Top 41 Remote medical coder cpc Jobs in Texas

Coder / Specialty Medical Bill Reviewer (Remote)
Management Resources Group LLC (MRG) —Schertz, TX
- Full-time
- Computer literacy
- Research
- Mid-level
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Outpatient Coding Specialist I - (PRN) Remote
Citizens Medical Center —Victoria, TX
- PRN
- Remote
- Mid-level
- High school diploma or GED
- Home Health
Coding Denials Analyst - Full Time - Remote
Texas Health Resources —Arlington, TX
- Email
- Remote
- Writing skills
- Research
- Mid-level
- Paid parental leave
- Loan repayment program
Senior Clinical Coding Specialist - OR Surgery
MD Anderson —Houston, TX
- $67,000 - $100,000 a year
- Full-time
- Remote
- Surgery
- 5 years
- HIPAA
- AD&D insurance
- Paid holidays
Medical Records DRG Certified Coder
Today's Solutions, LLC —San Antonio, TX
- Full-time
- Remote
- HIPAA
- Mid-level
- US work authorization
CERTIFIED MEDICAL CODER AMBULATORY PROCEDURE VISIT (APV) -- FULLY REMOTE
LTSi - Laredo Technical Services, Inc. —San Antonio, TX
- Online Application
- Remote
- Anatomy knowledge
- Mid-level
- Outpatient
- Paid holidays
- Disability insurance
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CERTIFIED OUTPATIENT MEDICAL CODER -- FULLY REMOTE
LTSi - Laredo Technical Services, Inc. —San Antonio, TX
- Urgently hiring
- Remote
- Anatomy knowledge
- Research
- Mid-level
- Paid holidays
- Disability insurance
Quick Apply
Coder II (Denials) - FT - Days
Texas Health Resources —Arlington, TX
- Email
- Remote
- Anatomy knowledge
- Research
- Mid-level
- Paid parental leave
- Loan repayment program
CERIS Certified Coder I
CorVel Corporation —Fort Worth, TX
- $43,886 - $65,638 a year
- Full-time
- Remote
- Microsoft Outlook
- HIPAA
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Auditor, Risk Adjustment
Oscar Health —Dallas, TX
- $82,717 - $108,566 a year
- Remote
- Mid-level
- Bachelor's degree
- Travel
- Paid parental leave
- Paid holidays
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4d
Medical Coder
Premier Medical Resources —Houston, TX
- Background check
- Customer service
- Pass drug screening
- AD&D insurance
- Disability insurance
Quick Apply
CERIS Certified Coder II
CorVel Corporation —Fort Worth, TX
- $48,143 - $71,852 a year
- Full-time
- Remote
- Microsoft Outlook
- HIPAA
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Medical Biller & Coder
Woodlands Primary Healthcare —Spring, TX
- $20 - $40 an hour
- Full-time
- Hybrid work
- Computer literacy
- HIPAA
- Mid-level
- Health insurance
- 401(k)
Quick Apply
CERTIFIED INPATIENT MEDICAL CODER -- FULLY REMOTE
LTSi - Laredo Technical Services, Inc. —San Antonio, TX
- Urgently hiring
- Remote
- Anatomy knowledge
- Mid-level
- 1 year
- Paid holidays
- Disability insurance
Quick Apply
Freelance Medical & Billing Coder
Dane Street, LLC —Houston, TX
- Medical office experience
- Mid-level
- Quality control
Quick Apply
Sr Clinical Coding Specialist -Evaluation and Management Coder
MD Anderson —Houston, TX
- $32.21 - $48.08 an hour
- Full-time
- Remote
- 5 years
- HIPAA
- Epic
- AD&D insurance
- Paid holidays
2d
Inpatient Coding Auditor - Remote based in US
Other Staff —Dallas, TX
- $30.60 - $48.80 an hour
- Full-time
- Remote
- HIPAA
- Mid-level
- 3 years
- Health savings account
- AD&D insurance
Certified Coding Specialist I/II/III- Ob/Gyn
UTHealth Houston —Houston, TX
- Mid-level
- High school diploma or GED
- Ob/Gyn
- Health insurance
- Employee discount
Outpatient Professional Medical Coder/Remote
Greenberg-Larraby, Inc. (GLI) —Temple, TX
- 3 years
- In-person
- Senior level
- Dental insurance
- Vision insurance
Quick Apply
Coding Specialist - Surgical Services - Hybrid
Integrative Emergency Services —Dallas, TX
- Full-time
- Hybrid work
- Anatomy knowledge
- Surgery
- Ability to walk for extended periods
Quick Apply

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remote medical coder cpc jobs near texas

Coder / Specialty Medical Bill Reviewer (Remote)

Management Resources Group LLC (MRG) -
Schertz, TX

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Job Details

Full-time

Qualifications

Computer operation
Database systems
Data analysis reporting
Utilization review
Managed care
Copy machines
Data reporting
Client relationship development
Workers' compensation insurance knowledge
High school diploma or GED
Certified Professional Coder
Health insurance knowledge
Cost analysis
NCQA standards
Cost reduction analysis
Productivity software
Legal compliance
Medical terminology

Full Job Description

Description:

The remote Coder/Specialty Medical Bill Reviewer is responsible for reviewing, auditing, and data entry of medical bills for multiple states and lines of business within both Worker’s Compensation and Commercial Health arenas. This would include analysis for the fee schedule or usual and customary application, as well as PPO interface, while meeting contractual client requirements.

