Certified Medical Coder

Location: Houston, TX 77035
Schedule: Monday - Friday, 8:00 AM - 5:00 PM
Work Arrangement: Hybrid (3 days onsite, 2 days remote)
Pay: $27.00-$35.50/hour DOE

We are seeking an experienced Certified Medical Coder to join our team in Houston. This role is responsible for ensuring coding accuracy, revenue integrity, and regulatory compliance through medical record auditing, accurate ICD-10 and CPT code assignment, and provider education. The ideal candidate will have strong coding experience, excellent attention to detail, and a thorough understanding of healthcare reimbursement and documentation standards.

• Audit inpatient and outpatient medical records to ensure accurate ICD-10 and CPT code assignment.
• Review physician documentation for compliance with payer and regulatory guidelines.
• Interpret medical evaluations, consults, progress notes, and other clinical documentation to accurately code services provided.
• Identify and resolve clinical documentation and charge capture discrepancies to improve coding quality and reimbursement.
• Ensure all billable services are captured and coded appropriately.
• Stay current with coding regulations, payer requirements, and reimbursement guidelines.

• Educate providers and clinical staff on CPT coding guidelines and payer-specific requirements.
• Conduct ongoing coding education as coding standards evolve.
• Support provider certification and credentialing while ensuring compliance with health plan requirements.
• Recommend workflow improvements and automation opportunities within the provider onboarding process.

• Maintain HIPAA compliance and patient confidentiality.
• Utilize patient accounting systems and coding data to support operational decision-making.
• Recommend improvements to claims processing and reimbursement workflows.
• Assist with accounting projects and other departmental initiatives as assigned.

• Minimum of 2 years of inpatient and/or outpatient medical coding experience.
• Current coding certification through AAPC or AHIMA (CPC, CCS, CCA, or equivalent).
• Proficiency in ICD-10 and CPT coding.
• Understanding of behavioral health terminology and clinical documentation.
• Strong knowledge of coding compliance, payer regulations, and medical record auditing.

• Experience using Cerner EMR.
• Behavioral health coding experience.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.