Medical Coder II – Outpatient Billing Specialist

HHM Health; Dallas (TX); On-site; USD 39,000 - 45,000; Full time

Benefits offered by this job

Health insurance

Vision & dental

403(b) retirement with match

Paid time off & holidays

Disability coverage

Employee assistance program

Job summary

HHM Health in Dallas, TX seeks a Coder II to support billing across Texas Medicaid, MCOs, Medicare, and commercial payers. The coder reviews provider documentation and assigns accurate CPT, HCPCS, and ICD-10-CM codes for outpatient services, ensuring revenue integrity and compliant billing.

Ideal candidate has 3+ years in outpatient coding, CPC or CCS-P certification, and strong knowledge of E/M rules, NCCI edits, and denials management. EHR/PM experience including eClinicalWorks is required.

Qualifications

• Active CPC (AAPC) or CCS-P (AHIMA) certification.
• At least 3 years of outpatient professional fee coding experience.
• Strong command of E/M leveling, modifiers, and NCCI edits.
• Working knowledge of Texas Medicaid, MCO rules, and Medicare payers.
• Experience handling denials and understanding EOBs/ERAs.
• Proficiency with EHR and practice management systems.
• Ability to meet productivity targets with 95%+ accuracy.
• FQHC or community health center coding experience, PPS/encounter billing.

Responsibilities

• Code outpatient professional encounters using CPT, HCPCS Level II, and ICD-10-CM guidelines.
• Identify qualifying visits for FQHC encounters and apply PPS logic by payer.
• Review claim edits and pre-bill scrubs to correct coding errors before submission.
• Resolve coding-related denials from TMHP, MCOs, Medicare, and payers with documentation.
• Query providers to resolve documentation gaps while following compliant practices.
• Participate in internal coding audits and educate providers and staff.
• Keep up with CMS/TMHP/TMPPM and MCO policy updates.
• Maintain HIPAA confidentiality and HHM’s compliance program.

Skills

Outpatient coding

EM coding knowledge

NCCI edits

Denials handling

EHR/PM proficiency

Education

CPC or CCS-P certification

Tools

eClinicalWorks

Job description

HHM Health in Dallas, TX seeks a Coder II to support billing across Texas Medicaid, MCOs, Medicare, and commercial payers. The coder reviews provider documentation and assigns accurate CPT, HCPCS, and ICD-10-CM codes for outpatient services, ensuring revenue integrity and compliant billing.

Ideal candidate has 3+ years in outpatient coding, CPC or CCS-P certification, and strong knowledge of E/M rules, NCCI edits, and denials management. EHR/PM experience including eClinicalWorks is required.