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Claims Editing Software Jobs in Texas (NOW HIRING)

Manager II Technology

Grand Prairie, TX · On-site

$127K - $191K/yr

Manages multiple cost centers and/or plan of record projects; delivers and supports software system ... Prepay editing platforms, claims-editing logic design, and maintenance * Reimbursement ...

... software and/or billing databases. * Preferred knowledge of healthcare claims processing, billing ... Drafting and editing correspondence * High degree of organization * Detail oriented * Excellent ...

Responsible for reporting possible loss claims or legal claims. * Must be able to review, research ... To monitor the Verifin software entries and respond appropriately. * To maintain a dependable ...

... claims within 7 days for both active and closed out communities. In addition, the Customer Service ... Typing, formatting, and editing reports, documents, and presentations. * Entering data, maintaining ...

Claims Editing Software information

What is the difference between Claims Editing Software vs Claims Adjuster?

FeatureClaims Editing SoftwareClaims Adjuster
Primary RoleSoftware tool for reviewing and correcting insurance claims dataHuman professional evaluating and settling insurance claims
Required SkillsTechnical knowledge of insurance policies, data analysisCommunication, negotiation, assessment skills
Work EnvironmentOffice-based, computer-focusedField and office-based, client interaction
CertificationsNone typically required, software proficiency preferredAdjuster licenses, certifications often required

Claims Editing Software is a digital tool used to review and correct insurance claims data, streamlining the claims process. In contrast, a Claims Adjuster is a human professional who evaluates claims, negotiates settlements, and interacts directly with clients. While Claims Editing Software enhances efficiency, Claims Adjusters provide the critical judgment and personal assessment needed in claims processing.

What are popular job titles related to Claims Editing Software jobs in Texas? For Claims Editing Software jobs in Texas, the most frequently searched job titles are:
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Infographic showing various Claims Editing Software job openings in Texas as of July 2026, with employment types broken down into 89% Full Time, 9% Part Time, and 2% Contract. Highlights an 87% Physical, 4% Hybrid, and 9% Remote job distribution.

Medical Coding Specialist (Flexible schedule options)

Aspire Allergy & Sinus

Austin, TX

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago


Job description

The Certified Medical Coder or Charge Entry Specialist is responsible for reviewing a patient's medical records after a visit and translating into codes that insurers use to process claims. This includes confirming treatment with providers and medical staff, identifying missing information and submitting claims to insurers for reimbursement.
Schedule Options
We offer flexible scheduling options, including:
  • 4-day workweek: Four 10-hour shifts with either Monday or Friday off
  • Traditional schedule: Monday-Thursday, 8:00 AM-5:00 PM and Friday, 8:00 AM-12:00 PM
  • Early schedule option: 7:00 AM-4:00 PM
No evenings, weekends, or major holidays required.
Location- Full-time onsite work required
5929 Balcones Drive, Suite 200
Austin, TX 78731
  • Review and analyze medical records to ensure accurate coding and billing guidelines are followed.
  • Assign appropriate ICD-10, and other relevant codes to medical procedures based on correct coding edits.
  • Review charges submitted with errors for accurate claims submission by correcting errors from Claims Editing software. 
  • Provide manual charge entry as needed.
  • Upload claims to practice management system and/or clearinghouse.
  • Maintain confidentiality of patient information and adhere to HIPAA regulations.
  • Collaborate with healthcare providers and staff members to ensure accurate documentation and coding guidelines have been met.
  • Discuss coding guidelines with providers and provide training as needed.
  • Report emerging trends to management which need to be escalated. 
  • Follow policies and procedures to contribute to the efficiency of the business.
  • Cover for and assist with other functions in the department as assigned.

  • Strong analytical and problem-solving skills with an attention to detail.
  • Excellent mathematical skills, computer skills, and Microsoft applications (including Excel)
  • Excellent written, verbal, interpersonal communication skills.
  • Drive to take initiative and be a self-starter.
  • Ability to prioritize tasks and to delegate when appropriate.
  • Excellent time management skills are essential along with the ability to meet deadlines.
  • Able to establish and maintain effective working relationships with the insurance carriers, patients, and employees.
  • Must possess a high degree of professionalism and be able to work in a high-pressure environment with multiple departments.
  • Minimum of 40 words per minute typing speed

Required Education and Experience
  • High School Diploma or higher
  • Certified Professional Coders License
  • Minimum of 1+ year in Medical Billing and Coding (2+ years preferred)
  • Knowledge of ICD-10 and HCPCS Codes
  • Continual Education of Codes and Payer Guidelines
  • High School Diploma or higher
  • Medical, Dental and Vision Insurance
  • Generous Paid Time Off and Paid Holidays
  • 401(k) + Generous Employer Match
  • Free Allergy Testing and Discounted Treatments
  • Gym Membership Discounts
  • Life Insurance
  • Employee Reward Program
... AND MORE