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  • Specialty Coder Senior - Neurosurgery

    Christus Health 4.6company rating

    Medical coder job in San Antonio, TX

    Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines. Coder will work collaboratively with various CHRISTUS Health departments, including but not limited to the HIM and Clinical Documentation Specialists, to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director. Responsibilities Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Assign codes for diagnoses, treatments, and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG. Abstracts required information from source documentation, to be entered into the appropriate CHRISTUS Health electronic medical record system. Validates admit orders and discharge dispositions. Works from assigned coding queue, completing and re-assigning accounts correctly. Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner. Meets or exceeds an accuracy rate of 95%. Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). Assists in implementing solutions to reduce backend errors. Identifies and appropriately reports all hospital‑acquired conditions (HAC). Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists. Has strong written and verbal communication skills. Able to work independently in a remote setting, with little supervision. Participates in both internal and external audit discussions. All other work duties as assigned by the Manager. Job Requirements Education/Skills High school Diploma or equivalent years of experience required. Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred. Experience 1 - 3 years of experience preferred. Licenses, Registrations, or Certifications None required. Work Schedule 5 Days - 8 Hours Work Type Full Time #J-18808-Ljbffr
    $48k-58k yearly est. 3d ago
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  • Hierarchical Condition Category (HCC) Coding Specialist

    Highmark Health 4.5company rating

    Medical coder job in Austin, TX

    This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using skills including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation (RADV) Audits. Works closely with physicians, team members, Quality, Compliance, partners at Enterprise and leadership to identify and deliver high quality and accurate risk adjustment coding. Supports all Remote Patient Monitoring (RPM) risk adjustment projects to comply with all CMS requirements by analyzing physician documentation and interpreting into ICD10 diagnoses and HCC disease categories. Supports other key objectives to drive capture of correct Risk Adjustment coding including documentation improvement, provider education, analyzing reports, and identifying process improvements. **ESSENTIAL RESPONSIBILITIES** + Performs HCC coding on projects for MA, ACA, and End Stage Renal Disease (ESRD). Flexes between coding projects, including Retro and Prospective, with different MA, ESRD, and ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for Coding and Highmark's Policy and Procedures to guide HCC coding decision making. Maintains RPM coding accuracy and productivity requirements. + Assists with Regulatory Audits by performing first coding review and ranking of charts. Build partnerships and work within coding teams and internal partners critical to HCC coding. + Participates on ad-hoc projects per the direction of Leadership to address the needs of the department. Provides recommendations for process improvements and efficiencies. + Engages in RPM Coding educational meetings and annual coding Summit. + Other duties as assigned. **EDUCATION** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/coding, health insurance, healthcare or related field preferred. **EXPERIENCE** **Required** + 3 years HCC coding and/or coding and billing **Preferred** + 5 years HCC coding and/or coding and billing **LICENSES or CERTIFICATIONS** **Required** (any of the following) + Certified Professional Coder (CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred** + None **SKILLS** + Critical Thinking + Attention to Detail + Written and Oral Presentation Skills + Written Communications + Communication Skills + HCC Coding + MS Word, Excel, Outlook, PowerPoint + Microsoft Office Suite Proficient/ - MS365 & Teams **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Remote Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $26.49 **Pay Range Maximum:** $41.03 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273522
    $26.5-41 hourly 30d ago
  • Medical Coder - Boerne

    Woundlocal

    Medical coder job in Boerne, TX

    Woundlocal is looking for a detail-oriented Medical Coder to join our dynamic team in Boerne! Responsibilities: Review and analyze medical documentation to ensure accurate coding and billing processes. Assign appropriate codes for diagnoses, procedures, and services according to the guidelines and regulations. Stay up-to-date with coding standards and insurance requirements, including ICD-10, CPT, and HCPCS coding systems. Collaborate with healthcare providers to clarify documentation and ensure completeness. Identify and resolve discrepancies in medical records and coding for accurate claims processing. Evaluate and re-file appeals of patient claims that were denied. Stay up-to-date on new coding ruleas and code changes. Assist in audits and provide necessary documentation for compliance and quality assurance activities. Collect and distribute coding related information and billing issues to management and provider when changes happen. Provide accurate answers to queries from providers, management, and internal staff. Start Date: Immediate Schedule: No less than 40 hours per week Monday to Friday Work Location: In person Boerne office (no remote work) Pay: comp package $25.00 - $34.00 per hour, based on experience Duties, Responsibilities, and Compensation will be adjusted to the individual hire's experience level and expertise. Requirements Qualifications: Education: High school diploma or equivalent; completion of a medical coding program and current certification (CPC, CCS, or equivalent) preferred. Training and experience: Minimum of one year of coding experience in a healthcare setting within the last three years preferred. Strong knowledge of medical terminology, anatomy, and physiology. Proficiency in medical coding software and electronic health record (EHR) systems. Strong attention to detail and accuracy in coding. Ability to work independently and manage multiple priorities effectively. Exceptional communication skills for collaboration with healthcare professionals. #zr Benefits Benefits: Medical, Vision, and Dental insurance Paid time off Free Telehealth visits Free lunch every Friday
    $25-34 hourly Auto-Apply 60d+ ago
  • Acute Care Inpatient Coding Specialist

