Ambulatory Medical Coder II — CPT/ICD-10 Expert

Healing Hands Ministries; Dallas (TX); On-site; USD 39,000 - 45,000; Full time

Benefits offered by this job

Health Insurance

Vision & Dental

403(b) retirement plan with match

Paid time off

Paid holidays

Employee assistance program

Job summary

HHM Health in Dallas, TX is seeking a Coder II to support billing across Texas Medicaid, Medicaid/CHIP managed care organizations, Medicare, and commercial payers. The Medical Coder reviews provider documentation and assigns accurate CPT, HCPCS, and ICD-10-CM codes for outpatient professional services.

This role requires hands-on experience coding professional CMS 1500/837P claims in ambulatory settings, protecting revenue integrity and compliance by proper documentation and billing.

Qualifications

• Active CPC or CCS-P certification.
• 3+ years outpatient professional coding in a physician practice or FQHC.
• Strong knowledge of E/M leveling, modifiers and NCCI edits.
• Experience with Texas Medicaid, MCO billing, commercial and Medicare payers.
• Experience handling denials and reading EOBs/ERAs.
• Proficient with EHR and practice management systems.
• Ability to meet productivity targets with 95%+ accuracy.
• FQHC/community health center coding experience (PPS/encounter billing).
• OB/GYN and/or pediatric coding is a plus.
• THSteps/Healthy Texas Women billing experience.
• Experience with eClinicalWorks.

Responsibilities

• Code outpatient professional encounters using CPT, HCPCS Level II and ICD-10-CM per guidelines.
• Support FQHC encounter billing with correct PPS logic by payer.
• Review claim edits and pre-bill scrubs, correcting coding errors before submission.
• Research and resolve coding denials from TMHP, MCOs, Medicare and commercial payers.
• Query providers when documentation is insufficient or conflicting.
• Participate in internal coding audits and provide education to providers.
• Stay updated on CMS, TMPPM and payer policy changes.
• Maintain HIPAA confidentiality and compliance program adherence.
• Identify opportunities to improve templates and charge-capture workflows.
• Re-audit providers after education and report results to Revenue and Billing leadership.

Skills

CPC (AAPC) or CCS-P (AHIMA)

E/M leveling

Modifier usage

NCCI edits

Denials & EOBs

Coding accuracy

CMS 1500/837P coding

Outpatient coding

EHR/PM systems

eClinicalWorks

Education

CPC (AAPC) or CCS-P (AHIMA)

CRC certification

CPB certification

Tools

EHR and PM systems

eClinicalWorks

Job description

HHM Health in Dallas, TX is seeking a Coder II to support billing across Texas Medicaid, Medicaid/CHIP managed care organizations, Medicare, and commercial payers. The Medical Coder reviews provider documentation and assigns accurate CPT, HCPCS, and ICD-10-CM codes for outpatient professional services.

This role requires hands-on experience coding professional CMS 1500/837P claims in ambulatory settings, protecting revenue integrity and compliance by proper documentation and billing.