Essential Job Functions:

Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines, and PPO discounts
Analysis and review of 1 or more assigned states having fee schedules
Utilize Fee Schedules, Online Documents, Client instructions, and other training material to properly review medical bills
Review medical bills for compensability and relatedness to injury
Reprice medical bills to Workers’ Compensation Fee Schedule and PPO Network
Research usual and customary/fee schedule applications and system interface as appropriate
Reviews specialized Medical Bills, which include hospital, surgery, and high-level physician bills for workers' compensation and non-workers' compensation claims, and may include hospital bills, auto liability, and usual and customary reimbursement
Determines the appropriateness of a final reimbursement outcome by making the distinction between and knowing when to apply either Fee Schedule reduction, PPO reduction, Usual and Customary reduction, or Medicare reduction
Communicates and defends to providers and clients the basis for the methodology used to accomplish the reduction of charges
Analyzes and reviews high-level office visits, reports, and record reviews
Interprets hospital review guidelines for both inpatient and outpatient claims
Knowledge of medical terminology, workers’ compensation billing guidelines, and fee schedules, including CPT/ICD/HCPS coding, and knowledge of UB04 and CMS 1500 form types preferred
Responsible for producing a final review for the recommendation of payment to the client
Maintain productivity, as well as speed and level of accuracy, as determined by company standards

Requirements:

Abilities and Competencies:

Current knowledge of utilization review processes and managed care
Knowledge of state-based fee schedules
Strong knowledge of Medical Terminology and CPT/ICD-9/ICD-10 coding
Ability to identify trends through analysis of practices to improve the overall utilization of resources and cost containment
Ability to communicate those trends found through analytical study using a variety of reporting mediums
Ability to work collaboratively and independently while meeting productivity standards
Ability to work in a high-production environment while meeting productivity and quality standards
Ability to represent Utilization Management in organizational committees, as assigned
Excellent relationship management skills
Demonstrated ability to problem-solve in complex situations
Ability to engage in abstract thought
Strong organizational and task prioritization skills
Strong analytical, numerical, and reasoning abilities
Well-developed interpersonal skills
Ability to establish credibility and be decisive – while also recognizing and supporting our organization’s preferences and priorities
Results-oriented with the ability to balance other business considerations
Knowledgeable of multi-state workers’ compensation systems
Computer literacy on Microsoft Office products and database programs
Ability to construct grammatically correct reports using standard medical terminology
Must have a track record of producing highly accurate work, demonstrating attention to detail

Education and Experience:

High School Diploma or equivalent
AAPC Coding Certification is required (CPC required, CIC preferred)
ICD-9, ICD-10, PCS/HCPS/CPT, MS-DRG, and Geographical codes, and NCQA regulatory compliance guidelines
Must have a consistent coding rate at the 95th percentile or higher
RAC review and auditing
Proficiency as a Specialty Medical Bill Reviewer with two or more years of previous experience in medical bill review (workers’ compensation is a plus)

Driving Essential: No

Certifications/Licenses: AAPC Coding Certification (CPC required, CIC preferred)

Position Demands:

This position requires sitting, bending, stooping for up to 8 hours per day in an office setting. Ability to lift and move objects weighing up to 10 lbs. Ability to learn technical material. The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc. Must be able to operate a computer and other office equipment such as a calculator, copy machine, printer, etc. Some travel may be required.

Equal Employment Opportunity (Our EEO Statement):

The Company is a veteran-owned Company and provides Equal Employment Opportunities (EEO) to all Team Members and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender (including gender identity), pregnancy, childbirth, or a medical condition related to pregnancy or childbirth, national origin, age, disability, genetic information, status as a covered veteran in accordance with applicable federal, state, and local laws, or any other characteristic or class protected by law and is committed to providing equal employment opportunities. The Company complies with applicable state and local laws governing non-discrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, promotion, discharge, pay, fringe benefits, membership, job training, classification, and other aspects of employment.

We are committed to creating an inclusive environment for all team members and applicants. We value the unique skills and experiences that veterans bring to our team and encourage veterans to apply.

Disclaimer:

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of our personnel. All team members may be required to perform duties outside of their normal responsibilities from time to time, as needed.

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Refine Your Search

remote medical coder cpc jobs in texas

Coder / Specialty Medical Bill Reviewer (Remote)

Outpatient Coding Specialist I - (PRN) Remote

Coding Denials Analyst - Full Time - Remote

Senior Clinical Coding Specialist - OR Surgery

Medical Records DRG Certified Coder

CERTIFIED MEDICAL CODER AMBULATORY PROCEDURE VISIT (APV) -- FULLY REMOTE

CERTIFIED OUTPATIENT MEDICAL CODER -- FULLY REMOTE

Coder II (Denials) - FT - Days

CERIS Certified Coder I

Auditor, Risk Adjustment

Medical Coder

CERIS Certified Coder II

Medical Biller & Coder

CERTIFIED INPATIENT MEDICAL CODER -- FULLY REMOTE

Freelance Medical & Billing Coder

Sr Clinical Coding Specialist -Evaluation and Management Coder

Inpatient Coding Auditor - Remote based in US

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

Outpatient Professional Medical Coder/Remote

Coding Specialist - Surgical Services - Hybrid

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