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Texas Oncology is the largest community oncology provider in the country and has approximately 530 providers in 280+ sites across Texas, our founders pioneered community-based cancer care because they believed in making the best available cancer care accessible to all communities, allowing people to fight cancer at home with the critical support of family and friends nearby. Strong knowledge of CPT, HCPCS, ICD-10-CM, Evaluation and Management services, modifiers, medical necessity, provider documentation requirements, payer billing requirements, CMS guidance, NCCI edits, LCDs, NCDs, and professional fee reimbursement required.

Texas Oncology

Sr. Medical Coding Educator

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Preferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.

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Elevance Health

DRG Clinical Validation Auditor - RN (Cdi, Ms-Drg, Ap-Drg & Apr-Drg)

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Preferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Identifies potential documentation and coding errors by recognizing aberrant coding and documentation patterns such as inappropriate billing for readmissions, inpatient admission status, and Hospital-Acquired Conditions (HACs).

Diagnosis Related Group Clinical Validation Auditor

Participates in the Hazardous Material Program; hazards include exposure to blood and body fluids, possible communicable diseases, sharp objects and instruments, assorted chemicals and gasses as listed in the Hazardous Materials Program Manual. American Health Information Management (AHIMA) Certified Coding Specialist (CCS) or American Academy of Professional Coder (AAPC) Certified Professional Coder (CPC) or Certified Professional Coder - Hospital (CPC-H) Coding Certification required.

Vibra Healthcare LLC

Coding Specialist - CHC

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Collaborate with Marketing, Sales, Product Management and Regulatory teams to anticipate market needs and inform the development of customer-facing tools, economic models and other tactical elements of reimbursement to maximize patient access to Arthrex's technologies and products. They will serve as the primary reimbursement expert supporting the field in all areas related to reimbursement of Arthrex products and assist the Director, Market Access and Reimbursement on execution of company strategies related to field reimbursement initiatives, including HCP engagement, support and communication.

Arthrex Inc

Manager, Market Access and Reimbursement - South-Central

Sr. Coding Quality Analyst

Registered Health Information Technician (RHIT) by American Health Information Management Association (AHIMA) within 6 months of hire required or Certified Coding Specialist (CCS) by American Health Information Management Association (AHIMA) within 6 months of hire required or Certified Coding Specialist - Physician-based (CCS-P) by American Health Information Management Association (AHIMA) within 6 months of hire required or Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC) within 6 months of hire required or Radiology Coding Certification (RCC) by Radiology Coding Certification Board (RCCB) within 6 months of hire requiredMinimum Education:High School Diploma or equivalent required Minimum Experience:2 years Related coding experience requiredPhysical Requirements:Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects. 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!

University of Texas Health Science Center at Houston

Certified Coding Specialist I/II/III- Ob/Gyn

In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.

At the Blue Cross and Blue Shield Association (BCBSA), we provide business strategy, technical support and consulting expertise to 36 Blue Cross and Blue Shield companies across the nation, employing more than 1,000 of the best strategic thinkers in the industry.  We are a Brand manager that sets quality control standards for the 36 independent companies that use the Blue Cross and Blue Shield Brands, and we serve as a trade association that represents these Blue companies. It is through our involvement that the Blues companies share a united vision and strategy while also benefiting from the local strength of all member companies.

Blue Cross and Blue Shield Association

Clinical Coding Analyst RN, Consultant

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Participates in the Hazardous Material Program; hazards include exposure to blood and body fluids, possible communicable diseases, sharp objects and instruments, assorted chemicals and gasses as listed in the Hazardous Materials Program Manual. American Health Information Management (AHIMA) Certified Coding Specialist (CCS) or American Academy of Professional Coder (AAPC) Certified Professional Coder (CPC) or Certified Professional Coder – Hospital (CPC-H) Coding Certification required.

Vibra Travels

License/Certification: One or more of the following certifications may be required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC). Validates accuracy of diagnostic and procedural coding, payment methodology, and reimbursement amount; develops written rationale of findings; responds to providers for resolution of appeals.

Centene Corporation Group

Coding Quality Specialist

Requires one of these certifications: Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS), BSW code (CCDOSCP), Certified Clinical Documentation Specialist Outpatient (CCDS-O), Certified Documentation Improvement Practitioner (CDIP), or Certified Professional Coder (CPC). Cert Cln Documentation Spec (CCDOCSP), Cert Clin Doc Spec Outpatient (CCDS-O), Cert Coding Specialist (CCS), Cert Doc Improv Practitioner (CDIP), Cert Professional Coder (CPC): Requires one certification.

Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States. With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!

Baylor Scott & White Health

Clinical Doc Improv Spec 2

ADAPTED_NOW

The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices to ensure chronic conditions are recaptured annually Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current ICD-10-CM manual and other relevant material.

In 1999, two historic Catholic charities became one, forming CHRISTUS Health and creating a unique purpose in the modern health care market - to take better care of people. To extend the healing ministry of Jesus Christ, the mission that the Sisters of Charity Health Care system and Incarnate Word Health system shared for more than a century, is now also the mission of CHRISTUS Health. Ranked among the top 10 Catholic health systems in the United States by size, the CHRISTUS Health system includes more than 40 hospitals and facilities in seven U.S. states, Chile and six states in Mexico, with assets of more than $4.6 billion. Whether seeking care in Alexandria Louisiana, or Coahuila, Mexico, patients discover that the healing spirit is alive at CHRISTUS Health.

CHRISTUS Health

HCC Coding Auditor Senior - Health Plan Network

Elevance Health Inc

Centene Management Company

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Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing. Are you an experienced Health Information Management Systems (HIMS) professional looking for a leadership role that combines expertise with a commitment to hospital efficiency?

Encompass Health Rehabilitation Hospital of Sugar Land

HIMS Supervisor

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Encompass Health Rehabilitation Hospital of Plano

Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area.

Houston Methodist is a diverse, inclusive and growing health care system offering a lifetime of meaningful careers within our many facilities. We're comprised of a nationally recognized academic medical center and four community hospitals with a history of health care innovation. We're currently ranked in U.S News & World Report's America's Best Hospitals list. For the eighth straight year we have been named to FORTUNE's list of "100 Best Companies to Work For" and have been ranked the #1 health care organization in Texas. Make your first day exceptional… at Houston Methodist.

Houston Methodist

Coding Quality Auditor

Oversees the review processes of complex pediatric patients in accordance with all current payer initiatives and development in acute and chronic disease states; understands a wide range of specialized disciplines, including education in anatomy and physiology, pathophysiology, and pharmacology; knowledge of official medical coding guidelines, CMS, and private payer regulations related to the Inpatient Prospective Payment System; an ability to analyze and interpret medical record documentation and formulate appropriate physician queries; and an ability to benchmark and assist in analyzing clinical documentation program performance. RHIA, RHIT, CCS, CDIP, or CCDS certification preferred with a minimum of two years ICD hospital-based coding experience or are clinical candidates minimally credentialed or above as RN, LVN or BSN with a strong clinical background and a minimum of three years clinical experience in Pediatrics, Med-Surg, ICU, or Surgery.

Driscoll Children's Hospital

Lead CDI Specialist

Houston Methodist Hospital

Monitor coding KPIs, including coder productivity, accuracy rates, unbilled accounts, and claim denial rates due to coding errors. Evaluate AI-generated coding assignments, including ICD-10-CM/PCS , CPT/HCPCS , and DRG assignments.

Inpatient Coder Jobs in Texas

Sr. Medical Coding Educator Texas Oncology

DRG Clinical Validation Auditor - RN (Cdi, Ms-Drg, Ap-Drg & Apr-Drg) Elevance Health

Diagnosis Related Group Clinical Validation Auditor Elevance Health

Coding Specialist - CHC Vibra Healthcare LLC

Manager, Market Access and Reimbursement - South-Central Arthrex Inc

Sr. Coding Quality Analyst Texas Oncology

Certified Coding Specialist I/II/III- Ob/Gyn University of Texas Health Science Center at Houston

Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield Association

Coding Specialist - CHC Vibra Travels

Coding Quality Specialist Centene Corporation Group

Clinical Doc Improv Spec 2 Baylor Scott & White Health

HCC Coding Auditor Senior - Health Plan Network CHRISTUS Health

Diagnosis Related Group Clinical Validation Auditor Elevance Health Inc

Coding Quality Specialist Centene Management Company

HIMS Supervisor Encompass Health Rehabilitation Hospital of Sugar Land

HIMS Supervisor Encompass Health Rehabilitation Hospital of Plano

Coding Quality Auditor Houston Methodist

Lead CDI Specialist Driscoll Children's Hospital

Coding Quality Auditor Houston Methodist Hospital

Medical Coding Leader - AI Trainer Mercor

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