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Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. The Certified Coding Specialist I requires knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines.

Cook Children's Health Care System

Certified Coding Specialist I

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Reviews and interprets patient medical records documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM, ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. The Certified Coding Specialist II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines.

Certified Coding Specialist II

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.

YEAR

Centene Corporation Group

Coding Quality Specialist

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The estimated base pay range per hour for this role is: $20—$35 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.

HOUR

Datavant

Coding Consultant Outpatient - PRN - Billing/Edits/Denials

GreenHouseAPI

Centene Management Company

OTHER

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. Coding Quality Analyst

[AW]-iCims

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

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

Interviews, hires and trains employees; plans, assigns and direct workflow, appraises employee performance; addresses complaints and resolving problems; and proactively manages production and quality control efforts. Knowledge of multiple reimbursement systems (e.g., Medicare Severity-Diagnosis Related Groups (MS-DRG), All Patient Refined Diagnosis Related Groups (APDRG), and Ambulatory Payment Classification (APC).

Texas Scottish Rite for Children

Coding Manager

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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. Experience supporting government and regulatory audits, including OIG-related reviews, payer audits, and compliance audits, as well as documentation review, validation of findings, corrective action plans, and focused reviews preferred.

Coding Audit Supervisor

Not Required At RTX, the world's largest aerospace and defense company, 185,000 great minds are united by purpose and inspired to make a difference solving the world’s most complex problems. Collaborate with a multi-disciplinary electrical engineering and hardware design team, with the primary objective of creating firmware solutions for new design hardware and new design controls architectures.

Principal Electrical Engineer Firmware and Controls

HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our HCC coded records, specifically those that map to HCCs and RxHCCs. Ensure that the codes captured are supported by the documentation within the record and are properly coded following Medicare guidelines, ICD-10-CM guidelines as well as client specific guidelines for the project.

Virtix Health

HCC Coding Quality Specialist

Ensures accurate, quality, and compliant Inpatient facility coding through prebill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality. Performs all functions of coding quality reviews (routine monthly, focus pre-bill, CDI Reconciliations, second-level review work queues) for inpatient coding across OUH.

OU Health

Inpatient Coding Auditor WFH

We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth.

Experienced Professional Coding Specialist

ESSENTIAL DUTIES AND RESPONSIBILITIES: Assign ICD-10 CM and CPT codes with modifiers for services provided in the facility environment (Ancillary, ED, Evaluation and Management, Observations, Outpatient surgeries, and/or Professional fee coding) depending on the specific client assignment. SCOPE/GENERAL PURPOSE OF JOB: The Senior Coding Specialist is responsible for abstracting all E/M, CPT, HCPCS, ICD-10-CM, modifier, units from the medical record documentation.

Revenue Cycle Coding Strategies

Surgical Senior Coding Specialist (Multi-Specialty)

Insurance Payer Communication: Work directly with Medicare, Medicaid, and commercial insurance carriers, including BCBS, UnitedHealthcare (UHC), Aetna, VA, Cigna, and other payers, to resolve outstanding claims and payment issues. As an Accounts Receivable Specialist , you'll play a key role in maximizing reimbursement for our clients by following up on outstanding medical claims, resolving denials, and ensuring timely payments from insurance carriers.

Emergicon LLC

Accounts Receivable Specialist – EMS Billing

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Keywords: CPC, COC, CCS, CCS-P, ProFee, Profession Fee, Hospital Outpatent, Facility, Denials, Coding, ICD-10, CPT, HCPCS, EPIC. We're seeking a certified ProFee coder who thrives in a remote, autonomous environment and who also has expertise in hospital outpatient/facility denials, coding compliance, and reimbursement optimization.

CorroHealth

PB & HB Coding Edits & Denials Specialist (AAPC or AHIMA Cert. Req.d)

Heartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). The flagship product-an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis-provides a color-coded, 3D model of a patient's coronary arteries indicating the impact blockages have on blood flow to the heart.

HeartFlow

Field Reimbursement Manager - Southwest

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

FULL_TIME

Complies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).

Remote Medical Coder Jobs in Texas

Certified Coding Specialist I Cook Children's Health Care System

Certified Coding Specialist II Cook Children's Health Care System

Coding Quality Specialist Centene Corporation Group

Coding Consultant Outpatient - PRN - Billing/Edits/Denials Datavant

Coding Quality Specialist Centene Management Company

Sr. Coding Quality Analyst Texas Oncology

HCC Coding Auditor Senior - Health Plan Network CHRISTUS Health

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

Coding Manager Texas Scottish Rite for Children

Coding Audit Supervisor Texas Oncology

Principal Electrical Engineer Firmware and Controls RTX

HCC Coding Quality Specialist Virtix Health

Inpatient Coding Auditor WFH OU Health

Experienced Professional Coding Specialist OU Health

Surgical Senior Coding Specialist (Multi-Specialty) Revenue Cycle Coding Strategies

Accounts Receivable Specialist – EMS Billing Emergicon LLC

PB & HB Coding Edits & Denials Specialist (AAPC or AHIMA Cert. Req.d) CorroHealth

Field Reimbursement Manager - Southwest HeartFlow

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

Program Integrity Investigator TriWest Healthcare Alliance

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