    HCA Healthcare 4.5company rating

    Medical coder job in San Antonio, TX

    **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:Acute Care Inpatient Coding SpecialistParallon **Benefits** Parallon offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (********************************************************************** **_Note: Eligibility for benefits may vary by location._** We are seeking an Acute Care Inpatient Coding Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! **Job Summary and Qualifications** Coding Integrity Specialist (CIS) III reviews and evaluates hospital inpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and ICD-10- PCS codes. Performs coding and/or code/DRG validation across multiple entities. Applies all appropriate coding guidelines and criteria for code selections. Adheres to Company and HSC Coding Compliance policies and procedures for the assignment of complete, accurate, timely, and consistent codes for diagnoses and procedures. **What you will do in this role:** + Assigns, sequences, validates, and/or edits codes/DRGs and abstracted data (e.g., physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10CM and ICD-10-PCS to include: + Diagnosis description with appropriate 3-7 digit code assignment with corresponding Present On Admission (POA) + Procedure description with appropriate 7 digit ICD-10-PCS code, date and surgeon + Admitting Diagnosis + Discharge disposition + Where applicable, completes the coding portion of the IRF-PAI + Maintains or exceeds established accuracy standards + Maintains or exceeds established productivity standards + Utilizes the complete patient medical record documentation in code/DRG assignment, validation, and/or editing of codes/DRGs + Initiates, reviews, and/or edits physician queries in compliance with Company and HSC policy where appropriate + As needed, may periodically be asked to perform Coding Account Resolution Specialist III (CARS III) duties + Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current + Follows all applicable coding guidance in assigning, sequencing, validation, and/or editing of codes/DRGs + Meets all educational requirements as stated in current Company and HSC policy + Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement" + Other duties as assigned **Qualifications:** + High School graduate or GED equivalent preferred, undergraduate (associate or bachelors) degree in HIM/HIT preferred. + Minimum 1 year of acute care hospital inpatient coding required, 3 years preferred + RHIA, RHIT or CCS preferred Please visit our Parallon HCA Healthcare Coding Landing Page for more information on Coding Opportunities. CLICK HERE for more information on Parallon HCA Coding (********************************************************************* " **Parallon** provides full-service revenue cycle management, or total patient account resolution, for HCA Healthcare. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing. We also provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility, for external clients across the country. Parallon has over 17,000 colleagues, and serves close to 1,000 hospitals and 3,000 physician practices, all making an impact on patients, providers and their communities. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. " "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage you to apply for our Acute Care Inpatient Coding Specialist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. **We are interviewing - apply today!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
    $59k-72k yearly est. 32d ago
  • Pre-Authorization Medical Coder

    Guidehouse 3.7company rating

    Medical coder job in San Antonio, TX

    Job Family: General Coding Travel Required: None Clearance Required: NoneWhat You Will Do: Pre-Authorization Coding: The coder will review documentation for planned procedures and provide the appropriate CPT for authorization. What You Will Need: High School Diploma or equivalent 3-5 years of relevant experience Certified Professional Coder (CPC) certification from AAPC Knowledge in coding guidelines Good written and oral communication skills Proficiency in use of excel What Would Be Nice To Have: Proficiency in CPT Surgical Coding Additional surgical specialty credentials from AAPC #LI- DNI The annual salary range for this position is $40,000.00-$66,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs. What We Offer: Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace. Benefits include: Medical, Rx, Dental & Vision Insurance Personal and Family Sick Time & Company Paid Holidays Position may be eligible for a discretionary variable incentive bonus Parental Leave 401(k) Retirement Plan Basic Life & Supplemental Life Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts Short-Term & Long-Term Disability Tuition Reimbursement, Personal Development & Learning Opportunities Skills Development & Certifications Employee Referral Program Corporate Sponsored Events & Community Outreach Emergency Back-Up Childcare Program About Guidehouse Guidehouse is an Equal Opportunity Employer-Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation. Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco. If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at ************** or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation. All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or ************************. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process. If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse's Ethics Hotline. If you want to check the validity of correspondence you have received, please contact *************************. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant's dealings with unauthorized third parties. Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
    $40k-66k yearly Auto-Apply 41d ago
  • Kotlin Coding Specialist - Freelance AI Trainer Project

    Invisible Agency

    Medical coder job in Austin, TX

    Are you a Kotlin expert eager to shape the future of AI? Large-scale language models are evolving from chatbots into powerful developer assistants capable of reasoning about complex software systems. With high-quality engineering data, tomorrow's AI can support developers in solving real-world problems faster and more accurately. That training data begins with you-your coding expertise will help power the next generation of AI. We're looking for Kotlin specialists who can take real-world engineering scenarios-such as bug reports or feature requests in a Git repository-and produce clean, efficient, and idiomatic solutions using the Kotlin programming language. You'll create high-quality code patches that reflect modern Android development practices and ensure technical correctness, maintainability, and clarity. You should have hands-on experience with modern Android and Kotlin development, including Jetpack Compose, Kotlin Coroutines, and Jetpack libraries such as Room, WorkManager, Datastore, ViewModel, and Hilt. Familiarity with build.gradle configuration, dependency management, and networking libraries such as OkHttp, Retrofit, and Coil is also important. Experience with Android multimedia tools (CameraX, ExoPlayer, Media3) is a plus. On a typical day, you'll evaluate AI-generated code, correct errors, implement optimized Kotlin solutions, and document best practices that demonstrate modern Android design patterns and coding conventions. A strong background in Android software development is required, with demonstrable experience building and maintaining production-level Kotlin applications. Clear, structured communication and the ability to explain technical decisions are essential. We offer a pay range of $35+ per hour, with the exact rate determined after evaluating your experience, expertise, and geographic location. Final offer amounts may vary from the pay range listed above. As a contractor, you'll supply a secure computer and high-speed internet; company-sponsored benefits such as health insurance and PTO do not apply. Job title: Master - Kotlin Coding Specialist - AI Trainer Employment type: Contract Workplace type: Remote Seniority level: Mid - Senior Level
    $35 hourly Auto-Apply 60d+ ago
  • Medical Coder

