33 coder i jobs found in Houston, TX

Job Summary and Responsibilities As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients' medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. The Coder I is responsible for abstracting and assigning valid CPT ICD-9/10 and HCPCS codes to ensure appropriate reimbursement in accordance with federal state and private health plans as well as organization and regulatory guidance. This roles typically...

Catholic Health Initiatives - Baylor St Luke's Medical Group [Medical Records Clerk] As a Coder at Catholic Health Initiatives, you'll: Accurately abstract information from the service documentation, assign and sequence appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems; Be responsible for working encounters in the coding work queue or task lists in a timely manner; Review and resolve coding denials; Meet or exceed organizational coding production and quality standards...Hiring Immediately >>

A leading healthcare organization seeks a Coder in Houston, Texas, responsible for coding medical records accurately while ensuring compliance with healthcare regulations. This role requires attention to detail and communication skills, pairing 1-3 years of coding experience with the knowledge of coding standards. Candidates should have a high school diploma or GED. The competitive pay range is $24.15 - $34.12 per hour, highlighting the organization's commitment to quality care. #J-18808-Ljbffr

A healthcare organization in Houston seeks a Coder responsible for translating medical records into standardized codes for accurate claims processing. The ideal candidate will have a High School diploma and 1-3 years of physician coding experience, with a strong attention to detail and communication skills. Preference is given to those with Electronic Health Record experience and coding certification. This role offers a competitive pay range, ensuring compliance with healthcare regulations. #J-18808-Ljbffr

A healthcare provider in Houston seeks a Coder to ensure precise communication with insurance companies and accurately translate medical records into standardized codes. The ideal candidate will have a high school diploma or GED along with 1-3 years of coding experience. Responsibilities include maintaining compliance with coding standards and communicating with clinical and administrative teams. This position offers a pay range of $24.15 - $34.12 per hour. #J-18808-Ljbffr

A leading healthcare organization in Houston is seeking a Coder to ensure precise communication with insurance companies and proper documentation of services. The role involves coding medical records and collaborating with providers to ensure timely payment processing. Candidates should have a high school diploma and at least one year of coding experience, with preferences for those with EHR experience or relevant certifications. This position is essential for maintaining compliance and quality in healthcare billing. #J-18808-Ljbffr

About CLS Health At CLS Health, we are redefining healthcare delivery. As Houston's largest physician-owned, physician-led healthcare system, our mission is to provide patient-centered care through innovation and operational excellence. With over 200 providers in 35 locations and 40+ specialties, we're building a scalable healthcare system that empowers physicians and delivers unmatched quality and access for patients. Summary 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...

Overview At Houston Methodist, the Lead Inpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. Houston Methodist Standard...

Job description: Employment type: Contract (initial 3 months; likely extension) Schedule: Full-time, Monday–Friday (flexible daytime hours) Location: Remote (U.S. only) About the Role We’re hiring an experienced Inpatient Medical Coder to support acute-care facility coding for a Level I Trauma Hospital. The ideal candidate is AHIMA-credentialed, highly accurate with ICD-10-CM/PCS and MS-DRG/APR-DRG assignment. Key Responsibilities Review inpatient medical records and assign  ICD-10-CM/PCS  codes with appropriate  DRG  assignment (MS-DRG/APR-DRG as applicable). Ensure compliance with  AHIMA ,  AHA Coding Clinic ,  CMS , and facility guidelines. Query providers per policy to clarify documentation and support compliant code/DRG selection. Meet or exceed productivity and  95–98%+ quality  standards. Collaborate with HIM/CDI teams to resolve discrepancies and optimize documentation integrity. Maintain HIPAA compliance and safeguard PHI in a remote work setting....

A non-profit managed care organization in Texas is seeking a Risk Adjustment Coder II to conduct complex medical record reviews and code chronic conditions accurately. This role requires 3-5 years of experience in risk adjustment coding and relevant certifications. The ideal candidate will ensure compliance with coding guidelines and contribute to departmental goals. Strong analytical and interpersonal skills are essential, along with proficiency in Microsoft 365. This position supports high-quality healthcare access for members. #J-18808-Ljbffr

A healthcare organization in Houston seeks an experienced Value Based Coder II to conduct thorough reviews of patient medical records, focusing on Hierarchical Condition Categories (HCC). The role involves delivering provider education, participating in compliance monitoring, and contributing to performance improvement initiatives. Candidates should have a relevant bachelor's degree or equivalent experience, along with coding certifications. Strong knowledge of CPT and ICD-10 coding, risk adjustment models, and excellent communication skills are essential. #J-18808-Ljbffr

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions. Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription...

