilities include reviewing medical records, coding encounters, and participating in education sessions to maintain coding compliance. The position offers a standard office environment based in Galveston, Texas, and requires effective communication skills. Opportunities for remote work may be available. #J-18808-Ljbffr

A leading diagnostics laboratory is seeking a Billing Coder III to manage documentation review and coding of medical records, ensuring compliance with guidelines for proper reimbursement. The ideal candidate will possess significant medical coding experience, specifically related to anatomic pathology, and hold a Certified Professional Coder credential. Responsibilities include analyzing complex coding issues and training new hires. The role offers an engaging work environment focused on patient care and effective communication. #J-18808-Ljbffr