    Bcforward 4.7company rating

    Medical coder job in Austin, TX

    About BCforward BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 17 locations in North America as well as Hyderabad, India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. With 14+ years of uninterrupted growth, the addition of two brands (Stafforward and PMforward) and a team of more than 1400 resources our teams deliver services for multiple industries from both public and private sectors. BCforward's team of dedicated staffing professionals has placed thousands of talented people over the past decade, with retention rates that are consistently higher than the industry average. Job Description Basic Qualifications: - Certified Professional Coder certification required. ICD-10 certified with broad current outpatient billing/coding experience to assist in operationalizing medical policy development related matters or other projects as specified by the State. The Certified Coder must demonstrate competency in the knowledge and skills specified. - Minimum of 3 years of health care/medical industry experience - Minimum of 2 years proficiency in using PC software, including word processing, MS-Excel - Minimum of 2 years of International Classification of Disease ( ICD) experience Preferred skills: - RN/LVN - Strong knowledge of medical/dental terminology - Prior health insurance, Medicaid, and or claims processing, including ICD, NCCI and HCPCS experience - Significant experience using spreadsheet and word processing functionality - Degree in health care/medical field Professional Experience: - Excellent oral and written communications - Excellent analytical and problem solving Additional Information Must be able to pass a background and drug screen
    $50k-65k yearly est. 60d+ ago
  • (#1894) Jr.Python Coder

    Esolvit

    Medical coder job in Austin, TX

    Esolvit is a global leader in consulting, technology, application development, outsourcing and staffing solutions. ESolvit has successfully delivered solutions of the highest quality to customers globally. We have strategic alliances with customers which enable them to gain a competitive advantage by providing end-to-end consulting, applications support, implementation and infrastructure services. Esolvit's objective is to integrate People, Process, Technology and Training. With our dedicated and efficient team of professionals with technical expertise and strong domain knowledge will be ready to serve the needs of our diverse clients. We help enterprises transform and thrive in a changing world through strategic consulting, operational leadership and the co-creation of breakthrough solutions, including those in mobility, sustainability, big data and cloud computing. Seamless delivery is ensured by our professionals, through the usage of proven methodologies, consistent practices, management disciplines, and business metrics. ESolvit helps customers to do business better leveraging our I ndustry-wide experience, deep technology expertise, comprehensive portfolio of services and a vertically aligned business model Job Description Note: US Citizens & GC holders only Duration: Perm Hire Required: Experience with version control software (e.g., git, svn) Experience with object oriented programming languages and techniques (e.g., Java, Python) Experience with Linux operating system variants Experience with networking concepts, protocols Excellent verbal and written communication skills Working knowledge of Agile development (e.g., Jira, Rally) Working knowledge of virtualization (KVM, VMWare) a plus BS CS/CE or related field and/or equivalent industry experience 2+ years' relevant experience Additional Information All your information will be kept confidential according to EEO guidelines.
    $41k-57k yearly est. 1d ago
  • Certified Medical Coder

    External Brand

    Medical coder job in Austin, TX

    ABOUT AUSTIN REGIONAL CLINIC: Austin Regional Clinic has been voted a top Central Texas employer by our employees for over 15 years! We are one of central Texas' largest professional medical groups with 35+ locations and we are continuing to grow. We offer the following benefits to eligible team members: Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term Disability, Tuition Reimbursement, Child Care Assistance, Health & Fitness, Sick Child Care Assistance, Development and more. For additional information visit ********************************************* PURPOSE Responsible for maintaining accurate billing data in the medical record by assigning and providing medical codes for diagnoses and procedures, as well as identifying medical documentation and reviewing concerns for quality purposes. Carries out all duties while maintaining compliance and confidentiality and promoting the mission and philosophy of the organization. ESSENTIAL FUNCTIONS Compiles, abstracts and maintains patient medical records to document condition and treatment for surgeries. Identifies, compiles, and codes patient data, using ICD 10 and CPT classification coding systems. Performs regularly scheduled targeted audits to assess revenue optimization and quality of documentation. Researches and resolves problems with patient accounts in work queues. Assists physicians and providers on coding questions or concerns. Using reports, audits tickets in work queue for missed charges, completeness, accurate coding, etc. Performs charge entry functions. Facilitates conversation and works as a liaison between CBO, Compliance, and physician to resolve documentation and billing concerns. Serves as a resource for other Business Office staff. Supports compliance policies with government and private payer regulations. Adheres to all company policies, including but not limited to, OSHA, HIPAA, compliance and Code of Conduct. Active participant in development and maintenance of all work queue edits. Follows the core competencies set forth by the Company, which are available for review on CMSweb. Researches and resolves problems with patient accounts from site requests. When working in the charge review work queue, responsible for following workflows consistent with the policies of the Compliance Plan. OTHER DUTIES AND RESPONSIBILITIES Obtains insurance eligibility and benefit details. May review records for completeness, accuracy and compliance with regulations Works with the providers to communicate coding issues and submit adjustment journals as needed. Performs other duties as assigned. QUALIFICATIONS Education and Experience Required: High school diploma or GED. 1 year or more of experience working in the office of a healthcare related facility. Experience using a PC in a Windows environment. Proficient in at least one of the following areas: CBO Site Requests, CRWQ, Hospital Tickets or Referrals. Preferred: Experience working with ICD-10 and CPT coding. Knowledge, Skills and Abilities Excellent verbal and written documentation and communication skills. Knowledge of medical terminology, Familiarity with procedural and diagnostic coding. Familiarity with ICD and CPT coding methodology. Knowledge of medical insurance, collections, and appointments. Keyboarding ability. Excellent customer service skills. Excellent computer and keyboarding skills, including familiarity with Windows. Excellent interpersonal and problem solve skills. Ability to work in a team environment. Ability to manage competing priorities. Ability to engage others, listen and adapt response to meet others' needs. Ability to perform job duties in a professional manner at all times. Ability to align own actions with those of other team members committed to common goals. Ability to understand, recall, and communicate, factual information. Ability to understand, recall, and apply oral and/or written instructions or other information. Ability to organize thoughts and ideas into understandable terminology. Ability to apply common sense in performing job. Certificate/License Certification as a Certified Professional Coder or other certified coding certificate through AAPC. Must maintain coding certification. Must attend and complete all work queue training and successfully pass all tests based on the guidelines listed in the Compliance Plan. Work Schedule: Monday - Friday, 8a - 5p.
    $41k-57k yearly est. 30d ago
  • Medical Coder

    The A List

    Medical coder job in Austin, TX

    We are seeking a detail-oriented Medical Coder with a strong preference for candidates experienced in Pathology coding. The ideal candidate will accurately assign ICD-10-CM, CPT, and HCPCS codes for pathology services, ensuring compliance with federal guidelines, payer rules, and internal policies. This role is essential in supporting clean claims submission, revenue integrity, and high-quality clinical documentation. Key Responsibilities Review and analyze pathology reports and related clinical documentation to assign accurate and compliant diagnosis and procedure codes. Apply appropriate ICD-10-CM, CPT, and HCPCS Level II codes according to current coding guidelines. Ensure documentation supports all assigned codes and meets regulatory and payer-specific requirements. Work closely with billing teams to clarify documentation or coding questions. Monitor and validate coding accuracy to support claims processing and reduce denials. Maintain current knowledge of coding regulations, CMS updates, NCCI edits, and industry best practices. Participate in ongoing training and quality audits. Protect patient confidentiality in accordance with HIPAA and organizational requirements.
    $41k-57k yearly est. 37d ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Austin, TX

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** + The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. + The Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. + These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). + The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 43d ago
  • Certified Medical Coder

    Ascension Health 3.3company rating

    Medical coder job in Austin, TX

    Details * Department: Revenue Cycle Management - OBGYN * Schedule: Monday - Friday, 8:00 am - 5:00 pm * Hospital: Seton Administrative Offices, Onsite Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer. Responsibilities Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Responsibilities: * Abstract pertinent information from patient records. Assign the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or Diagnosis-Related Group (DRG) assignments. * Perform complex coding. * Obtain acceptable productivity/quality rates as defined per coding policy. * Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. * Maintain knowledge of, comply with and keep abreast of coding guidelines and reimbursement reporting requirements. * Conduct chart audits for physician documentation requirements & internal coding; provide associate/physician & education as appropriate. * Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Requirements Licensure / Certification / Registration: * One or more of the following required: * Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. * Certified Outpatient Coding (COC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. * Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date. * Medical Certified Professional Coder (CPC) credentialed from the Practice Management Institute (PMI) obtained prior to hire date or job transfer date. * Coder obtained prior to hire date or job transfer date. * Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. * Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date. Education: * High School diploma equivalency OR 1 year of applicable cumulative job specific experience required. * Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable. Additional Preferences * CPC through AAPC. * Professional Coding/Physician Practice Experience * Strong knowledge of medical terminology and coding systems (ICD, CPT, HCPCS), meticulous attention to detail, strong analytical and problem-solving abilities, proficiency with electronic health records (EHR) systems and other computer software, and effective communication with healthcare providers and insurance companies Why Join Our Team Ascension Seton, based in Austin, Texas, has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. Ascension Seton operates more than 100 clinical locations in Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell Children's Medical Center. Join us and create a career path you will love. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you. Equal Employment Opportunity Employer Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster. As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension. Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants. This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.
    $37k-49k yearly est. Auto-Apply 8d ago
  • Coding Specialist PRN

    University Health System 4.8company rating

    Medical coder job in San Antonio, TX

    4502 Medical Dr. Professional Non-Nursing Day Shift $23.00 - $41.00 /RESPONSIBILITIES Works under the direct supervision of the Coding and Reimbursement Manager, Health Information Management. Codes inpatient, outpatient surgery and observation visits utilizing the ICD-9-CM and CPT coding classification systems. Assists in the training of new coding technicians when appropriate. Promotes University Health's guest relations' policy. EDUCATION/EXPERIENCE High school diploma or it's equivalent is required. Must have three years of inpatient coding experience. Formalized education and training through an accredited coding program required. Candidate will also possess one of the following certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator, (RHIA), Certified Coding Specialist (CCS), or CPC (Certified Professional Coder). Knowledgable of regulatory requirements. Must be knowledgeable of Microsoft Office products as well as 3M Encoding and Grouping software.
    $37k-49k yearly est. 12d ago
  • WORDPRESS CODERS:

    Thinair Solutions, LLC

    Medical coder job in Lakeway, TX

    Looking for WordPress coders familiar with WooCommerce and the WP Listify Theme. We'd love to have a developer on staff, but would like to start by paying by the customization job. If you'd like to help develop LakeTravis. com, email us
    $41k-57k yearly est. 29d ago
  • Medical Records Manager- LVN

