506 jobs found

Join our dynamic team as a Healthcare Coder, where you will play a crucial role in ensuring the accuracy of patient encounter data. Your responsibilities will include: Efficiently coding and abstracting patient encounters, focusing on diagnostic and procedural information. Researching and analyzing data to optimize reimbursement processes. Conducting thorough analyses of medical records to identify documentation deficiencies. Serving as a valuable resource and subject matter expert to fellow coding staff. Reviewing and verifying that documentation supports diagnoses, procedures, and treatment results. Auditing clinical documentation and coded data for compliance with regulatory requirements. Assigning appropriate codes to ensure reimbursements align with services rendered. Staying current with coding conventions and serving as a consultant to healthcare providers. Identifying discrepancies, billing issues, and potential quality of care concerns. Recommending...

Regulatory Bank Compliance Auditor (CPA Firm) Location: Texas (Remote / Hybrid - Travel Required) Kreps - Colgan & Associates Executive Search have been engaged by our client a dynamic Texas based CPA firm to find a dedicated and knowledgeable Regulatory Bank Compliance Auditor to join their Financial Institutions practice. This role is ideal for a professional with a strong focus on providing essential regulatory compliance audit and advisory services to a diverse portfolio of community banks, with a primary emphasis on deposit compliance, lending compliance, and BSA/AML. This position offers geographic flexibility across Texas, though periodic travel to various client sites is required. The ideal candidate will bring experience with the following responsibilities Perform Risk-Based Audits: Conduct comprehensive regulatory compliance audits for community banks, covering: Deposit Compliance: Expertise in EFTA/Regulation E, Truth in Savings/Regulation...

About Pinnacle Specialty Group Pinnacle Specialty Group is a woman-owned and operated small business specializing in providing project and contract management for Professional, Technical, Engineering, IT and Support Services. We offer full benefits to include: Medical, Dental, Vision, Paid Time Off, 401K - Company Matched. Duties Performs audits in accordance with Global Internal Audit Standards issued by the Institute of Internal Auditors for fieldwork, working paper preparation, and audit reporting. Analyzes and appraises evidentiary data in order to formulate objective opinions on the adequacy of the system of control, the extent of conformity to established accounting policy procedures, and the efficiency and effectiveness of performance of the activities being reviewed. For subcontract audits, determines the allowability/allocability/reasonableness of cost proposed or incurred. Makes adjustments to the original audit program with management approval. Notes potential problem...

Physician Associate Director of Medical Operations Location US-TX-Corpus Christi Job ID 359898 Pos. Category Medical - Physician Pos. Type Full Time Recruiter : Full Name: First Last Crissy Krc Overview $125K Bonus! Monthly and Quarterly Bonus Incentives! Through our evidenced based medicine approach, Concentra's goal is to provide quality patient care while treating everyone with friendliness, skill, and respect. We strive daily to promote a diverse environment of acceptance and compassion for our colleagues and cultivate a welcoming atmosphere where our patients can heal. As we've grown, we've expanded into urgent care, wellness services, administration, onsite health and wellness centers, and telemedicine. All these services together make achieving health easier and more accessible for our patients, clients, colleagues, and all provide you with unmatched support, education, career advancement opportunities, and benefits. The Associate Director...

Spends 100% of time in a center providing direct patient care, leading by example, and demonstrating an exceptional patient experience. Assumes the role and responsibilities of CMD, whether functioning in the capacity of CMD at a specific location or Operations, Director, Medical, Physician, Associate, Medical Director, Healthcare

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients. Job Summary Our client is seeking a Facilities Manager to oversee coding responsibilities within a hospital setting. The primary responsibilities include assigning Interim DRGs, attending mandatory meetings, adhering to coding guidelines, and meeting productivity standards across various hospital records. The role also involves resolving billing issues and expediting the billing process. Key Responsibilities Assign Interim DRGs as requested by hospital departments such as finance and medical management. Attend standard, scheduled, and mandatory meetings/education sessions. Follow coding guidelines and ensure the quality of coding for accurate reimbursement. Meet productivity standards for emergency, outpatient, day surgery, and series accounts. Assist with resolution of OCE, medical necessity, discharge status, missing procedure charges, and other...

DHR Health - US:TX:McAllen - Days Summary: POSITION SUMMARY: The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of Ethical Coding as set...

Inpatient Coder Do you have the career opportunities as an Inpatient Coder you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare. Our teams are a committed, caring group of colleagues. Do you want to work as an Inpatient Coder where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Job Summary and Qualifications As a work from home Inpatient Coding Specialist, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit, and/or validate the appropriate ICD-10 -CM and ICD-10- PCS codes. You will perform coding and/or code/DRG validation across multiple entities. What you will do in this role: Assigns, sequences, validates, and/or edits codes/DRGs and...

Join our team as a Medical Billing Specialist! We offer a competitive pay rate of up to $37/hr. If you have a passion for accuracy and detail in the medical billing field, we want to hear from you! Required Skills: Typing speed of at least 50 words per minute Excellent letter writing abilities Proficiency in MS Excel and MS Word Detail-oriented with strong follow-through Familiarity with Windows operating environment Knowledge of CPT and ICD-10 coding Understanding of medical terminology is a plus Strong critical thinking skills Job Responsibilities: Effectively enter charges received from the doctor's office on a daily basis. Input patient demographic and insurance information into our computer system as required. Ensure high accuracy when entering charges, collaborating with the doctor's office to obtain any missing information such as insurance cards, authorizations, and operative reports. If you're ready to take your career to the next...

Details Client Name Guadalupe Regional Medical Center Job Type Travel Offering Non-Clinical Profession Health and Information Management Specialty Medical Coder - Inpatient Job ID 17947050 Job Title Health and Information Management - Medical Coder - Inpatient Weekly Pay $1654.62 Shift Details Shift 5x8 Days Scheduled Hours 40 Job Order Details Start Date 03/11/2026 End Date 06/10/2026 Duration 13 Week(s) Client Details City Seguin State TX Zip Code 78155

Details Client Name Guadalupe Regional Medical Center Job Type Travel Offering Non-Clinical Profession Healthcare Administration Specialty Medical Biller/Coder Job ID 36114343 Job Title Healthcare Administration - Medical Biller/Coder Shift Details Shift 5x8 Days Scheduled Hours 40 Job Order Details Start Date 03/11/2026 End Date 06/10/2026 Duration 13 Week(s) Job Description Cure Healthcare is seeking a Healthcare Administration - Medical Biller/Coder for positions in Seguin, Texas. Current Texas license and AHA BLS and ACLS required and additional certifications related to this specialty. To qualify for this travel assignment, the candidate's primary residence must be located at least 50 miles from the facility address. This shift is 5x8 Days. Required: 2 years of recent experience in Medical Biller/Coder. Please inquire for specific job details and confirm shift required by facility. Client Details Address...

Job Type Full-time Description Job Title: Medical Billing Specialist Job Summary: We are seeking a detail-oriented and knowledgeable Professional Reimbursement Specialist to join our healthcare team. The ideal candidate will be responsible for managing and processing medical claims, ensuring accurate reimbursement from insurance providers, and maintaining compliance with healthcare regulations. This role requires strong analytical skills and a commitment to providing excellent service to both patients and healthcare providers. Key Responsibilities: - Review and process medical claims for accuracy and completeness. - Communicate with insurance companies to resolve claim discrepancies and denials. - Ensure compliance with federal and state regulations regarding medical billing and reimbursement. - Maintain detailed records of claims and payments for auditing purposes. - Collaborate with healthcare providers to gather necessary documentation for claims. -...

Job Family : Operational Effectiveness Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do: Guidehouse is seeking a Revenue Integrity Analyst (Medical Biller) with strong billing, coding, and revenue cycle expertise to support the modernization of MHS GENESIS, the DoD's enterprise EHR. The role ensures accurate billing, compliant charge capture, and efficient claim resolution by analyzing data, auditing documentation, and collaborating with clinical, coding, IT, and financial teams across the Military Health System. Responsibilities of this role are as follows, to include but not limited to: Revenue Integrity & Charge Capture Optimize and validate MHS GENESIS / Cerner charge capture workflows, CDM logic, billing rules, and revenue cycle configuration. Conduct charge capture validation, reconciliation of clinical activity to billing outputs, and identification of DNFB risks and...

Occupational Therapist / Certified Hand Therapist, San Antonio Medical Center At Momentum, we believe in a creative, patient-centered approach. You'll work alongside a team of expert clinicians who are dedicated to delivering top-tier care. We value your unique ideas and expertise and provide a supportive environment where you can truly make an impact. Job Description Are you an experienced and passionate Certified Hand Therapist ready to take your career to the next level? Join the dynamic team at Momentum Physical Therapy, a fast-growing leader in San Antonio's healthcare community. We're looking for an innovative and collaborative clinician to help us expand our hand therapy department. Qualifications Certified Hand Therapist (CHT) certification (or actively pursuing certification). Current Texas PT or OT license and CPR certification. 3+ years of hand therapy experience is required. An energetic, outgoing, and patient-focused personality. Strong communication skills...

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...

Certified Professional Coder Think of yourself as someone who will provide world-class service to our customers or clients in an accurate, efficient, and respectful manner on every call as measured by different performance metrics, so not everyone can qualify for this role. We make sure we get the best of the best, after all, we are a ridiculously good company so we make sure our employees are top-notch. So come on, now we need your full concentration because it's time to imagine what it's like being a Certified Professional Coder. As a Certified Professional Coder you will... Audit charts to ensure accurate ICD-10 CM and CPT code assignment as well as documentation integrity to prevent claim denials. Use critical and logical thinking skills in chart-auditing based on the guidance set forth by the client. Uphold netiquette and professionalism in any interaction with the TaskUs team, other vendors and the client. Job Summary: The CPC will be responsible for reviewing...

Job Family : Operational Effectiveness Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do: The Revenue Integrity Analyst (Medical Coding) supports accurate documentation, compliant coding, and optimized charge capture within MHS GENESIS, the Military Health System's enterprise EHR. The role ensures correct configuration of revenue cycle workflows and reduces revenue leakage through data analysis, system support, and cross-functional collaboration. Responsibilities of this role are as follows, to include but not limited to: System Configuration & Workflow Validation Validate, test, and troubleshoot MHS GENESIS / Cerner coding workflows, including charge capture pathways, coding forms, charge router logic, and billing system integrations. Ensure accurate mapping and configuration of ICD-10-CM, CPT/HCPCS, modifiers, clinical documentation, and charge codes across departments....

Overview NOW RECRUITING EXPERTS IN COLLABORATION AND COMPASSION. At Family Care Center, we are on a mission to transform lives by elevating behavioral health care. Our journey began in 2016 when two U.S. Army Veterans founded Family Care Center to help service members, Veterans and their families. We continue that tradition today, caring for people of all ages across a broad range of conditions with nearly 30 outpatient clinics in communities across Arizona, Colorado, Florida, Tennessee and Texas. If you’d like to work for one of the nation's fastest-growing behavioral health providers while collaborating with a multidisciplinary team to make a positive impact on the well‑being of your local community, we look forward to hearing from you. Why Join Us Where behavioral health behaves differently. WE FOCUS ON YOU, SO YOU CAN FOCUS ON YOUR PATIENTS: Our comprehensive support system enables you to build a robust and profitable caseload, while ensuring you have the autonomy, time and...

Job Summary JOB SUMMARY The primary purpose of the SPEC, PHYS SVC CODING III 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 III roles include but are not limited to invasive and surgical coding such as general surgery, interventional radiology, invasive cardiology, and anesthesia. 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 exceedproductivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members,...

Risk Adjustment Coder Specialist Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselvesone that behaves like a doctor in the family. About the role: The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work closely with management to meet communicated individual and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS), and be active and engaged in establishing effective Risk Adjustment processes. You will report into the Manager, Risk Adjustment. Work location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; or Texas. While your daily work will be completed from your home office, occasional travel may be required...

CERIS Certified Coder I CERIS is seeking a Certified Coder. The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This is a remote role. Essential Functions & Responsibilities: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations to referring office Communicates claim status with referring office Reads and comprehends all medical reports Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Complies with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program ("IIPP"), as well as, maintains HIPAA compliance Knowledge & Skills: Ability to learn rapidly to develop knowledge and...

Job Title Hours of Work: 8:00 am - 4:30 pm Days Of Week: Monday - Friday Job Description: In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement. They establish an accurate database for case mix indices which provide statistical reporting and trend analysis. The Coder 2 is proficient in coding DRG based records as well as all other payers. Job Requirements: High school graduate or its equivalent Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder Proficient in detailed work Maintain a professional image in handling confidential patient information Excellent written and oral communication skills to interact with physicians, other health care...