Medical Coder, Pre Claims

🕒 April 4

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Baylor Genetics

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1978

🧬 Biotechnology

🔬 Science

Biotechnology • Science

Baylor Genetics is a clinical genomics and precision diagnostics laboratory affiliated with Baylor College of Medicine that provides comprehensive genetic testing and interpretation services. The company offers whole genome and whole exome sequencing, chromosomal microarray analysis, mitochondrial testing, pharmacogenomics, and specialized assays, along with genetic counseling, provider support, and insurance/payment resources. Baylor Genetics supports healthcare providers, researchers, and families with AI-enhanced interpretation, multimodal data integration, and end-to-end clinical and laboratory services.

📋 Description

• Review orders and supporting documentation to confirm accurate, compliant ICD-10 and CPT/HCPCS coding inputs needed for clean claim submission. • Identify missing or incomplete claim-critical elements and drive timely remediation through established workflows. • Confirm documentation and coding elements are in place prior to claim submission, escalating gaps for resolution as needed. • Execute coding-focused quality checks and proactive audits to detect trends, prevent repeat errors, and reduce downstream denials tied to documentation or coding gaps. • Partner with front-end operations to reduce missing billing information and rework before claims are submitted. • Support visibility into pre-claim performance drivers by tracking and communicating recurring gap themes.

🎯 Requirements

• High school diploma or equivalent; additional education in health sciences or a related field preferred. • Demonstrated working knowledge of ICD-10-CM and CPT/HCPCS coding concepts as applied to claim-submission readiness. • Proven ability to identify missing or invalid claim-critical data elements and drive resolution through cross-functional coordination. • Professional coding certification (AAPC/AHIMA or equivalent) preferred. • Experience supporting pre-claim quality, audits, or denial prevention workflows in a high-volume healthcare revenue cycle environment.

🏖️ Benefits

• Flexible work arrangements • Professional development opportunities