    Touchstone Communities 4.1company rating

    Medical coder job in San Antonio, TX

    Medical Records Manager- LVN Stone Oak Care Center 505 Madsion Oak Dr. San Antonio, TX 78258 Who are we seeking: The ideal candidate will have experience with the following: One (1) year of Health Information Management experience required. Must have a valid TX nursing license. Ensure that all medical record information, including resident PHI (protected health information) is protected and kept confidential. Protect all medical record information from loss, defacing, or destruction before retention period ends. Retrieve/Request medical records promptly upon request by authorized individuals. Identify late, incomplete, and/or inaccurate documentation and report to individuals responsible for completion and accuracy. Assist in ensuring that Medicare patients have timely certifications/re-certifications signed by the attending physician. Audit medical records, as assigned. Receive and file all diagnostic reports promptly and accurately. Ensure all state, federal, and company guidelines are followed regarding medical records Here's what's in it for YOU! A place where your voice matters Competitive compensation and benefit package Paycheck advances Tuition Reimbursement 401(k) matching Accrue paid time off starting day 1 Numerous bonus opportunities Touchstone Emergency Assistance Foundation Grants Make Lives Better. Be a part of something meaningful: The Touchstone Experience. If your purpose is to Make Lives Better , we welcome you to Join Team Touchstone today and be part of something meaningful. Touchstone is committed to bringing a Best In Class Healthcare Experience to our Patients, Residents and Veterans. Compassionate team members are the key to revealing our vision to be the leading post-acute healthcare solution in the markets we serve. If you desire to be part of a work environment where every voice matters, we encourage you to apply today. EOE STATEMENT We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
    $52k-73k yearly est. 12d ago
  • EMR Coordinator ***Hourly Role***

    Health Texas Medical Group 4.4company rating

    Medical coder job in San Antonio, TX

    Job Purpose The EMR Coordinator is responsible for serving as a technical and process Subject Matter Expert (SME) for eClinicalWorks (eCW) Practice Management (PM) Electronic Medical Record (EMR) software. This position reports to the EMR Manager. In addition, you will be responsible for contributing to the growth and success of HealthTexas while upholding our Mission, Vision and Values. Culture and Values Expectations At HealthTexas, we believe that our workplace culture is the cornerstone of our success. We are committed to fostering an inclusive, collaborative, and innovative environment where every Associate feels valued, empowered and motivated to reach their full potential. Our culture is the driving force behind our mission "to deliver quality and compassionate care with outstanding service, every patient, every time". As an EMR Coordinator at HealthTexas we expect you to embody and promote our Values and defined behavioral expectations. * Integrity: Do the right thing, the right way, every time. * Be honest and uphold commitments and responsibilities, earn the trust and respect of the team and those we serve, and maintain privacy and confidentiality. * Compassion: Treat everyone with respect and dignity. * Foster an environment of inclusivity and well-being, practice patience and empathy, and assume positive intent. * Synergy: Collaborate to improve outcomes. * Invite and explore new opportunities, promote effective communication and teamwork, take pride in yourself, your work and HealthTexas. * Stewardship: Use resources responsibly and efficiently. * Implement effective strategies to attain goals, achieve maximum productivity and results, and seek continuous knowledge and improvement. Essential Job Duties & Responsibilities * Acts as a process and technical resource for the HealthTexas implementation of eClinicalWorks. * Primary duties consist of front-line EMR support, assisting with managing and maintaining the eCW training program, and performing business-critical administrative tasks. * Responsible for escalating issues to eClinicalWorks when needed. * Creates and maintains internal support documentation. * Demonstrates critical thinking, problem-solving abilities with optimizing EMR workflows. * Assists in maintaining all functional areas in eClinicalWorks including registration and scheduling, clinical workflows, Patient Portal, eClinicalMessenger, eClinicalMobile, and others. * Assists with training new employees. * Assists with ensuring the eClinicalWorks system is aligned with regulatory requirements. * Other duties as assigned. Experience * More than 1 year of eClinicalWorks system experience. * Experience in assisting with the development of training courses and documentation for physicians, clinical, and non-clinical staff. Education * High school diploma or equivalent required Knowledge, Skills & Abilities * Ability to work within a dynamic team environment, interacting and coordinating with other members of the EMR team, Information Technology department, and business stakeholders. * Microsoft Office (Word, Excel, Outlook) * Verbal and written communication skills * Problem solving * Time management skills Work Hours, Travel Requirements * Monday - Friday, 8:00 a.m. - 5:00 p.m., and as needed to complete projects. * Travel to medical offices may be necessary for the purpose of providing benefit education. Working Conditions & Physical Requirements * This job operates in an office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, scanners, filing cabinets and fax machines. * The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
    $26k-30k yearly est. 60d+ ago
  • CERTIFIED PEER SPECIALIST

