68 cpc certified professional coder jobs found in Webster, TX

About CLS Health CLS Health is a growing healthcare system in Houston, Texas that is taking a different approach to healthcare. We are a physician-led healthcare group that focuses on providing patients with holistic, multispecialty care. We're a dynamic team on a mission to provide better healthcare options for Houstonians! 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 diagnoses and procedures. Reviews claims to validate submitted codes and abstracted data including...

Job Description Job Description Certified Medical Biller and Coder:  Nephrology and Hypertension Specialists P.A. is seeking for the right individual with a positive attitude to join our growing practice. Qualifying candidate must be able to resolve billing issues, rejections, denials, and appeals. Works with Medicaid and any other governmental or commercial insurance carriers to resolve claim errors and responds to billing questions from internal and external sources. Reviews billing charges and other data for accuracy and potential reimbursement enhancement. Run, review, and summarize reports for billing and reimbursement. Remain up to date on billing guidelines. Works collaboratively with clinical and health information systems staff as well as with Projects & Business Technology staff regarding billing revisions in the electronic billing system. Works as part of a cross-functional team to ensure all services provided are billed in a timely and accurate manner. Handles...

Risk Adjustment Coder II The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a patient's risk score, by mapping diagnoses to Hierarchical Condition Categories (HCCs) while adhering to CMS guidelines and internal coding policies for the following programs: including, but not limited to, Commercial Risk Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). The Risk Adjustment Coder II will serve as a subject matter expert for risk adjustment and will assist in the development of team trainings, quality assurance audits, and collaborating with multiple departments across the organization. Job Specifications and Core Competencies: Provide advanced complex medical records reviews to identify and code all relevant diagnoses, including chronic conditions, utilizing ICD-10 coding guidelines for Commercial and Medicare risk...

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. UTHealth is seeking Professional Coder II candidates to join its Revenue Cycle Charge Capture team. Responsibilities include coding and resolving edits for Diagnostic Imaging coding. Cardiology, radiology and cardiology coding experience, along with Epic proficiency, are preferred. Department: Revenue Cycle Status: Full-time Location: Remote (2 -4 weeks onsite for training @ 1851 Crosspoint Ave, 77054) Occasionally, onsite meetings/additional training, etc. Must live in Texas (TX) **We DO NOT provide lodging or mileage reimbursement for training** 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...

Certified Medical Coder- Remote We are seeking a Certified Medical Coder- Remote to join our team. We are deeply rooted in the communities we serve, which means that our patients are often our family, friends, and neighbors, and it is special to be able to care for them. As one of the top healthcare systems, we are committed to your ongoing growth and development. After work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Coder Abstractor? Remote work schedule Our dynamic work environment includes many opportunities for growth and development Our efforts directly impact patient satisfaction and outcomes Our employees work in positive, supportive, and compassionate environments built on our organizational values. Skills At least 1 years recent coding experience including coding surgical cases preferred. Experienced in coding hospital inpatient and...

Inpatient Medical Coder DRG Specialist - Remote In this role, we will look to you to analyze and interpret complex records in order to identify and accurately bill for Trauma 1 facility Inpatient services. Specifically, you will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when necessary, obtain clarification when presented with conflicting, ambiguous, or non-specific documentation. Qualifications At least 2 years of inpatient coding experience in a trauma 1 setting. RHIA, RHIT, and/or CCS, CIC certification Strong communication, analytical and research skills with a keen attention to detail Additionally, your background must include demonstrated knowledge of: Coding concepts for facility diagnosis and procedure coding and DRG assignment Legal and policy directives pertinent to coding Be familiar with proper reference materials, standards and guidelines for coding Experience using various EMRs and...

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...

Certified Medical Coder Certified Medical Coder role is responsible for reviewing, abstracting, and coding inpatient and/or outpatient medical records to ensure proper ICD-10-CM, HCPCS, and CPT coding and compliance with Risk Adjustment requirements. Key Responsibilities Follows CMS Risk Adjustment guidelines and has a complete understanding of their real-world application Reviews submitted medical records to identify ICD-10-CM diagnoses, ensuring the documentation meets all CMS standard requirements for valid submission Codes all diagnoses and services accurately and completely, from the medical record in accordance with the ICD-10-CM coding classification system Selects and accurately records all appropriate records and data on assigned chart abstraction projects Ability to meet productivity and accuracy requirements Performs other duties as assigned Qualifications High School Diploma or GED required A certification in one of the following is required: Certified...

Value Based Coder II Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. 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...

2,5 K Sign On/CODER II FT DAYS Full-time Job Description Sign on bonus available for coder with at least one year current/recent acute care (inpatient) experience. The ideal candidate will collect, analyze, assign and sequence all codes for: diseases, operations, newborns, and complications for each patient discharge, outpatient surgery or outpatient observation according to the latest coding systems. Qualifications: Must have completed college level medical terminology, anatomy, and physiology and survey of disease.-Minimum of one year experience in coding and abstracting required. Inpatient coding experience required. Additional Information All your information will be kept confidential according to EEO guidelines. Direct Staffing Inc

Job Title Coders, Bill Reviewers, And Payment Integrity Reviewers Job Description Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures...