About Us Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor...

Value Based Coder II The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement. 1. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding. 2. Advanced Documentation...

Catholic Health Initiatives - St Luke's Health [Medical Records Clerk] As a Coder at Catholic Health Initiatives, you'll: Accurately abstract information from the service documentation, assign and sequence appropriate CPT, ICD-9/10, and HCPCS codes into the appropriate billing systems; Be responsible for working encounters in the coding work queue or task lists in a timely manner; Review and resolve coding denials; Meet or exceed organizational coding production and quality standards...Hiring Immediately >>

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. Primary Responsibilities Provides coding and coding-auditing services for physician and facility documentation Reviews operative reports and clinical documentation to accurately assign CPT, ICD, and HCPCS codes using current NCCI guidelines and LCD coverage determinations Ensures timely and accurate charge capture to support efficient billing and optimal revenue cycle performance Serves as a liaison to...

Professional Coder II 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. 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 organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time all of which equates to around 37-38 days per year) The longer you stay, the more vacation you'll accrue! Longevity Pay (Monthly payments after two years of service) Build your future with our awesome retirement/pension plan! We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as... Free financial...

Where You’ll Work Baylor St. Luke’s Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke’s Health. Located in the Texas Medical Center, the hospital is the home of the Texas Heart® Institute, a cardiovascular research and education institution founded in 1962 by Denton A. Cooley, MD. The hospital was the first facility in Texas and the Southwest designated a Magnet® hospital for Nursing Excellence by the American Nurses Credentialing Center, receiving the award five consecutive times. Baylor St. Luke’s also has three community emergency centers offering adult and pediatric care for the Greater Houston area. Job Summary and Responsibilities The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on...

Job Summary and Responsibilities The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to identify, assess, monitor, and review coding opportunities, with a growing emphasis on Hierarchical Condition Categories (HCC). This role focuses on developing and delivering provider education and contributing to process improvement initiatives. The Value Based Coder II acts as a valuable resource in identifying clinically appropriate risk-adjusting conditions and supporting provider documentation improvement. Comprehensive Record Review & HCC Expertise: Independently review patient medical record information via population health tools on both a retroactive and prospective basis to identify, assess, monitor, and review network coding opportunities as it pertains to risk adjustment and HCC. Validate the accuracy and completeness of HCC documentation and coding....

Position Summary: The Professional Coder II is responsible for reviewing medical documentation provided by physicians or other health care professionals to validate or assign and sequence CPT/HCPCS, ICD-10CM, and modifiers for both clinic and hospital based professional encounters. The Coder applies coding conventions in accordance with official coding and regulatory guidelines, third-party payer policies, and departmental procedures. This role is responsible for inpatient/outpatient E/M encounters including office or hospital outpatient procedures, radiology and emergency department visits. Position Key Accountabilities: Resolves edits and assigns diagnosis and procedure codes. Responsible for reviewing encounters in the coding work queue in a timely manner and resolving all coding related edits. Reviews medical record and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers ensuring compliance with all applicable guidelines. Approves and...

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. Primary Responsibilities: Provides coding and coding-auditing services for physician and facility documentation Reviews operative reports and clinical documentation to accurately assign CPT, ICD, and HCPCS codes using current NCCI guidelines and LCD coverage determinations Ensures timely and accurate charge capture to support efficient billing and...

About Us Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs: • Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women • Children's Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR • Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions. • Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits,...

A healthcare organization is seeking an experienced coding specialist to code and abstract inpatient records. Responsibilities include ensuring coding accuracy and productivity standards while navigating electronic medical records. The ideal candidate will have a high school diploma with a preference for an associates degree, current coding credentials, and significant experience in inpatient coding. This role can accommodate remote work from specific states, providing flexibility for qualified applicants. #J-18808-Ljbffr

Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is an advanced level coding position that codes and abstracts Inpatient records for data retrieval, analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a designated coding and abstracting system utilizing the 3M encoder, as appropriate. Meets quality and productivity coding standards and demonstrates the ability to navigate an EMR. Ability to code across all facilities. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: Alabama, Arizona, Arkansas,...