Top 74 Clinical documentation specialist Jobs in Houston Tx

Clinical Documentation Improvement Specialist
Baylor College of Medicine —Houston, TX
- $79,092 - $93,049 a year
- Full-time
- Hybrid work
- Mid-level
- High school diploma or GED
- Continuous improvement
Coding Training Coordinator
MD Anderson —Houston, TX
- $77,500 - $116,500 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- Continuous improvement
- AD&D insurance
- Paid holidays
Surveillance Specialist
Dept of State Health Services —Houston, TX
- $3,793.41 - $4,857.33 a month
- Online Application
- Anatomy knowledge
- Microsoft Outlook
- Writing skills
Quick Apply
2d
Senior Consultant - Clinical Documentation Specialist
Deloitte —Houston, TX
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Registered Nurse RN Oncology BMT
HCA Houston Healthcare Clear Lake —Webster, TX
- Full-time
- Mid-level
- 1 year
- Wound Care
- Employee stock purchase plan
- Disability insurance
Quick Apply
14d
MDS Coordinator at Westwood
Focused Post Acute Care Partners —Houston, TX
- Skilled nursing facility
- LVN
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
9h
Cath Lath Registered Nurse - Cardiac RN - PRN
HCA Houston Healthcare North Cypress —Cypress, TX
- PRN
- Mid-level
- 1 year
- Radiology
- Employee stock purchase plan
- Disability insurance
Quick Apply
Audit & Onboarding Specialist - Hybrid (Museum District)
Houston Methodist Specialty Physician Group —Houston, TX
- Full-time
- Customer service
- Word processing
- Writing skills
14d
Nurse, Concurrent Review
HealthHelp - A WNS Company —Houston, TX
- $75,000 a year
- Weekends as needed
- Remote
- Nursing
- Microsoft Excel
- RN License
- AD&D insurance
- Paid holidays
Quick Apply
Sr Regulatory Compliance Specialist
Houston Methodist Academic Institute —Houston, TX
- Full-time
- Customer service
- 5 years
- English
5d
Senior Professional Fee Coder
Baylor College of Medicine —Houston, TX
- $63,052 - $74,178 a year
- Full-time
- Hybrid work
- Surgery
- 5 years
- High school diploma or GED
10h
Credentialing Specialist II
Parallon —Houston, TX
- Full-time
- 5 years
- Mid-level
- Experience equivalent to degree accepted
- Employee stock purchase plan
- Disability insurance
Quick Apply
7d
Professional Coder I-Rev Cycle
UTHealth Houston —Houston, TX
- Full-time
- High school diploma or GED
- Analysis skills
- Data entry
- Mileage reimbursement
- Health insurance
14d
Home Health Coder II
HCA Houston Healthcare Southeast —Pasadena, TX
- Full-time
- Mid-level
- Home Health
- 1 year
- Employee stock purchase plan
- Disability insurance
Quick Apply
6d
Risk Adjustment Coding Specialist II - Houston
Astrana Health, Inc. —Houston, TX
- $70,000 - $85,000 a year
- Email
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Public speaking
Quick Apply
Clinical Coding Supervisor
MD Anderson —Houston, TX
- $89,000 - $133,000 a year
- Full-time
- Remote
- Bachelor's degree
- Organizational skills
- 1 year
- AD&D insurance
- Paid holidays
Care Manager Clinical Denials - Mon. - Friday / Telecommute / Hybrid.
Harris Health —Houston, TX
- $86,985.60 - $109,304.00 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
EHR Scribe - Memorial City (Per Diem)
Ent and Allergy Associates, LLP —Houston, TX
- Monday to Friday
- Anatomy knowledge
- HIPAA
- Organizational skills
- Disability insurance
- Health insurance
Sr. Regulatory Compliance Specialist
Houston Methodist Academic Institute —Houston, TX
- Full-time
- Customer service
- 5 years
- English
5d
Inpatient Coding Compliance Auditor (Remote)
Memorial Hermann Health System —Houston, TX
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- 4 years

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clinical documentation specialist jobs near houston tx

Clinical Documentation Improvement Specialist

Baylor College of Medicine -
Houston, TX

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Job Details

Full-time
$79,092 - $93,049 a year

Qualifications

High school diploma or GED

Full Job Description

Summary

The Clinical Documentation Improvement (CDI) Specialist – Professional Billing supports accurate, compliant professional fee billing through focused review and improvement of provider documentation. This role partners closely with physicians, advanced practice providers (APPs), professional coders, and revenue cycle stakeholders to ensure documentation fully supports CPT, HCPCS, ICD 10 CM codes, modifier usage, and medical necessity.

The CDI Specialist serves as a documentation and coding subject matter expert, emphasizing education, collaboration, and prevention of downstream denials or compliance risk, rather than claim production volume.

Job Duties

Professional Documentation Review

Reviews outpatient, clinic, procedural, and surgical professional documentation to identify gaps impacting coding accuracy and compliance.
Ensures documentation supports E/M level selection, procedure complexity, modifier use, and payer medical necessity requirements.
Identifies documentation trends that may result in down coding, denials, or audit exposure.

Provider Query & Education

Initiates compliant provider queries to clarify diagnoses, procedures, clinical intent, and E/M components.
Provides case based and trend based education to physicians and APPs focused on professional documentation best practices.
Serves as a trusted advisor to providers regarding documentation requirements for professional billing.

Coding & Revenue Cycle Collaboration

Collaborates with professional coders to ensure documentation supports accurate CPT, HCPCS, ICD 10 CM, and modifier assignment prior to claim submission.
Partners with revenue integrity, denials, and compliance teams to resolve documentation related issues.
Supports initiatives to improve first pass yield and reduce rework and payer recoupments.

Audit, Compliance & Quality Improvement

Supports internal and external audits by validating documentation support for billed professional services.
Tracks and trends documentation issues, provider response rates, and improvement opportunities.
Participates in continuous improvement initiatives related to documentation standards and professional billing workflows.
Performs other job-related duties as assigned.

Minimum Qualifications

High School diploma or GED.
Four years of relevant experience.
Certified Professional Coder (CPC) or Certified Inpatient Coder (CIC) through the American Academy of Professional Coders (AAPC); or Certified Coding Specialist – Physician-based (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) through the American Health Information Management Association (AHIMA).

Preferred Qualifications

Experience in professional fee CDI, professional coding, auditing, or revenue integrity.
Clinical background (RN, LPN, MA, or allied health).
Experience in a multi specialty or academic practice plan.
Familiarity with payer policies, NCCI edits, and modifier driven denials.
CDI Certification.

Work Authorization Requirement:

This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

Apply Now

Refine Your Search

clinical documentation specialist jobs in houston tx

Clinical Documentation Improvement Specialist

Coding Training Coordinator

Surveillance Specialist

Senior Consultant - Clinical Documentation Specialist

Registered Nurse RN Oncology BMT

MDS Coordinator at Westwood

Cath Lath Registered Nurse - Cardiac RN - PRN

Audit & Onboarding Specialist - Hybrid (Museum District)

Nurse, Concurrent Review

Sr Regulatory Compliance Specialist

Senior Professional Fee Coder

Credentialing Specialist II

Professional Coder I-Rev Cycle

Home Health Coder II

Risk Adjustment Coding Specialist II - Houston

Clinical Coding Supervisor

Care Manager Clinical Denials - Mon. - Friday / Telecommute / Hybrid.

EHR Scribe - Memorial City (Per Diem)

Sr. Regulatory Compliance Specialist

Inpatient Coding Compliance Auditor (Remote)

I want to receive the latest job alert for clinical documentation specialist in houston tx

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