    Center for Health Care Services 4.0company rating

    Medical coder job in San Antonio, TX

    The Certified Peer Specialist (CPS) is an individual who self identifies as having direct personal experience living with mental illness and/or substance use and/or personal lived experience caregiving for children with mental health conditions. The CPS skillfully uses personal lived experience to provide support to consumers and/or guardians. This position is required to hold a certified peer specialist certification to include Mental Health Peer Specialist (MHPS), Recovery Support Peer Specialist (RSPS), and/or Certified Family Partner (CFP). ESSENTIAL DUTIES & RESPONSIBILITIES Essential functions are the basic job duties that an employee must be able to perform, with or without reasonable accommodation. The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. The omission of a function does not preclude management from assigning essential duties not listed herein if such duties relate to the position. * Assist consumers and/or families navigate mental health and recovery systems by presenting options and empowering choice in the recovery process. * Assists with data collection and surveys. * Assists consumers to court, doctor appointments, intake appointments and other service appointments as needed. * Conducts home, clinic, and community face-to-face sessions. * Provides both group and one-to-one services. * Ensures clinical documentation is submitted in accordance with CHCS's standards and meets all designated requirements. * Shares lived experience as a tool to motivate recovery. * Performs other related duties as required. MINIMUM ENTRANCE QUALIFICATIONS Education and Experience * High School diploma or equivalency required. * One (1) year of lived experience with mental illness, and/or substance use, and/or parenting a child with mental health needs. * One (1) year of experience working on recovery and able to manage own wellness. * Transparency in disclosure of personal experience for the purpose of educating, role modeling, and providing hope to others about the reality of recovery. * Family Partner - Has at least one year of experience navigating a child service system (e.g. mental health, juvenile justice, social security, or special education) as a parent or LAR. * TCOOMMI - Must have successfully completed community supervision within the last ten (10) years. Licenses or Certifications * Requires one or more of the following Certified Peer Specialist certifications: o Mental Health Peer Specialist (MHPS) supports those working in Recovery support within the field of mental health and/or co-occurring disorders. o Certified Family Partner (CFP) certification. o Recovery Support Peer Specialist (RSPS) supports those working in Recovery Support Peer within the field of chemical dependency, mental health and/or co-occurring disorders. Other Requirements * Must maintain a valid driver's license and automobile insurance coverage, be able to travel as needed, and be able to meet on a consistent basis the driving record requirements of the Company's auto insurance carrier if you drive your vehicle during company business. * Must maintain required credentials and mandatory training requirements to ensure compliance with all State regulations and CHCS policies. * Must be able to meet the physical requirements to complete Nonviolent Crisis Intervention (NCI) and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance. * Nonviolent Crisis Intervention (NCI) is a proven safe and harm-free method of behavior modification. All consumer-facing employees of CHCS must take NCI courses facilitated by the CHCS Training team within the first 45 days of employment. * NCI is intended to support human service professionals in giving aggressive, disruptive, or out-of-control people the best care and welfare possible, even in the most violent situation. * NCI training provides staff with the skills to safely recognize and respond to everyday crisis situations that may involve more challenging behaviors. It focuses on prevention and offers proven strategies for safely defusing anxious, hostile or violent behavior at the earliest possible stage. PREFERRED QUALIFICATIONS * Bilingual (English/Spanish) preferred. Language Proficiency Pay (LPP) payments are subject to successful testing, certification by CHCS Payroll, and availability of funding. Funding may be renewed in subsequent fiscal years but is not guaranteed. * 1 year experience working in social support services. * Additional peer certification such as Peer Recovery Support Specialist (PRSS) or Re-Entry Peer Specialist (JI-RPS). SUPERVISION * Job has no responsibility for the direction or supervision of others. COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES Knowledge of: * Community resources. * Individual Disability Education Act. * Child services available. * Applicable software application. * Modern office procedures, methods, and computer equipment. * Case management. * Recovery techniques. Skilled in: * De-escalation. * Organization and time management. * Performing a variety of duties, often changing from one task to another of different nature. * Performing basic mathematical functions such as addition, subtraction, multiplication, division, percentages, and ratios. Ability to: * Comply with required contractual and center policies and procedures. * Effectively communicate and understand, both written and verbal language. * Establish and maintain effective working relationships. * Maintain accurate and complete records. * Meet schedules and deadlines of the work. * Maintain the confidentiality of information and professional boundaries. * Provide advocacy with a non-judgmental approach to working with families. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Must be able to meet the physical requirements to complete Nonviolent Crisis Intervention (NCI) and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance. * Must have adequate mobility that requires frequent walking, standing, bending, stooping, kneeling, reaching (vertical and horizontal), using fingers, hands, feet, legs and torso in various care. The employee must be able to regularly lift and/or move up to 40 pounds and occasionally must lift and/or move up to 50 pounds. * The employee must be able to occasionally provide transportation to a consumer and physically assist consumer with maneuvering themselves. 227 W Drexel Ave Bldg A Monday - Friday 8:30 am - 5:30 pm Code : 4243-3 HOURLY RATE RANGE: $19.25-$20.00
    $19.3-20 hourly 6d ago
  • PGA Certified STUDIO Performance Specialist

    PGA Tour Superstore 4.3company rating

    Medical coder job in Austin, TX

    Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis. Position Summary Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships. The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results. Key Responsibilities: Customer Experience & Engagement * Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors. * Build lasting relationships that encourage repeat business and client referrals. * Educate and inspire customers by connecting instruction and equipment performance to game improvement. Instruction & Coaching * Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels. * Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction. * Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement. * Proactively organize clinics and performance events to build customer engagement and community participation. Fitting & Equipment Performance * Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology. * Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals. * Educate customers on product features, benefits, and performance differences across brands. * Accurately enter and manage custom orders, ensuring all specifications are documented precisely. Operational & Visual Excellence * Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards. * Ensure equipment, software, and technology remain functional and calibrated. * Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions. * Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays. Performance & Business Growth * Achieve key performance indicators (KPIs) such as: * Lessons and fittings completed * Sales per hour and booking percentage * Clinic participation and conversion to sales * Proactively grow the STUDIO business through client outreach, networking, and relationship management. * Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience. Qualifications and Skills Required * Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment. * Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers. * Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule). * Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines. * Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred. * Experience: * 2+ years of golf instruction and club fitting experience preferred. * Experience with swing analysis tools and custom club building highly valued. * Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments. * Availability: Must maintain flexible availability, including nights, weekends, and holidays. * Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment. We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination. An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
    $35k-48k yearly est. Auto-Apply 23d ago
  • AD, Access & Reimbursement, Oncology - South Texas

