21 cpc certified professional coder jobs found in Boerne, TX

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 support...

Job Family General Coding Travel Required None Clearance Required None What You Will Do: Pre-Authorization Coding: The coder will review documentation for planned procedures and provide the appropriate CPT for authorization. What You Will Need: High School Diploma or equivalent 3-5 years of relevant experience Certified Professional Coder (CPC) certification from AAPC Knowledge in coding guidelines Good written and oral communication skills Proficiency in use of excel What Would Be Nice To Have: Proficiency in CPT Surgical Coding Additional surgical specialty credentials from AAPC The annual salary range for this position is $40,000.00-$66,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What We Offer: Guidehouse offers a comprehensive, total rewards package that includes...

divh2Outpatient Coder 2/h2pHow would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of whats possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in peoples lives./ppWork Shift: Day (United States of America)/ph3Job Summary:/h3pThe Outpatient Coder 2 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in outpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate. Abstracts...

Job Description Job Description Certified Medical Coder (Remote Production Role) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted...

Job Description Job Description Description: Medical Coding Specialist Join the Winning Team!! A Medical Coding Specialist wanted for a busy medical practice. The coding specialist is responsible for ensuring accurate coding for vascular services, specifically to lower extremity veins. Candidates should have a positive attitude, strong work ethic, and be a team player. Hours: Monday-Friday 7:30am - 4:30pm Essential Functions: Review clinical documentation to ensure the appropriate coding (CPT codes, diagnosis codes, modifiers, etc) Ensure all codes meet federal, state, and insurance-specific guidelines Submit electronic claims to clearinghouses and insurance carriers daily Monitor client action worklist Communicate with payers via portals or phone to resolve outstanding payment issues Post insurance and patient payments accurately to the practice management system Maintain strict adherence to HIPAA regulations regarding patient data privacy Audit medical...

Job Description Job Description At Broadway Ventures , we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider—we're your trusted partner in innovation. Position Summary We are seeking an experienced Certified Coder to support medical review activities through complex coding validations and quality assurance efforts. This role requires deep expertise in Medicare coding guidelines, DRG validation, and CMS FFS RAC Program requirements. Education High School Diploma required Associate degree or higher preferred Licensure / Certifications Certification from an accredited...

Job Description 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...

Division: CHRISTUS Children's Hospital - San Antonio Work Arrangement: Onsite only Location: San Antonio, TX Salary Range: $63,052 to $80,000 FLSA Status: Nonexempt Work Schedule: Monday - Friday, 8 a.m. - 5 p.m. Summary 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...

Overview Join Our Team as a Medical Coder at MPOWERHealth! At MPOWERHealth , we're not just a healthcare company-we're innovators, dreamers, and doers . For over a decade, we've been empowering independent musculoskeletal physicians with state-of-the-art clinical services, groundbreaking technology, and seamless back-office solutions . Our mission? To simplify the complex, predict the unpredictable, and create better outcomes for patients and providers alike. Now, we're looking for a detail-oriented Medical Coder to join our team and help us ensure precision, compliance, and excellence in medical coding and reimbursement. Compensation: Based on experience: Low Range: Entry-level experience with foundational skills. Mid Range: Solid experience with demonstrated proficiency. High Range: Extensive experience with a proven track record of success. Pay will be evaluated based on experience, skills, and qualifications during the hiring...

General Summary: The Coding Educator is responsible for the development, management, and oversight of a comprehensive coding program encompassing all activities of the organization. This position serves as the documentation and coding liaison to clinicians, ensuring compliance with government and organizational policies and procedures. Supervisory Responsibilities: This position has no supervisory responsibilities. General Requirements: All duties performed will be done accurately and in a timely manner. Ensures customer service is always maintained at the highest level. Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers. Must always adhere to customer service expectations including in-person and virtual (via telephone, or telehealth applications) communication. English and Spanish proficiency preferred. Strong organizational skills are a requirement in this position. Assist with special projects as needed. Other...

General Summary: This role focuses on the Risk Adjustment process that supports the documentation of acuity diagnoses for the Managed Care (MC) patient population and required activities for submission of records to Medicare Advantage (MA) payers under established capitated contracts. It assists with medical record reviews for HCC diagnoses, correct usage of various coding guidelines (ICD-10-CM, CPT, HCPCS) and federal and MA payor regulations, as well as clinical validation of appropriate supporting documentation. Supervisory Responsibilities: This position has no supervisory responsibilities. General Requirements: All duties performed will be done accurately and in a timely manner. Assumes responsibility for maintaining clinical competencies according to Gonzaba Medical Group policy. Exercise tact and courtesy when dealing with patients, visitors, providers, and co-workers. Must always adhere to customer service expectations including in-person and virtual (via...

Type of Coding: Inpatient coders handling a spectrum of cases—transplants, vascular, cardiology, neuro, etc. Academic medical center/acute care hospital experience is required; candidates from smaller community hospitals are typically not successful. Experience: Minimum preferred: 3–5 years, ideally 5 years, specifically in academic or acute care settings. Certifications: Required: CCS, RHIT, or RHIA. Technical Requirements: Must use Epic EHR.

