Top 117 Claims advisor 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
Client Manager, Commercial Risk - Insurance Advisory Solutions, SW Region
The Baldwin Group —Houston, TX
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Commercial Risk Advisor (Producer) - Insurance Advisory Solutions
The Baldwin Group —Houston, TX
- Full-time
- Microsoft Excel
- Writing skills
- Mid-level
Principal Solution Architect, Insurance
Bain & Co. —Houston, TX
- $168,500 - $234,500 a year
- Full-time
- Azure
- 11+ years
- Office
- Wellness program
- Paid holidays
Quick Apply
Showroom Manager
Cullen Jewellery —Houston, TX
- Full-time
- Computer literacy
- Mid-level
- Office
- Employee assistance program
Quick Apply
Client Manager, Commercial Lines
Trucordia —Houston, TX
- Full-time
- Data analysis skills
- Mid-level
- 3 years
- Health savings account
- AD&D insurance
Quick Apply
Financial Advisor - Houston Metro area and Surrounding Eastern Suburbs
Thrivent —Houston, TX
- Background check
- Mid-level
- Business development
- Paid training
- AD&D insurance
Quick Apply
Trial Attorney
State Farm Mutual Automobile Insurance Company —Houston, TX
- $129,250 - $196,900 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- US work authorization
- Paid holidays
- Health insurance
10d
Virtual Financial Advisor - Houston
Thrivent —Houston, TX
- $23.80 - $26.45 an hour
- Full-time
- Background check
- Bachelor's degree
- Military encouraged
- Health insurance
- Dental insurance
Quick Apply
Sr. Client Manager, Employee Benefits - IAS, Southwest
The Baldwin Group —Houston, TX
- Full-time
- Hybrid work
- 5 years
- Office
- Presentation skills
Roofing Advisors
Lifetime Roofing —Spring, TX
- $80,000 - $120,000 a year
- Full-time
- Communication skills
- Outdoor work
- Entry level
- Paid training
- Health insurance
Quick Apply
Advisor II, Demurrage
Phillips 66 —Houston, TX
- $108,900 - $133,100 a year
- Full-time
- Mid-level
- Analysis skills
- Bachelor's degree
- Health savings account
- Health insurance
6d
Energy Risk Engineering Consultant
The Hartford —Houston, TX
- $113,600 - $170,400 a year
- Full-time
- Hybrid work
- 5 years
- Bachelor of Science
- Bachelor's degree
Contracts Advisor
ENGIE —Houston, TX
- $65 - $85 an hour
- Contract
- Hybrid work
- 7 years
- Master's degree
- Bachelor's degree
Assistant Treasurer
LivaNova —Houston, TX
- $95,000 - $140,000 a year
- Full-time
- Hybrid work
- 5 years
- Office
- Finance
- Employee stock purchase plan
- Health insurance
Service Advisor, Houston
Lucid Motors —Houston, TX
- Extended hours
- Bachelor of Science
- Mid-level
- Office
- Paid holidays
- Disability insurance
12d
Service Advisor
Classic Collision Corporate Services LLC —Houston, TX
- Online Application
- ASE Certification
- Background check
- 18 years or older
- Paid training
- Paid holidays
Money Out Processor
Corebridge —Houston, TX
- Overtime
- Hybrid work
- Research
- Mid-level
- Office
- Wellness program
- Health insurance
1d
Account Manager - Pearland Texas
Optum —Pearland, TX
- $91,700 - $163,700 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Public speaking
Quick Apply
Risk Manager
Memorial Hermann Health System —Houston, TX
- Full-time
- Nursing
- Bachelor of Science
- Conflict management

I want to receive the latest job alert for claims advisor in houston, tx

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims advisor jobs near houston, tx

Clinical Documentation Improvement Specialist

Baylor College of Medicine -
Houston, TX

Apply Now

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

claims advisor jobs in houston, tx

Clinical Documentation Improvement Specialist

Client Manager, Commercial Risk - Insurance Advisory Solutions, SW Region

Commercial Risk Advisor (Producer) - Insurance Advisory Solutions

Principal Solution Architect, Insurance

Showroom Manager

Client Manager, Commercial Lines

Financial Advisor - Houston Metro area and Surrounding Eastern Suburbs

Trial Attorney

Virtual Financial Advisor - Houston

Sr. Client Manager, Employee Benefits - IAS, Southwest

Roofing Advisors

Advisor II, Demurrage

Energy Risk Engineering Consultant

Contracts Advisor

Assistant Treasurer

Service Advisor, Houston

Service Advisor

Money Out Processor

Account Manager - Pearland Texas

Risk Manager

I want to receive the latest job alert for claims advisor in houston, tx

Related Searches

Explore jobs in more locations

Summary

Job Duties

Minimum Qualifications

Preferred Qualifications

Job Seeker Tools

Employer Tools

Browse

Stay Connected