    Novartis 4.9company rating

    Medical coder job in Austin, TX

    Band Level 5 #LI-Remote The Associate Director, Access & Reimbursement, Oncology - South Texas is a remote & field-based role that covers the following, but not limited to: San Antonio, TX, Houston, TX, and Austin, TX. Associate must reside within territory, or within a reasonable daily commuting distance of 60 miles from territory border. The Associate Director, Access & Reimbursement (ADAR) is a field-based role that proactively provides in person (or virtual as needed) education to defined accounts within their assigned geographies on a wide range of access and reimbursement topics and needs (see below) in support of aligned product(s) strategy. ADARs primarily focus on accounts with increased process and workflow complexity, typically including centralized and decentralized systems of care, integrated delivery networks, academic medical institutions, large multi-provider specialty practices, and alternate sites of care. ADARs will serve as the patient access and reimbursement lead in business-to-business conversations with account executives. The ADAR role is responsible for managing the pull-through of access and reimbursement strategy and downstream operations within their aligned accounts. ADARs are expected to have deep expertise in communicating requirements and addressing barriers associated with local payer policy coverage, multi-channel acquisition pathways, billing and coding education (as needed), claims processing, reimbursement, and integration of manufacturer support programs into a range of account workflows. ADAR will continually need to demonstrate a keen ability to problem solve and manage multiple projects. ADARs partner closely with other Novartis Pharmaceuticals Corporation (NPC) field associates, including Customer Engagement (Sales) and Market Access, representing NPC with the highest integrity in accordance with NPC Values and Behaviors. ADARs will also be required to coordinate and communicate cross-functionally within NPC (e.g., Patient Support Center, Customer Engagement, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, Specialty Pharmacy Account Management, and other applicable third party affiliates). Job Description Key Responsibilities: Interact with large, complex accounts to support patient access within their aligned therapeutic area product(s), proactively provide face-to-face education on programs to providers and staff in order to support integration of those products into office processes and workflows. Address customer questions for issues related to NPC policies on therapeutic area products ordering, payment, inventorying, and product returns & replacement in offices. Work with key members of therapeutic area offices (e.g., executives, providers, administrators, billing and coding staff, claims departments, revenue cycle managers) in order to appropriately support patient access to products. Ability to analyze problems and offer solutions. Understand specifics and support questions associated with patient reimbursement and provide support on reimbursement issues with third party payers at the provider-level. Analyze account reimbursement issues (as needed). Identifies trends at a local, regional and national level and partner with purpose internally and externally to support patient access to Novartis medicines Supports pull through on local coverage decisions to enable meaningful patient access within the system. Proactively communicate policy changes or issues that could potentially affect other departments. Accountable for informing customers on NVS-sponsored patient support programs to help enable patients starting and staying on therapy (i.e., Co-pay). Maintain expertise in regional and local access landscape, anticipating changes in the healthcare landscape, and act as their aligned therapeutic area product(s) reimbursement expert (as needed). Interface with Patient Support Center (hub) and Access & Reimbursement Managers on important matters related to patient case management, including tracking cases, issue resolution, reimbursement support, and appropriate office staff education. Collaborate with aligned cross-functional associates within NPC (see above) to share insights on customer needs and barriers for their aligned therapeutic area product(s) related to access and reimbursement. Maintain a deep understanding of NPC policies and requirements and perform all responsibilities with integrity and in a manner consistent with company guidance and prescribed Values and Behaviors. Handle Patient Identifiable Information (PII) appropriately (understand and ensure compliance with HIPAA and other privacy laws and regulations and internal Company compliance guidelines). Responsible for identifying and reporting adverse events via the established Novartis systems as per applicable processes. Buy and Bill Specific Assess access situation within the assigned geography and develop appropriate Plan of Action (POA). Communicate POA to appropriate personnel. Responsible for educating HCPs using approved materials regarding acquisition pathways for Novartis products. Educate on buy-and-bill end-to-end processes, workflows, and facility pull-through in complex accounts, including scenarios of centralized and decentralized acquisition, and use of alternative channels such as white bagging, clear bagging, brown bagging, and alternate site of care for administration. Educates relevant stakeholders on logistics related to ordering, payment, inventory, and product returns & replacement. Analyze reimbursement issues, anticipating changes in the healthcare landscape, and act as the designated reimbursement expert for offices and field teams. Accountable for engagement with non-prescribers in regards to Novartis medicines, for example pharmacy, system leadership, financial counselors, office administrators, revenue cycle managers, etc. Essential Requirements: Education: Bachelor's Degree required. Business and/or biological science education preferred. Advanced degree preferred. 5+ Years of experience in pharmaceuticals / biotech industry focused in Patient Services, Market Access, Sales, and/or account management. With 2 of those years being in a Patient Services practice support role for a specialty product(s). Experience working with highly complex practices and/or health systems to establish access and acquisition pathways. Strategic account management experience using a proactive approach to anticipate access hurdles impacting accounts and patient access. Deep expertise and experience integrating manufacturer-sponsored patient support programs. Experience with specialty products acquired through Specialty Pharmacy networks Knowledge of reimbursement pathways (specialty pharmacy, buy-and-bill, retail) Possess a strong understanding of Commercial payers, Medicare plans and state Medicaid in geographic region. Must live within assigned territory. Ability to travel and cover geography, at least 50% travel required, based on geography and territory / targeting make up. Driving is an essential function of this role, meaning it is fundamental to the purpose of this job and cannot be eliminated. Because driving is an essential function of the role, you must have a fully valid and unrestricted driver's license to be qualified for this role. The company provides reasonable accommodations for otherwise qualified individuals with medical restrictions if an accommodation can be provided without eliminating the essential function of driving. Desirable Requirements: Experience leading and delivering presentations to C-level account executives. Strong ability to work cross functionally with such functions as Field Sales, Marketing, Market Access, Public Affairs, State & Government Affairs, Trade, Specialty Pharmacy Account Management and applicable third-party affiliates. Expertise in therapeutic area practice dynamics and common reimbursement and product program support-related needs. Strong capabilities in the areas of customer focus, collaboration, business acumen, communication, and presentation skills. This position requires significant use of a company provided vehicle and maintaining good driving record This is a field-based customer engaging position Control business expenses related to field activities (i.e. travel, customer meetings) and provide timely expense reports to manager. Novartis Compensation Summary: The salary for this position is expected to range between $160,300 and $297,700 per year. The final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors. Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards. US-based eligible employees will receive a comprehensive benefits package that includes health, life and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days, holidays and other leaves. Driving is an Essential Function of this Role: Meaning it is fundamental to the purpose of this job and cannot be eliminated. Because driving is an essential function of the role, you must have a fully valid and unrestricted driver's license to be qualified for this role. The company provides reasonable accommodations for otherwise qualified individuals with medical restrictions if an accommodation can be provided without eliminating the essential function of driving. COVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers' (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. As required by applicable law, Novartis will consider requests for reasonable accommodation for those unable to be vaccinated. This requirement is subject to applicable state and local laws and may not be applicable to employees working in certain jurisdictions. Please send accommodation requests to ********************************** The individual hired for this role will be required to successfully complete certain initial training, including home study, eight (8) or fewer hours per day and forty (40) or fewer hours per week. EEO Statement: The Novartis Group of Companies are Equal Opportunity Employers. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. We strive to create an inclusive workplace that cultivates bold innovation through collaboration and empowers our people to unleash their full potential. Accessibility and reasonable accommodations The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please send an e-mail to ************************ call **************** and let us know the nature of your request and your contact information. Please include the job requisition number in your message. *************************************************************************************** Salary Range $160,300.00 - $297,700.00 Skills Desired Access And Reimbursement Strategy, Agility, Analytical Skill, Analytical Thinking, Cross-Functional Collaboration, Customer-Centric Mindset, Employee Development, Finance, Go-To-Market Strategy, Healthcare Sector Understanding, Health Economics, Health Policy, Health Technology Assessment (HTA), Innovation, Inspirational Leadership, Market Access Strategy, Negotiation Skills, People Management, Process Management, Public Affairs, Real World Evidence (RWE), Regulatory Compliance, Risk Management, Value Propositions, Waterfall Model
    $61k-74k yearly est. Auto-Apply 3d ago
  • MEDICAL RECORDS SPECIALIST - FULL TIME

