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Senior Pro Fee Coder Jobs in Texas (NOW HIRING)

University Health

Coding Educator/Auditor

San Antonio, TX

$23.50 - $26.75/hr

At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software ...

University Health

Coding Educator

San Antonio, TX · On-site

$25.10 - $40.25/hr

At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software ...

University Health

Coding Educator

San Antonio, TX · On-site

$25.10 - $40.25/hr

At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software ...

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software ...

University Health

Coding Educator/Auditor

San Antonio, TX · Remote

$25.10 - $40.25/hr

At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software ...

University Health

Coding Educator/Auditor

San Antonio, TX · On-site

$25.10 - $40.25/hr

At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software ...

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Senior Pro Fee Coder information

What is the difference between Senior Pro Fee Coder vs Medical Coder?

AspectSenior Pro Fee CoderMedical Coder
CredentialsTypically CPC, CCS, or equivalent; experience preferredLikewise CPC, CCS, or similar certifications
Work EnvironmentHospitals, outpatient clinics, billing companiesHospitals, clinics, insurance companies
Employer & Industry UsageUsed in healthcare facilities with complex billingCommon across healthcare settings for coding tasks

The main difference is that a Senior Pro Fee Coder specializes in professional fee coding, often handling complex outpatient billing, while a Medical Coder may work across various healthcare settings with broader coding responsibilities. Both roles require similar certifications and work environments, but Senior Pro Fee Coders typically have more experience and focus on professional fee services.

What are the key skills and qualifications needed to thrive as a Senior Pro Fee Coder, and why are they important?

To excel as a Senior Pro Fee Coder, you need expertise in medical coding, detailed knowledge of CPT, ICD-10-CM, and HCPCS codes, and often a certification such as CPC or CCS-P. Familiarity with electronic health records (EHR) systems, coding software, and compliance tools is typically required. Strong analytical skills, attention to detail, and effective communication with healthcare providers are crucial soft skills. These competencies ensure coding accuracy, optimal reimbursement, and regulatory compliance in a complex healthcare billing environment.

What is a Senior Pro Fee Coder?

A Senior Pro Fee Coder is a healthcare professional responsible for reviewing and assigning accurate medical codes to professional (physician) services based on clinical documentation. They ensure that coding complies with regulations and payer guidelines, helping healthcare providers receive proper reimbursement. Senior Pro Fee Coders typically have extensive experience, a thorough knowledge of coding systems such as CPT, ICD-10-CM, and HCPCS, and may help train or oversee junior coders. Their role is critical in minimizing claim denials and supporting compliance within healthcare organizations.

How does a Senior Pro Fee Coder typically interact with physicians and clinical staff to ensure accurate coding?

A Senior Pro Fee Coder frequently collaborates with physicians and clinical staff to clarify documentation and ensure all services are coded accurately according to regulatory guidelines. This may involve querying providers for additional information, providing feedback on documentation improvements, and participating in regular meetings or training sessions. Effective communication and a proactive approach are essential, as these interactions help minimize coding errors and support compliance with payer requirements. Building strong professional relationships with medical staff is a key part of the role.
What are the most commonly searched types of Pro Fee Coder jobs in Texas? The most popular types of Pro Fee Coder jobs in Texas are:
What cities in Texas are hiring for Senior Pro Fee Coder jobs? Cities in Texas with the most Senior Pro Fee Coder job openings:
Senior Pro Fee Coder jobs near you
Coding Educator/Auditor

Coding Educator/Auditor

University Health

San Antonio, TX

$23.50 - $26.75/hr

Other

Posted 7 days ago

University Of Nevada (Reno) rating

8.3

Company rating: 8.3 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

123rd of 611 rated colleges and universities

Job description

POSITION SUMMARY/RESPONSIBILITIES
Works under the direct supervision of the Coding Education & Audit Manager. Will perform any or a combination of the following types of coding education and audit: Basic ancillary services, Emergency Room services, Hospital Observation, Ambulatory surgery, Inpatient Admission. Utilizes the ICD-10-CM and CPT coding classification systems and ensures proper assignment and completion of Diagnosis and Procedure Coding on all cases. Trains new Coding Specialist(s), Technician(s), and Associate(s). Promotes the Health System’s guest relations’ policy. Complies with all Federal, State, local and accrediting bodies’ regulations and protocols. Accrediting bodies include, but not limited to, the Centers for Medicare and Medicaid Services (CMS), Agency for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC).

EDUCATION AND EXPERIENCE
Associate’s Degree is required; Associate’s degree in Health Information Management and/or Bachelor’s degree is preferred. Completion of a coding program is required. [Note: Completion of a coding program from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPCS) will be accepted. Completion of a coding program from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding.] At least five (5) years of coding experience in professional services, hospital services, or a combination of both is required for external applicants. At least four (4) years of pro-fee, outpatient/ambulatory, and inpatient coding experience is required for internal applicants. Experience and working knowledge of 3M Encoding and Grouping software is required. Preference will be given to applicants with experience and knowledge of regulatory requirements, Microsoft Office products, and Epic EMR.

LICENSURE/CERTIFICATION
The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies mentioned above (AHIMA and AAPC). [Note: Valid credential(s) from the American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPC) will be accepted. Credential(s) from other licensing bodies shall be accepted on a case by case basis and upon managerial discretion, with the approval of the Director of Revenue Integrity-Coding]. Licensure as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), and/or Registered Nurse(s) (RN) are highly preferred.

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