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Senior Pro Fee Coder Jobs in Texas (NOW HIRING)

Intermountain Health

PB Coding Coordinator

Austin, TX · On-site

$31.01 - $48.84/hr

Minimum of five (5) years of pro fee coding experience with at least three (3) years within assigned specialty service line * Preferred seven plus (7+) years of related coding experience * Required ...

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 Careers

Coding Educator

San Antonio, TX

$24.50 - $28/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

$24.50 - $28/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

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 ...

Intermountain Health

PB Coder

Austin, TX · On-site

$28.06 - $44.20/hr

Microsoft Office Suite products, Kronos, ServiceHub, Optum Encoder Pro, etc.). * Meets or exceeds ... Two (2) years of professional fee coding experience in the related specialty * Prior Epic ...

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 · Remote

$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/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 ...

HCA Healthcare

Home Health Coder II

Addison, TX · On-site

Minimum two years professional fee coding experience required with one-year minimum experience in ... Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage ...

HCA Healthcare

Home Health Coder II

Little Elm, TX · On-site

Minimum two years professional fee coding experience required with one-year minimum experience in ... Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage ...

HCA Healthcare

Home Health Coder II

Lewisville, TX · On-site

Minimum two years professional fee coding experience required with one-year minimum experience in ... Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage ...

HCA Healthcare

Home Health Coder II

Plano, TX · On-site

Minimum two years professional fee coding experience required with one-year minimum experience in ... Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage ...

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Senior Pro Fee Coder information

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 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 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 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

Senior Professional Fee Coder

Houston, TX • On-site

Baylor College of Medicine
Colleges, Universities, and Professional Schools • 5 - 10K employees

8.0

Company rating: 8.0 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

192nd of 625 rated colleges and universities

People enjoy working here

Good employer

Recommended by parents

Learn more about Baylor College of Medicineexternal

$63K - $74K/yr

Other

This job post has expired 4 days ago. Applications are no longer accepted.

Job description

Senior Professional Fee Coder
Division: Patient Business Services
Work Arrangement: Hybrid
Location: Houston, TX
Salary Range: $63,052 to $74,178
FLSA Status: Nonexempt
Work Schedule: Monday - Friday, 8 a.m. - 5 p.m.
Summary
The Senior Professional Fee Coder is responsible for ensuring accurate and timely coding of physician and professional services by assigning appropriate ICD-10-CM and CPT codes based on clinical documentation. This role reviews medical records, resolves coding edits and charge discrepancies, and helps ensure compliant claim submission to maximize reimbursement. The coder collaborates with physicians, clinical staff, and billing teams to provide coding guidance, support revenue cycle operations, and maintain compliance with coding regulations and organizational policies. Through detailed documentation review and reconciliation of charges, this position plays a key role in the financial integrity of the organization.
The Senior Professional Fee Coder serves as a subject matter expert responsible for accurate coding, charge capture, and revenue cycle support for physician professional services across multiple clinical specialties. This position ensures compliance with federal regulations, payer policies, and institutional guidelines while supporting the financial performance of the Faculty Group Practice.
Job Duties

  • Assigns ICD-10-CM, CPT, and HCPCS codes to professional services.
  • Reviews physician documentation, operative reports, procedure notes, clinic encounters, and ancillary reports to accurately assign diagnosis and procedure codes in accordance with current ICD-10-CM, CPT, HCPCS Level II, and payer-specific guidelines.
  • Ensures coding accurately reflects the services performed and supports medical necessity while maintaining compliance with federal regulations, National Correct Coding Initiative (NCCI) edits, and Medicare guidelines.
  • Codes a variety of surgical and evaluation and management (E/M) services across multiple specialties.
  • Reviews and abstract medical record documentation.
  • Analyzes complex medical records to ensure complete and accurate charge capture.
  • Interprets operative reports and physician documentation to determine the appropriate coding and sequencing of diagnoses and procedures.
  • Identifies documentation deficiencies and communicate with providers when clarification is required to support accurate coding and billing.
  • Performs charge reconciliation and resolve billing edits.
  • Reviews daily work queues to identify missing charges, coding edits, claim rejections, and billing exceptions prior to claim submission.
  • Researches and resolves charge discrepancies using the electronic health record (Epic), Optum Claims Manager, encoder software, payer policies, and departmental billing systems.
  • Ensures charges are submitted accurately and within established productivity and timeliness standards to minimize claim delays and maximize reimbursement.
  • Performs other job-related duties as assigned.
Minimum Qualifications
  • High school diploma or GED.
  • Five years of relevant experience.
  • Certified Coding Specialist - Physician-based (CCS-P) by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC).
Preferred Qualifications
  • Anesthesia experience.

Work Authorization Requirement:
This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment.
Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.
Requisition ID: 26043

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