Scion Staffing has been engaged to conduct a search for multiple Remote Inpatient Facility Medical Coder positions for a healthcare services partner. This is a fully remote direct hire position supporting U.S.-based healthcare systems. POSITION OVERVIEW: This role supports inpatient coding operations for a mission-driven healthcare services organization focused on improving access, quality, and efficiency in patient care. The Inpatient Facility Medical Coder will review clinical documentation, apply appropriate coding guidelines, and ensure accurate reimbursement outcomes. This position offers the opportunity to collaborate with multidisciplinary teams in a supportive, remote-first environment. PERKS: Hourly pay range of $35–$40 per hour , based on experience and credentials Comprehensive medical, dental, and vision insurance options Fully remote role with flexible scheduling to support work-life balance Inclusive and collaborative culture that values diverse...

Job Description Job Description Description: Under moderate supervision, responsible for reviewing, auditing, and data entry of medical bills for multiple states and lines of business within both Worker’s Compensation and Commercial Health arenas. This would include analysis for the fee schedule or usual and customary application, as well as PPO interface, while meeting contractual client requirements. Essential Job Functions: Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts Analysis and review of 1 or more assigned states having fee schedules Utilize Fee Schedules, Online Documents, Client instructions, and other training material to properly review medical bills Review medical bills for compensability and relatedness to injury Reprice medical bills to Workers’ Compensation Fee Schedule and PPO Network Research usual and customary/fee schedule applications and...

Outpatient Coder Support Staff Location: Seguin, TX 781555129, USA Job Details Description Mon-Fri 8a-4:30p Application must be filled out entirely to be considered for interview process Scope of Responsibility The Outpatient Coder will also abstract data from medical files and keeps required statistics. Assist with quality assurance and utilization review functions and will apply appropriate modifiers. Responsible to Director of Coding/Reimbursement Education High school diploma or equivalent Training and Experience 2 years hospital experience with inpatient acute care as well as outpatient accounts, such as SDC/Interventional radiology and other outpatient accounts as assigned. American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) Certification Required Health and Background Requirements Employment contingent upon successful completion of: Background Check, Lab Work, Immunization Records Physical Sitting...

Sds/Obs Same day surgeries and observations.

Mon-Fri 8a-4:30p APPLICATION MUST BE FILLED OUT ENTIRELY TO BE CONSIDERED FOR INTERVIEW PROCES Scope of Responsibility The Outpatient Coder will also abstract data from medical files and keeps required statistics. Assist with quality assurance and utilization review functions and will apply appropriate modifiers. Responsible to Director of Coding/Reimbursement Education High school diploma or equivalent Training and Experience 2 years hospital experience with inpatient acute care as well as outpatient accounts, such as SDC/Interventional radiology and other outpatient accounts as assigned. American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) Certification Required Health and Background Requirements Employment contingent upon successful completion of: Background Check Lab Work Immunization Records Rarely (Less than ½ hour per day) Occasionally (½...

Job Description The Compliance Auditor, Billing and Coding Compliance is responsible for the oversight and management of auditing and monitoring billing and coding compliance activities, assist with internal compliance policies and procedures, completing compliance risk assessments, and developing risk-based educational materials to ensure compliance with federal/state laws and regulations, and UT Health San Antonio policies. Responsible for effectively communicating information and audit findings through presentations, graphs, reports, and educational materials, etc. Responsibilities Provide oversight on billing compliance auditing, monitoring, and educational activities within the compliance department. Performs audits of electronic and manual documentation, coding, and billing systems. Conducts close-out meetings with senior management of audited departments. Maintain current knowledge of changes in federal and state coding and billing regulations/guidelines...

Job Description Job Description NO PHONE CALLS. PLEASE SUBMIT RESUME.   Major Duties: ( This list may not include all the duties assigned.) Update patient management system with correct patient and insurer information. Verify benefits and pre-certify procedures with insurers when needed as backup to surgery scheduler and business office manager. Verify benefits and pre-certify medications with insurers when needed as backup to pharmacy technician. Post daily clinic charges when needed and surgical charges with correct codes in a timely manner. Execute and monitor electronic claims and paper claims. Respond to denial correspondence from insurers promptly and submit corrected claims. Monitor daily clinic schedules and surgical schedules to ensure timely posting of all charges. Act as resource to receptionists on billing and collection issues. Keep abreast of third-party payor policies and coding procedures. Perform Receptionist, Front Desk, Surgery Scheduler, and...

Medical Coding Auditor UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a remote, full-time, day shift opening located in Albuquerque, New Mexico. This is a work from home position that requires the selected candidate to have a permanent address and live in New Mexico or be willing to relocate to New Mexico. This position requires extensive knowledge and experience with E/M coding. $2,000 Sign-on Bonus Minimum $56,173 - Midpoint $70,217 Salary is determined based on years of total relevant experience. Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical...