131 jobs found in Texas

Job Summary: The Lead Certified Coder accurately codes, sequences, abstracts and audits outpatient medical records according to ICD-10-CM, CPT coding guidelines specifically for professional or clinic services. Abstracts supported Hierarchical Condition Category Coding (HCC) diagnosis codes that are clinically significant in a risk adjustment payment model to achieve accurate and timely reimbursement and populate statistical databases for accurate and timely reimbursement in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements. Reviews assignment of professional and technical fees and abstracts data. The main focus of the lead clinic coder, is to oversee coding processes, provide coding training and serve as a resource to clinic coders by performing necessary research on coding issues. Ensures accurate and efficient coding of outpatient services for timely reimbursements Minimum Job Requirements: Work Experience: Two years of coding...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Were focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high quality health services. As Senior Inpatient Facility Certified Medical Coder you will provide coding services directly to providers. Youll play a key part in healing the health system by making sure our high standards...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.Job SummaryCardio experience is required.This is a hybrid position so you must be located in the Houston area.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. Accurately code conditions and procedures...

Job Description Job Description Salary: $23.00- $25.00/hour DOE 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...

Anticipated End Date: 2025-07-11 Position Title: DRG Coding Auditor Principal Job Description: DRG Coding Auditor Principal Virtual: This role enables associates to work virtually full-time, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical record and attending physicians statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Cardio experience is required. This is a hybrid position so you must be located in the Houston area. 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. Accurately code conditions and...

Join to apply for the Sr Certified Medical Coder RN role at Fidelis Care - New York 1 week ago Be among the first 25 applicants Join to apply for the Sr Certified Medical Coder RN role at Fidelis Care - New York You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure...

Career Opportunities with Texas Health Care PLCC A great place to work. Careers At Texas Health Care PLCC Current job opportunities are posted here as they become available. A private healthcare company is seeking a detail-oriented and highly organized Billing and Coding Specialist to accurately and efficiently manage the medical billing and coding processes. This individual will be responsible for assigning appropriate diagnostic and procedural codes, ensuring accurate claim submission, resolving billing discrepancies, and maintaining compliance with all relevant regulations and payer guidelines. The ideal candidate will possess a strong understanding of medical terminology, anatomy, physiology, and coding systems, as well as excellent communication and problem-solving skills. Responsibilities: Coding: Review patient medical records (e.g., physician notes, operative reports, lab results) to accurately assign ICD-10-CM, CPT, and HCPCS codes for diagnoses and...

We are currently looking for individuals to fulfill Part-Time and Full-Time Medical Biller positions. No experience is required to apply for the position. Training is provided through former experienced employees and available to hired applicants. We are looking for individuals able to carry out various tasks. Individuals must be hardworking and task-oriented. Don't Wait! Fill out a Profile Now! MyJobResource is a staffing and recruitment industry job search engine. We specialize in finding the exact company to suit your needs. We help match job seekers to the right jobs in either full-time or temporary positions. Assignments are typically made depending on the ratio of candidates to jobs, skill-set, and experience. The companies we work with pay us for the services we provide to find the right people for their job openings.

Job Description Job Description Salary: Overview: We are seeking a detail-oriented and proactive Billing Analyst to join our team on a contract-to-hire basis. In this role, you will work with our billing and revenue cycle management processes, analyzing payment trends, identifying payer issues, and investigating denials. This position is ideal for someone with a quality assurance mindset , strong analytical capabilities, and experience in DME billing , especially involving oxygen-related products . Key Responsibilities: Analyze billing and payment data to identify patterns, issues, and denial trends across various payers Investigate root causes of denied or underpaid claims, including payer policy discrepancies or documentation gaps Research and propose corrective actions to reduce future denials and improve collections Collaborate with billing, coding, and reimbursement teams to improve process integrity and data accuracy Act as a problem-solver and...

Job Description Job Description This is an exciting time to join the FYZICAL family! If you have one year of billing experience and would enjoy being part of a champion team with a forward-thinking company that takes a unique approach to physical therapy, you are a great fit for our Medical Billing Specialist position in Horizon City,   TX! In this Medical Billing Specialist role, you will be able to enhance your career under the guidance of a helpful, supportive practice leader in an exciting, fast-paced environment. With state-of-the-art technology at your fingertips, you will always have the tools you need to be successful. In addition, you will have access to continuing education, keeping you at the forefront of your profession. If you are ready to be part of an energetic atmosphere where you can achieve success and career satisfaction, apply for FYZICAL's Medical Billing Specialist job opening today! A great support team. An exciting work environment. Room to grow....

Job Description Job Description The Biller is the primary person that ensures the successful cash flow management of our medical practice clients. Some of the job responsibilities are as follows: Enters and submits medical claims Follows up on claims that are rejected or denied Take patient phone calls to answer questions and accept payments Post payments to the billing software from insurance companies and patients Reconcile the billing software to the medical practice bank account monthly Work accounts receivable to ensure aged accounts are adjusted accordingly Work with the credentialing team to ensure the billing system is updated Key attributes for the successful applicant include the following. Detail oriented Good with numbers Reliability Customer-focused attitude Previous billing experience is desired but not required.   Company Description We are a San Antonio-based company focused on optimizing the cash flow cycles of our medical practice clients. We...

Job Description Job Description Need a Medical coder/biller with 2 year experience, Knowledge on ICD-10 Billing software, denials, coding,  statements, and other office duties.

Conducts coding compliance audits of inpatient and outpatient encounters to validate code assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that Auditor, Audit, Accounting, Healthcare, Patient

Join to apply for the Coding Auditor role at Hendrick Health . 1 week ago Be among the first 25 applicants. Get AI-powered advice on this job and more exclusive features. Job Summary Conducts coding compliance audits of inpatient and outpatient encounters to validate code assignment in accordance with official coding guidelines, supported by clinical documentation in health records. Validates abstracted data elements essential for appropriate payment methodology. Qualifications Associates degree in relevant field preferred or equivalent combination of education and experience. Five (5) years of coding experience, including hospital inpatient and outpatient encounters. AHIMA and/or AAPC Coding Credential, CCS preferred. Knowledge, Skills, and Abilities Accurate auditing of inpatient and outpatient coding. Ability to create clear audit reports and maintain productivity. Successful completion of pre-hire coding assessment. Knowledge of medical...

We are currently looking for individuals to fulfill Part-Time and Full-Time Medical Biller positions. No experience is required to apply for the position. Training is provided through former experienced employees and available to hired applicants. We are looking for individuals able to carry out various tasks. Individuals must be hardworking and task-oriented. Don't Wait! Fill out a Profile Now! MyJobResource is a staffing and recruitment industry job search engine. We specialize in finding the exact company to suit your needs. We help match job seekers to the right jobs in either full-time or temporary positions. Assignments are typically made depending on the ratio of candidates to jobs, skill-set, and experience. The companies we work with pay us for the services we provide to find the right people for their job openings.