Medical Coder Revenue Cycle Management is looking for a full-time Medical Coder to join our team! Remote opportunity after in-person training. The Medical Coder is responsible for reviewing medical documentation and accurately assigning CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS codes depending on the encounter type. The position ensures accurate billing, compliance, and optimized reimbursement across outpatient and/or facility (inpatient) settings. Essential Functions: Assign accurate diagnosis and procedure codes based on medical record documentation using CPT, ICD-10-CM, HCPCS, and/or ICD-10-PCS. Review provider documentation to ensure coding is supported and complete for billing submission. Apply proper modifiers, sequencing, and coding conventions appropriate to the setting (inpatient or outpatient). Ensure compliance with coding regulations, organizational policies, and HIPAA standards. Meet coding productivity and quality benchmarks. Collaborate with clinical,...

Direct Jobs is seeking a Risk Adjustment Coder II in Houston, Texas. This role involves advanced support for medical record reviews, ensuring correct capture of chronic conditions and compliance with CMS guidelines. The Coder II acts as a subject matter expert, facilitating team training and audits. The ideal candidate will have a Bachelor's degree or equivalent experience in risk adjustment, along with relevant coding certifications. Experience in Commercial and Medicare coding is required alongside strong analytical and communication skills. #J-18808-Ljbffr

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. Advanced...

A leading healthcare provider in Texas is seeking an experienced Value Based Coder II to review medical records for coding opportunities, focusing on Hierarchical Condition Categories (HCC). The role involves developing provider education and ensuring compliance with coding guidelines. Candidates should have a Bachelor's degree in healthcare or equivalent experience, CPC/CCS/CRC certification, and at least 2 years of outpatient coding experience. Competitive hourly pay ranges from $25.30 to $35.74. #J-18808-Ljbffr

Description Certified Coder I with Mental Healthcare coding experience Senior PsychCare has an immediate opportunity for a Certified Coder I with Mental Healthcare coding experience to support our Billing Team in Houston. ABOUT US: Senior Psych Care provides fully integrative behavioral health services to the long-term care patient at their facility. Services include individual, family, and group therapies, along with diagnostic evaluation and collaborative intervention between the therapy team and the psychiatric team. Job Summary The Certified Coder is responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurate code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting of Physician Services. Principal Accountabilities Assigns codes for...

Job Number: 180041, Job Title: Risk Adjustment Coder II, Salary: $27.69 - $34.62 JOB SUMMARY The Risk Adjustment Coder II provides advanced support for complex medical record reviews to ensure the correct capture of chronic conditions and complexities to calculate a patient's risk score, by mapping diagnoses to Hierarchical Condition Categories (HCCs) while adhering to CMS guidelines and internal coding policies for the following programs: including, but not limited to, Commercial Risk Adjustment, Medicare Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). The Risk Adjustment Coder II will serve as a subject matter expert for risk adjustment and will assist in the development of team trainings, quality assurance audits, and collaborating with multiple departments across the organization. JOB SPECIFICATIONS AND CORE COMPETENCIES Provide advanced complex medical records reviews to identify and code all relevant diagnoses, including chronic conditions,...

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient 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 process. QUALITY/SAFETY ESSENTIAL...

Community Health Choice is a nonprofit managed care organization serving Texas. The Risk Adjustment Coder II will review complex medical records, code chronic conditions, and map to HCCs under CMS guidelines. The role supports Commercial and Medicare risk adjustment programs and helps ensure accurate documentation and coding. The coder will contribute to trainings, audits, and collaboration across departments to improve documentation quality and compliance. #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 Administrator (AHIMA)•CCS - Certified Coding...

Signature Performance is hiring a remote Inpatient Professional Fee Medical Coder to accurately review and code medical records. The ideal candidate has at least 2 years of experience in Medical Coding and is familiar with coding systems such as ICD-10-CM and CPT. Our culture values integrity, respect, and passion. We offer a supportive environment and benefits like health insurance and professional development. #J-18808-Ljbffr

UTHealth Houston is hiring a Professional Coder II & III for Revenue Cycle (Charge Capture). The role focuses on reviewing documentation, selecting CPT/HCPCS/ICD-10-CM codes, and ensuring regulatory compliance for inpatient and outpatient services. Telework is available with an onsite training period in Texas; strong coding background and AHIMA/AAPC certifications are highly valued. The department emphasizes accuracy, education, and timely coding. #J-18808-Ljbffr

Community Health Choice, Inc. seeks a Risk Adjustment Coder II in Houston, Texas. The role involves advanced medical record reviews and coding of chronic conditions to ensure correct risk scoring, complying with CMS guidelines and internal policies. The ideal candidate has a Bachelor's degree or equivalent experience, and AHIMA/AAPC certification, along with 3-5 years of experience in risk adjustment coding. Join a team dedicated to improving healthcare quality for over 400,000 members. #J-18808-Ljbffr

The University of Texas MD Anderson Cancer Center is seeking a Senior Clinical Coding Specialist to join its Revenue Operations and Coding team. The Senior Clinical Coding Specialist plays a critical role in ensuring accurate and compliant coding of patient encounters, supporting timely billing and reimbursement processes, and maintaining the integrity of clinical data across systems. This position works remotely and collaborates closely with coding professionals, leadership, and clinical partners. The Senior Clinical Coding Specialist at UT MD Anderson is responsible for reviewing medical records, assigning appropriate clinical codes, and supporting departmental goals for accuracy, compliance, and operational efficiency. UT MD Anderson Cancer Center is a leading institution focused on cancer care, research, education, and prevention. The ideal candidate brings strong expertise in clinical coding practices, including CPT, ICD-10, and regulatory guidelines, along with experience...