87 coder 1 jobs found in Dallas, TX

*Description* The Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances *Skills* Epic, AAPC, ICD 10, CPT4, 340B, AHIMA, EM Coding, Ochin epic, HCC, hipaa, FQHC, Federally Qualified Health Center, Medi-Cal, Maedicare, Medicaid, trizetto, IPA, Independent physician association, Avility, Clearing house, Emr *Top Skills Details* Epic,AAPC,ICD 10,CPT4,340B,AHIMA,EM Coding,Ochin epic,HCC,hipaa *Additional Skills & Qualifications* *Must have FQHC experience *Ochin Epic or Epic experience *Ability to collaborate effectively across a broad spectrum of backgrounds and perspectives. Candidates who demonstrate inclusive thinking and interpersonal awareness help strengthen our commitment to equitable and compassionate care for all. *Experience Level* Expert Level *Job Type & Location*This is a Contract...

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

**Requisition number:** 2377170 **Job category:** Medical & Clinical Operations _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.** As the organization accelerates its digital transformation, Benefit Digitization and AI 10.0 efforts are key to improving efficiency, enhancing member and provider experiences, and managing long term costs. To achieve these goals, dedicated roles are needed to design, implement, and manage the digital capabilities that support these initiatives. This...

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...

Professional Coder The professional coder will be responsible for handling clinic charges, scrubbing chart for completeness, reviewing diagnosis codes, verifying procedures, along with communicating with providers regarding missing info 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. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here....

Coder II Hours of Work: 10-20 Days Of Week: Flexible Work Shift: PRN (United States of America) Job Description: In this highly technical, fast-paced, and challenging position, you'll collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement. Establishes an accurate database for case mix indices and for statistical reporting and trend analysis. The Coder II is proficient in coding DRG based records as well as all other payers. Job Requirements: High School Diploma or Equivalent - Required Minimum of 2 years DRG based coding experience in an acute care hospital, experience using encoder. Accredited coding courses from an institution of higher learning, Medical Terminology, Anatomy and Physiology. CCS or CPC Certification - Strongly preferred. Job...

Job Title Dallas, TX 8hr shift M-F Looking for someone with outpatient or inpatient hospital coding compliance or coding auditing experience. CPC or CCS certification. Responsibilities: Assign, sequence, validate, and edit codes for multi-specialty professional outpatient/inpatient encounters for both adults and pediatrics Assign appropriate E/M, ICD-10-CM and/or CPT codes based on documentation and/or payer requirements HEDIS measures CAT II code reporting for HTN, diabetes, obesity, and cervical cancer Review NCCI and nosology edits for accurate code capture Review LCD's and/or payor policies to appropriately resolve coding edits Evaluate medical record for provider signature and validate provider facility credentials Resolve and/or clarify clinical data as necessary Review and run data reports to monitor individual productivity Utilize current coding guidelines, Coding Clinic, CPT Assist for coding accuracy guidance

Inpatient Coder (Remote) Full-time Work From Home Must have CCS, RHIA, or RHIT certification Job Summary As a Coding Integrity Specialist III WORK FROM HOME, 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. A CIS III performs coding and/or code/DRG validation across multiple entities by applying all appropriate coding guidelines and criteria for code selections. Job Qualifications Assign, sequence, validate, and/or edit codes/DRGs and abstracted data (e.g., physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCS Maintain or exceed established accuracy standards Maintain or exceed established productivity standards Utilize the complete patient medical record documentation in code/DRG assignment, validation, and/or editing of codes/DRGs Undergraduate (Associate's or Bachelor's)...

Outpatient Coder (Remote) Full-time Work From Home Must have Surgical/OBS coding experience and documented billing edit experience Ob Summary As part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position. Job Responsibilities Verifying accuracy of assigned CPT codes for complex and/or error prone procedures, Verifying the diagnosis coding accuracy for complex and/or error prone encounters, Validating certain discharge dispositions, Reviewing charge and procedure mismatches, Reviewing codes with revenue integrity for NCD/LCD coverage, Reviewing invalid codes, code conflicts, and missing modifiers, Working with...

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...

TEKsystems is seeking a Billing Medical Coder for a fully remote contract role based in Dallas, TX. The position handles day-to-day coding and billing across grants and government programs, plus private insurances, with a pay range of $29-$39/hr. Ideal candidates have FQHC experience and Epic/Epic-related credentials. Experience with ICD-10, CPT-4, 340B, AHIMA, and EM Coding is preferred, along with strong collaboration across diverse teams. #J-18808-Ljbffr

Methodist Health System is looking for a remote coder to ensure accurate assignment of medical codes including CPT®, HCPCS, and ICD-10 for professional services. Responsibilities include reviewing documentation and engaging with healthcare providers to enhance coding accuracy. Candidates should possess coding certifications and at least two years of coding experience. The role offers comprehensive benefits such as medical, dental, and vision insurance, as well as a matched retirement plan. #J-18808-Ljbffr

Overview The Professional coder will be responsible for handling clinic charges, scrubbing chart for completeness, reviewing diagnoses codes, verifying procedures, along with communicating with providers regarding missing info and working edits. EEO and Accommodations 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. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form...

