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Contract Medical Coder Auditor Jobs in Texas (NOW HIRING)

Medical Auditor - Remote

Houston, TX ยท Remote

$55 - $70/hr

Medical Auditor Job Type: Contractor Location: Remote Job Overview We are seeking experienced ... You will review coding records, identify compliance risks, and provide expert feedback to support ...

$26.44 - $52.40/hr

The Coding Auditor - ambulatory/professional coding/profee will be responsible for auditing of ... all medical records. Demonstrates knowledge of current, compliant coder query practices when ...

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Medical Claims Quality Auditor $25/hr | Houston Heights Area | Full-Time | Contract to Hire Join a ... We're seeking detail-oriented professionals with experience in medical billing, coding, claims ...

Remote Certified Coder

Dallas, TX ยท Remote

$22.25 - $30.50/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...

Remote Certified Coder

Dallas, TX ยท On-site +1

$22.25 - $30.50/hr

Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and ...

Medical Coding Supervisor

Lubbock, TX ยท On-site

$80 - $100/hr

Required Qualifications High school diploma and a minimum of five years of progressively responsible experience as a medical coder or coding auditor, plus one year of recent supervisory experience ...

From fulfilling a single patient's request for their medical records to powering the AI revolution ... Answer rebuttals entered on the auditor by coders and or auditors * Participate in weekly coding ...

Showing results 21-40

Contract Medical Coder Auditor information

What is a contract medical coder auditor?

Contract Medical Coder Auditors are professionals who review and evaluate medical coding performed by healthcare providers or coding staff, usually on a contract or temporary basis. They ensure that medical codes are accurate, compliant with regulations, and reflect the services provided to patients. Their work helps prevent billing errors, supports proper reimbursement, and reduces the risk of audits or penalties. Contract Medical Coder Auditors often work independently or for consulting firms, serving multiple healthcare organizations as needed.

What are the key skills and qualifications needed to thrive as a contract medical coder auditor?

To thrive as a Contract Medical Coder Auditor, you need in-depth knowledge of medical coding standards (ICD-10, CPT, HCPCS), auditing procedures, and a relevant certification such as CPC, CCS, or CCA. Familiarity with coding software, auditing tools, and electronic health record (EHR) systems is typically required. Attention to detail, analytical thinking, and strong communication skills help you identify discrepancies and clearly report findings. These competencies ensure accurate billing, regulatory compliance, and minimized financial risk for healthcare organizations.

What are some common challenges faced by contract medical coder auditors, and how can they be addressed?

Contract Medical Coder Auditors often encounter challenges such as interpreting complex medical documentation, staying current with frequent coding updates, and managing strict deadlines across multiple clients. To address these challenges, it's important to maintain strong organizational skills, regularly participate in continuing education, and communicate proactively with healthcare providers and coding teams. Utilizing coding software tools and reference materials can also help ensure accuracy and efficiency in audit processes.

What is the difference between Contract Medical Coder Auditor vs Contract Medical Coder?

AspectContract Medical Coder AuditorContract Medical Coder
CertificationsCertified Professional Coder (CPC), Certified Medical Auditor (CMA)Certified Professional Coder (CPC), Certified Coding Associate (CCA)
Work EnvironmentAuditing medical records, reviewing coding accuracy, complianceAssigning codes to medical procedures and diagnoses, data entry
Employer & Industry UsageHospitals, insurance companies, healthcare consulting firmsHospitals, clinics, billing companies

The Contract Medical Coder Auditor focuses on reviewing and verifying the accuracy of medical coding, ensuring compliance and audit readiness. In contrast, the Contract Medical Coder primarily assigns codes to medical records for billing and documentation purposes. While both roles require coding certifications, the auditor's role emphasizes review and compliance, whereas the coder's role centers on code assignment and data entry.

What are the most commonly searched types of Medical Coder Auditor jobs in Texas?

