Top 126 coding specialist Jobs in addison tx

DRG Reviewer
Machinify —Dallas, TX
- $90,000 - $115,000 a year
- Remote
- Nursing
- HIPAA
- Mid-level
- Health savings account
- Health insurance
Quick Apply
Coder/Biller
OMS MEDICAL BILLING LLC —Addison, TX
- $24 - $30 an hour
- Full-time
- HIPAA
- Mid-level
- Office
- Dental insurance
- 401(k)
Quick Apply
DIRECTOR, FRONT-END REVENUE CYCLE MANAGEMENT
PSN Services LLC —Plano, TX
- Full-time
- Surgery
- 3 years
- Finance
- Paid time off
5h
Experienced Revenue Cycle Specialist (Medical Billing / A/R Follow-Up)
Clear RCM Holdings LLC —McKinney, TX
- $48,000 - $52,000 a year
- Overtime
- Hybrid work
- Medical office experience
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
RN-Compliance Auditor
Cambay Healthcare LLC —Dallas, TX
- $1,920.43 - $2,360.44 a week
- Contract
- Hybrid work
- 6 years
- RN License
- HIPAA
- Referral program
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7h
Registered Nurse (RN) - Compliance Auditor
Cambay Healthcare LLC —Dallas, TX
- $2,100 - $2,300 a week
- Full-time
- Nursing
- 6 years
- RN License
- Relocation assistance
- Flexible schedule
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8h
Central Supply - CNA
Remington Transitional Care Center —Richardson, TX
- Full-time
- High school diploma or GED
- Data entry
- 1 year
Quick Apply
Coding Specialist - Remote (Must Reside In TX) - Museum District
Houston Methodist Specialty Physician Group —Texas
- Full-time
- Remote
- Anatomy knowledge
- Microsoft Excel
- No experience needed
1d
Patient Financial Specialist-Patient Financial Services
Christus Health —Irving, TX
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
8d
Inpatient Coder
Houston Methodist —Texas
- Full-time
- Anatomy knowledge
- English
- Mid-level
Lead Outpatient Coder
Houston Methodist —Texas
- Full-time
- Anatomy knowledge
- Writing skills
- English
Sr Inpatient Coder
Houston Methodist —Texas
- Full-time
- Anatomy knowledge
- English
- Travel
2d
Medical Billing and Coding Specialist
Internal Medicine Associates of Plano —Plano, TX
- $21 - $25 an hour
- Full-time
- Medical office experience
- Internal Medicine
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
APC Coding Validation Specialist
Machinify —Dallas, TX
- $85,000 - $100,000 a year
- Remote
- Analysis skills
- Senior level
- Associate's degree
- Health savings account
- Health insurance
Demographics Charge Entry Representative
NATIONAL PARTNERS IN HEALTHCARE —Richardson, TX
- $17 - $22 an hour
- Full-time
- Remote
- Customer service
- Writing skills
- Mid-level
- Opportunities for advancement
Quick Apply
Appeals Specialist
OMS MEDICAL BILLING LLC —Addison, TX
- $24 - $30 an hour
- Full-time
- Mid-level
- Office
- Analysis skills
- Dental insurance
- 401(k)
Quick Apply
Coding Specialist III
UT Southwestern —Dallas, TX
- 8 hour shift
- Remote
- Anatomy knowledge
- Surgery
- High school diploma or GED
- Paid parental leave
- Paid holidays
Claims In-take Specialist
OMS MEDICAL BILLING LLC —Addison, TX
- $20 - $25 an hour
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Dental insurance
- 401(k)
Quick Apply
Claims Reconciliation Specialist
OMS MEDICAL BILLING LLC —Addison, TX
- $23 - $27 an hour
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Dental insurance
- 401(k)
Quick Apply
Medical Biller
Medical Specialists Associated —Dallas, TX
- $20 - $27 an hour
- Monday to Friday
- Computer literacy
- Mid-level
- 3 years
Quick Apply

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coding specialist jobs near addison tx

DRG Reviewer

Machinify -
Dallas, TX

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Job Details

$90,000 - $115,000 a year

Benefits

Health savings account
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching

Qualifications

Root cause analysis
Clinical documentation standards
Healthcare coding investigations
DRG

Full Job Description

Machinify is a leading healthcare intelligence company with expertise across the payment continuum, delivering unmatched value, transparency, and efficiency to health plan clients across the country. Deployed by over 85 health plans, including many of the top 20, and representing more than 270 million lives, Machinify brings together a fully configurable and content-rich, AI-powered platform along with best-in-class expertise. We're constantly reimagining what's possible in our industry, creating disruptively simple, powerfully clear ways to maximize financial outcomes and drive down healthcare costs.

