Senior Coding Specialist

Job not on LinkedIn

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Houston Methodist

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

Healthcare • Education

Houston Methodist is an integrated health system based in Houston, TX. It operates multiple hospitals (including Houston Methodist Hospital, Sugar Land, The Woodlands, West, Cypress, Willowbrook, Baytown, Clear Lake, Continuing Care), a physician organization and primary care group, an academic institute, research and education programs, and international patient services. The organization runs extensive hiring and training programs for clinicians and staff, offers specialty and primary care services, and supports community and research initiatives.

📋 Description

• Apply correct coding conventions to patient charge encounters in a clinical environment • Abstract diagnosis and procedural services from physician records • Review and correct charge review and claim edit-related coding errors in the electronic health record • Review, correct, and appeal coding-related claim denials • Mentor and cross-train Coding Specialists • Communicate with physicians and Physician Organization Central Business Office staff to clarify diagnosis and procedures • Collaborate with management to reduce claim denials • Respond to internal requests for medical coding information • Participate in coding round tables and in-services • Provide backup coverage and cross-training for team members • Code and abstract medical records for reimbursement using current coding conventions, guidelines, and tools such as 3M encoder • Verify and substantiate diagnoses and procedures for charge review, claim edits, and denied claims • Submit clinical appeals or corrected claims • Create and review department-specific coding workflows • Match charge documents, billing sheets, operative reports, and medical records to ensure accurate coding and capture billable services • Complete charge review and claim edit sessions within two business days • Investigate and appeal unpaid, denied, and partially paid third-party claims • Provide ongoing coding and documentation education to physicians and clinical staff

🎯 Requirements

• High School diploma or equivalent education • Five years of professional coding experience • Must have one of: CCS (Certified Coding Specialist, AHIMA) or CPC (Certified Professional Coder, AAPC) • Must reside in Texas • Proficiency in speaking, reading, and writing English • Knowledge of ICD-9, ICD-10, and CPT codes • Working knowledge of medical terminology, anatomy, and physiology • Proficiency with Microsoft Office applications such as Word and Excel • Ability to think critically and work independently • Ability to multitask in a fast-paced, rapidly changing healthcare environment • Strong training, leadership, and mentoring skills • High level of professionalism, customer service, interpersonal skills, and confidentiality • Ability to travel within the Houston Metropolitan area

🏖️ Benefits

• Remote or hybrid work arrangement • Full-time employment • Business professional work attire • Ongoing professional growth and development • Continuing education through coding round tables and in-services • Quarterly coding and revenue integrity team meetings • Mentoring and cross-training opportunities