The most popular types of Medical Coder Auditor jobs in Texas are:

Client Success Manager (Medical Coding)

Calpion/Plutus Health

Dallas, TX โ€ข On-site

$150 - $200/hr

Other

Re-posted 22 days ago


Job description

Plutus Health Inc. is a leading provider of Revenue Cycle Management (RCM) services, certified in SOC2 compliance and specialize in revenue cycle optimization for hospitals, physician groups, and healthcare organizations across various specialties. We are proud to be recognized by Becker's Healthcare as one of the Top Revenue Cycle Management Companies to Know (2026), featured on the Inc. 5000 list of America's Fastest-Growing Private Companies, honored in the SMU Cox Dallas 100 for multiple consecutive years, and recognized by Black Book Research as a leading healthcare RCM solutions provider.

Job Description:

We are seeking an experienced Client Success Manager- Medical Coding with expertise in medical coding, auditing, and compliance to oversee client relationships, coding operations, and revenue cycle optimization. This role requires a deep understanding of CPT, ICD-10, HCPCS, payer policies, and denial management, ensuring that clients receive best-in-class coding services and compliance support.

The ideal candidate will have a strong background in medical coding, compliance audits, RCM workflow optimization, and payer regulations, along with exceptional client relationship management skills.

Key Responsibilities: Client Success & Relationship Management:
  • Serve as the primary point of contact for clients, ensuring smooth communication and resolution of coding-related concerns.
  • Develop and implement client engagement strategies to maximize satisfaction, retention, and revenue growth.
  • Conduct Quarterly Business Reviews (QBRs) and compliance audits to drive process improvements.
  • Identify upsell and cross-sell opportunities within client accounts to expand coding service offerings.
Medical Coding & Compliance Oversight:
  • Ensure adherence to ICD-10, CPT, HCPCS, and payer-specific guidelines across multiple specialties.
  • Conduct coding audits, documentation reviews, and risk assessments to improve coding accuracy and compliance.
  • Monitor denial trends, coding discrepancies, and revenue leakage, implementing corrective actions as needed.
  • Stay up to date with Medicare, Medicaid, and commercial payer regulations, ensuring regulatory compliance.
  • Provide training and education to clients and internal teams on evolving coding guidelines and best practices.
Revenue Cycle & Denial Management:
  • Optimize coding workflows, ensuring efficient charge capture and clean claim submission.
  • Collaborate with billing, AR, and denial management teams to reduce denials, enhance revenue recovery, and improve coding accuracy.
  • Track key performance indicators (KPIs) such as clean claim rates, denial rates, coding accuracy, and compliance scores.
  • Drive coding automation initiatives to improve operational efficiency and minimize manual errors.
Cross-Functional Collaboration & Leadership:
  • Work closely with operations, compliance, and technology teams to refine and enhance coding service offerings.
  • Lead and mentor onshore and offshore coding teams, ensuring high performance and adherence to compliance standards.
  • Partner with business development teams to support client onboarding, process improvement initiatives, and contract renewals.
  • Act as an RCM Subject Matter Expert (SME) in internal strategy discussions and client engagements.
Required Qualifications:
  • Bachelorโ€™s degree in Healthcare Administration, Business, or a related field (Masterโ€™s preferred).
  • 7+ years of experience in medical coding, auditing, and revenue cycle management in a leadership role.
  • Certification required: CPC, CCS, or equivalent (AHIMA or AAPC certification preferred).
  • Strong understanding of payer policies, claims processing, medical necessity guidelines, and risk adjustment methodologies.
  • Experience in coding audits, denial resolution, and revenue integrity initiatives.
  • Proficiency in RCM platforms, EHR/EMR systems (Epic, Meditech, Paragon, etc.).
  • Experience managing onshore/offshore coding teams and handling multi-client engagements.
  • Strong analytical, problem-solving, and negotiation skills with the ability to translate data into actionable insights.
  • Willingness to travel as needed(35-50%).
Why Join Plutus Health Inc.?
  • Work for a fast-growing, innovative company recognized for excellence in healthcare.
  • Collaborate with a dynamic, supportive team that values professional development.
  • Make a meaningful impact on patient care and operational success.
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