About the Opportunity

As part of the Complex Payment Solutions Team, you will, as a DRG Reviewer, be a key contributor responsible for conducting thorough DRG payment validation reviews, including clinical and coding assessments, of medical records and related documentation in accordance with contract-specific review criteria. This position requires an in-depth understanding of clinical guidelines, coding protocols, and regulatory requirements to ensure accurate payment determinations.

In this role, you will meticulously document findings, provide detailed clinical, policy, and regulatory support and collaborate with relevant stakeholders to ensure compliance with payment standards. Your expertise will be critical in ensuring that payment decisions are supported by accurate and complete documentation, ultimately contributing to the integrity and efficiency of the payment process.

What you'll do

Audit patient medical records using clinical, coding, and payer guidelines to ensure accurate reimbursement.
Provide clear, evidence-based rationale for code recommendations or reconsiderations to providers or payers.
Collaborate with team leaders to ensure thorough review of DRG denials.
Conduct audits in alignment with organizational quality and timeliness standards.
Use proprietary auditing systems proficiently to make consistent determinations and generate audit letters.
Recommend improvements to the audit system to enhance efficiency.
Ensure compliance with HIPAA regulations for protected health information.
Perform other duties as assigned.

What you bring (Role Requirements)

Education Requirements:

An associate or bachelor's degree in nursing (active/unrestricted license); or in health information management is required.
Work experience may be considered in lieu of formal education at leadership discretion.

Certification (at least one of the following is required):

RHIA - Registered Health Information Administrator
RHIT- Registered Health Information Technician
CCDS - Certified Clinical Documentation Specialist
CDIP - Clinical Documentation Improvement Practitioner
CCS - Certified Coding Specialist
CIC - Certified Inpatient Coder

Qualifications:

Inpatient claims auditing, quality assurance or recovery auditing experience of 2 years or more required, and/or Inpatient Clinical Documentation Integrity experience of 2 years or more required
Strong focus on quality and attention to detail.
Deep curiosity and analytical skills to understand root causes of events and behaviors.
Proven ability to apply critical judgment in clinical and coding determinations.
In-depth knowledge of clinical criteria and documentation requirements to support code assignments.
Expert in DRG methodologies (e.g., MS & APR).
Expertise in ICD-10-CM/PCS coding, UHDDS definitions, Official Coding Guidelines, and AHA's Coding Clinic Guidelines.
Ability to work independently and efficiently with minimal supervision.

What We Offer:

Work from anywhere in the US! Machinify is digital-first.
Top Medical/Dental/Vision offerings
FSA/HSA
Tuition reimbursement
Competitive salary, 401(k) with company match
PTO
Additional health and wellness benefits and perks
Flexible and trusting environment where you'll feel empowered to do your best work

The salary for this position is based on an array of factors unique to each candidate: Such as years and depth of experience, set skills, certifications, etc. We are hiring for different levels, and our Recruiting team will let you know if you qualify for a different role/range. Salary is one component of the total compensation package, which includes meaningful equity, excellent healthcare, flexible time off, and other benefits and perks.

Pay range: $90,000 - $115,000, plus quarterly bonus.

Equal Employment Opportunity at Machinify

We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. Machinify is an employment at will employer. We participate in E-Verify as required by applicable law. In accordance with applicable state laws, we do not inquire about salary history during the recruitment process. If you require a reasonable accommodation to complete any part of the application or recruitment process, please let our recruiters know. See our Candidate Privacy Notice at: https://www.machinify.com/candidate-privacy-notice/

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Refine Your Search

coding specialist jobs in addison tx

DRG Reviewer

Coder/Biller

DIRECTOR, FRONT-END REVENUE CYCLE MANAGEMENT

Experienced Revenue Cycle Specialist (Medical Billing / A/R Follow-Up)

RN-Compliance Auditor

Registered Nurse (RN) - Compliance Auditor

Central Supply - CNA

Coding Specialist - Remote (Must Reside In TX) - Museum District

Patient Financial Specialist-Patient Financial Services

Inpatient Coder

Lead Outpatient Coder

Sr Inpatient Coder

Medical Billing and Coding Specialist

APC Coding Validation Specialist

Demographics Charge Entry Representative

Appeals Specialist

Coding Specialist III

Claims In-take Specialist

Claims Reconciliation Specialist

Medical Biller

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