    Universal Health Services 4.4company rating

    Medical coder job in San Marcos, TX

    Responsibilities San Marcos Treatment Center, a 212-bed, seclusion free, psychiatric residential treatment facility located between Austin and San Antonio in the heart of Central Texas! San Marcos spreads across 65-acres with an abundance of trees and wildlife. We have 13 unique living units separated by gender, age, and development levels with two swimming pools, two gymnasiums, sports court, playing fields, ropes course, canteen, social area, and a healing trail. We provide 24-hour psychiatric care to girls and boys ages 6 to 17 with customized therapeutic approaches and intensive behavioral programs teach young patients to moderate their behavior, manage emotions and improve social functioning. If you would like to learn more about this position, please visit our website at: ******************* Position Summary: Responsible for mail, printing and distribution of blank medical records forms for the facility, tracking of therapy notes, filing and maintaining correspondence files, and assisting the Tier 2 HIM Specialist with the analysis and filing of discharge patient charts. Other shared job duties include filing on the assigned units, preparing for audits, and assisting with others as needed. Qualifications Education: High school education or GED required. Licensure/Certification: None required. Skills: One year medical record-related experience. Clerical experience desired. Two years' experience in medical records of an inpatient healthcare setting. Good organizational skills and aptitude for attention to detail. Good verbal and written communication skills. Ability to follow instructions and work independently after being trained on essential tasks. Motivated self-starter. Ability to maintain strict confidentiality, security, and privacy of patient information. Able to use computer and office equipment with degree of efficiency. Able to demonstrate maturity and professionalism when interfacing with direct care staff, physicians, clinical staff, administrative staff and external customers. Able to complete work under specified time periods. Staff Development Requirements: Must meet or exceed hospital and regulatory agency training requirements. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. Avoid and Report Recruitment Scams We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters. About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. ***********
    $27k-34k yearly est. 33d ago

Learn more about medical coder jobs

How much does a medical coder earn in San Marcos, TX?

The average medical coder in San Marcos, TX earns between $35,000 and $67,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in San Marcos, TX

$49,000
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