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Coding Jobs in Houston, TX

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Coding • houston tx

Last updated: 1 hour ago

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

MercorHouston, Texas, US
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools des... Show more

Clinical Provider Auditor I

Elevance HealthBellaire, TX, United States
Full-time

This position is virtual eligible, but you must be within a reasonable commute of one of our offices.General business hours, Monday through Friday (ET).This role enables associates to work virtuall... Show more

Director of Revenue Cycle

Gulfstream Staffing, Inc.Houston, TX, United States
Full-time

Gulfstream Staffing has partnered with one of Houston's fastest-growing healthcare organizations that is in need of a full-time Director Of Revenue Cycle.This organization has a leadership team of ... Show more

Medical Director - Spine and Brain Surgery - Remote 2358222 | Minneapolis, Minnesota | Remote

UnitedHealth GroupHouston, TX, United States
Full-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more

Medical Director - Spine and Brain Surgery - Remote

UMRHouston, TX, United States
Full-time

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect... Show more

Chargemaster & Coding Analyst

U.S. Physical TherapyHouston, TX, United States
Full-time

We are seeking a highly energetic individual who has a "can do" attitude to join our exciting outpatient healthcare company as a seasoned Chargemaster & Coding Analyst.This position will be a charg... Show more

Remote Coding Manager / HIM Coding Leader - AI Trainer ($80-$80 per hour)

MercorHouston, Texas, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more

Senior Consultant - Clinical Documentation Specialist

DeloitteHouston, TX, United States
$10.00 hourly
Full-time

Senior Consultant - Healthcare Clinical Documentation Specialist.Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and an evolving regulatory environmen... Show more

Medical Billing and Coding - Entry Level Training Program

Dreambound Inc.West University Place, Texas, US
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

 • Promoted

HIM/MEDICAL RECORDS ANALYST/CODING SPECIALIST-FT

West Oaks HospitalHOUSTON, Texas
Full-time

HIM/Medical Records Analyst/Coding Specialist Opportunity.West Oaks Hospital has provided psychiatric care to the Houston area and surrounding communities for over four decades.Our -bed acute care ... Show more

Senior Python Engineer - AI Coding Agent Evaluation (Freelance)

MindriftHouston, TX, US
Remote
Part-time +1
Quick Apply

Please submit your CV in English and indicate your level of English proficiency.Mindrift connects specialists with project-based AI opportunities for leading tech companies, focused on testing, eva... Show more

Medical Coder

TradeJobsWorkForce77013 Houston, TX, US
Full-time

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, includ... Show more

 • Promoted

Medical Biller and Coder

Bee Busy Wellness CenterHouston, TX, US
$18.00 hourly
Full-time

We are seeking a detail-oriented and knowledgeable Medical Biller and Coder to join our healthcare clinic team.This role is responsible for accurately coding medical procedures and diagnoses, submi... Show more

Senior AppSec Engineer ID71672

AgileEngineHouston, TX, us
Full-time

Fortune 500 brands and trailblazing startups across 17+ industries.We rank among the leaders in areas like application development and AI/ML, and our people-first culture has earned us multiple Bes... Show more

Clinical Billing Manager (Path & Lab)

Texas Medical CenterHouston, TX, United States
Full-time

What we do here changes the world.UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care.The Clinical Billing Manager on our ... Show more

UI/UX Developer - Advanced

Pinnacle Technical ResourcesHouston, TX, US
Full-time

Job Description: Expert in UI/UX and design technique as well as experience working across large environments with multiple operating systems/infrastructure for large-scale programs (e.Expert Engin... Show more

 • Promoted

Medical Assistant Coordinator (2797)

US Heart and VascularHouston, TX, United States
Full-time

US Heart and Vascular is needing a Medical Assistant Coordinator to join our team at Davis Vein and Vascular in Cypress, TX.Reviews and assigns accurate medical codes to diagnose, procedures, and s... Show more

 • New!

Value Based Coder II

St Luke's HealthHouston, TX
Full-time

Job Summary and Responsibilities.The Value Based Coder II is an experienced professional within the Quality Management/Risk team, responsible for independently reviewing patient medical records to ... Show more

Remote Clinical Documentation Integrity (CDI) Leader - AI Trainer ($84-$84 per hour)

MercorHouston, Texas, US
$84.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Clinical Documentation Integrity (CDI) managers and leaders to ... Show more

Senior Corporate Compliance Auditor (Hybrid)

Memorial HermannHouston, TX, United States
Full-time

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community.When we say every member of our comm... Show more

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The cities near Houston, TX that boast the highest number of coding jobs are:
Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

Remote Risk-adjustment / HCC coding leader - AI Trainer ($110-$110 per hour)

MercorHouston, Texas, US
29 days ago
Job type
  • Full-time
  • Remote
Job description
Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems. We are seeking experienced Risk Adjustment and HCC Coding leaders to evaluate AI tools designed to improve risk score accuracy and coding completeness in Medicare Advantage, Medicaid managed care, and ACA markets. Your expertise in hierarchical condition category (HCC) methodology, RADV audit preparation, and risk adjustment coding will directly shape AI systems that enhance documentation capture and risk score integrity. **Responsibilities** - Lead risk adjustment and HCC coding operations across Medicare Advantage, Medicaid, and/or ACA risk adjustment programs. - Evaluate AI-generated HCC coding assignments and risk adjustment recommendations for clinical accuracy and regulatory compliance. - Review medical records to ensure complete and accurate capture of HCC-eligible conditions supported by clinical documentation. - Conduct and oversee retrospective and prospective chart reviews for risk score optimisation. - Manage RADV (Risk Adjustment Data Validation) audit preparation and response processes. - Monitor risk adjustment KPIs including HCC capture rates, risk score accuracy, and chart retrieval rates. - Collaborate with clinical, coding, and compliance teams to improve documentation and coding for risk adjustment purposes. - Ensure compliance with CMS risk adjustment guidelines (RAPS, EDGE submissions) and Official Coding Guidelines. - Annotate AI outputs and provide structured coding feedback to support AI training datasets. **Requirements** - 5+ years of experience in risk adjustment coding, HCC coding, or Medicare Advantage coding operations, with at least 2 years in a leadership role. - Deep expertise in CMS-HCC, RxHCC, and/or ACA HHS-HCC risk adjustment methodologies. - Strong knowledge of ICD-10-CM coding guidelines as applied to HCC risk adjustment. - Experience with RADV audit preparation and CMS compliance requirements. - Familiarity with RAPS and EDGE submission processes. - Exceptional written and verbal English communication skills. - High attention to detail with the ability to identify coding inaccuracies and documentation gaps in AI-generated outputs. **Preferred Qualifications** - CRC (Certified Risk Coder), CCS, CPC, or RHIA credential. - Experience with risk adjustment analytics platforms and chart retrieval systems. - Background in health plan, Medicare Advantage organisation, or value-based care setting. - Familiarity with AI-assisted HCC coding tools and comfort evaluating AI-generated risk adjustment content. - Experience presenting risk adjustment performance to actuarial or executive teams. **Why Join?** - Contribute to the development of frontier AI systems in healthcare. - Collaborate with a world-class AI research organisation. - Gain exposure to cutting-edge AI workflows in risk adjustment and value-based care. - Opportunity to work on high-impact projects shaping the future of healthcare AI.