Location Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Hours of Work 8:00-4:30 Days of Week M-F Job Description Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job Relationships Reports to Coding Manager Certification Requirements Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC Preferred Skills, Credentials, Professional Qualifications High school diploma or equivalent; Associate degree is an asset. A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding. Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies. Independently disciplined in time management and productivity. Experience in electronic medical record software, preferably Epic. Microsoft Office proficient. Ability to communicate...

Job Overview Role type: Risk Adjustment Coding Auditor. Quantity of resources: 2. Duration: 6 months. JD: This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skills MS Suite CPC certified CRC certified 5+ years of risk adjustment experience Equal Opportunity Statement We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr

A leading staffing agency is seeking a Professional Coder to manage clinic charges, verify procedures, and communicate with medical providers. Candidates should possess a GED or High School Diploma, CPC Certification, and at least 2 years of coding experience, ideally including surgical coding. This role is based in Dallas, Texas, and is suitable for individuals committed to supporting a diverse working environment. #J-18808-Ljbffr

Medical Coder - Professional Fee (ProFee) | On-Site Healthcare Job in Dallas, TX Experienced ProFee Medical Coder needed for an on-site revenue cycle opportunity supporting outpatient and physician coding for a leading healthcare provider. If you have strong experience with Cath Lab and Cath/EP procedures, this medical coding job could be an excellent next step in your healthcare career. We are seeking an experienced Medical Coder with Professional Fee (ProFee) expertise for an on-site opportunity supporting revenue cycle operations. This role is ideal for a detail-oriented coding professional with strong knowledge of outpatient and physician-based coding, including Cath Lab and Cath/EP procedures. Located in Dallas, Texas in the 75246 area, this opportunity offers the advantages of working in a well-established healthcare hub with convenient access to a vibrant metropolitan setting, professional growth opportunities, and a dynamic clinical environment. If you are passionate...

Benefit Coder Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing. Job Description The role is responsible for execution of requests related to benefit maintenance, additions and changes across all business units within the RxClaim system. Review, analyze and handle client benefit information requests received via SalesForce.com or email. Assess completeness and accuracy of data, resolve issues based on acquired learning and tools and escalate issues on a timely basis. Ensure that individual, team-specific and site-wide metrics are achieved. Activities include but...

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 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: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job Summary...

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...

Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: 2. HEDIS 3. Medical Record Reviews (Accreditation) 4. And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities Abstract pertinent information from patient medical records. Assign appropriate...

Hours of Work : 8-430 Days Of Week : M-F Work Shift : Job Description : Location: Remote position after training on site (a minimum of 3 weeks) at the Dallas Campus. Job Relationships: Reports to Coding Manager Certification Requirements: Core coding certification credential from AAPC or AHIMA: CPC, CCS-P required; CCC Preferred Skills, Credentials, Professional Qualifications High school diploma or equivalent; Associate degree is an asset A minimum of two years of professional coding experience or one year of professional coding experience and two years of HCC experience; demonstrated experience in procedural/surgical coding Strong knowledge of CMS manuals, federal and regulatory guidelines and correct coding policies Independently disciplined in time management and productivity Experience in electronic medical record software, preferably Epic Microsoft Office proficient Ability to communicate written and oral coding information...

Job Summary (Par time-Potential for Fulltime) The Certified ER Medical Coding Auditor is responsible for auditing emergency department medical records to ensure accurate coding, compliance, and optimal reimbursement. This role also includes training and mentoring offshore coding teams to maintain high-quality standards and consistency across operations. Key Responsibilities Audit ER charts for accurate assignment of ICD-10-CM, CPT, and HCPCS codes Validate E/M level selection for emergency department visits Ensure compliance with payer guidelines and regulatory standards (CMS, HIPAA) Identify under coding, over coding, and documentation deficiencies Prepare detailed audit reports with corrective recommendations Provide education and feedback to coders and providers Train and mentor offshore coding teams on ER coding guidelines and audit findings Conduct regular quality review sessions and calibration meetings with offshore staff Develop and update...

Hours of Work : 10-20 Days Of Week : Flexible Work Shift : PRN (United States of America) Job Description : Your Job:   In this highly technical, fast-paced, and challenging position, you'll collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS, and/or CPT codes for optimal reimbursement. Establishes an accurate database for case mix indices and for statistical reporting and trend analysis. The Coder II is proficient in coding DRG based records as well as all other payers. Your Job Requirements: • High School Diploma or Equivalent - Required • Minimum of 2 years DRG based coding experience in an acute care hospital, experience using encoder.  • Accredited coding courses from an institution of higher learning, Medical Terminology, • Anatomy and Physiology • CCS or CPC...