Senior Medical Coder: ICD-10/CPT Specialist & Compliance

Jobtailor; Houston (TX); On-site; USD 60,000 - 85,000; Full time

Job summary

Jobtailor in Houston, TX seeks a professional coder to review and resolve coding edits, assign accurate CPT/ICD-10CM codes, and generate physician queries to support clean claims.

You will ensure compliance with USHV guidelines, perform charge entry, and maintain ongoing education hours while staying current with coding regulations across multiple EMR platforms.

Qualifications

• High School Diploma or equivalent.
• 3 years of related experience.
• Knowledge of ICD-10CM and CPT coding conventions.
• Analytical skills and ability to interpret data.
• Proficiency in Microsoft Office and EMR platforms.
• Credentials within 12 months: RHIA/RHIT/CCS/CCS-P/CCC.

Responsibilities

• Review and resolve coding edits in a timely manner.
• Assign and sequence CPT, ICD-10CM, and HCPCS codes per guidelines.
• Generate physician queries following procedures.
• Provide feedback and education as required.
• Ensure adherence to USHV guidelines for coding and edits.
• Perform charge entry for professional services.
• Abstract information needed for billing.
• Reconcile charges using logs, schedules, and reports.
• Meet coding quality and productivity standards.
• Complete education assigned by leadership and maintain CE hours.
• Stay current with federal, state, and departmental guidelines.

Skills

ICD-10CM coding

CPT coding

Data analysis

EMR proficiency

Microsoft Office

Education

RHIA

RHIT

CCS

CCS-P

CCC

Tools

EMR platforms

Job description

• Reviews encounter in a timely manner and resolves all coding-related edits
• Reviews medical records and accurately assigns and sequences CPT, ICD-10CM, and HCPCS codes/modifiers, ensuring compliance with all applicable guidelines
• Generates physician queries following established procedures
• Provides feedback and education as required
• Confirms that all applicable USHV and Coding Guidelines are followed while coding and resolving edits
• Performs charge entry of professional services, including but not limited to non-invasive tests and hospital or office-based visits
• Abstracts information needed for billing
• Performs charge reconciliation via logs, visit schedules, and other reports when applicable to the department
• Meets the required coding quality and productivity expectations per department policy and procedures
• Completes all education assigned by USHV leadership and compliance
• Maintains required continued education hours relevant to professional credentials
• Stays current with all federal, state, coding, and departmental guidelines and procedures
• Performs other duties as assigned.

Requirements

• High School Diploma or equivalent required
• 3 years of related experience required
• Knowledge of ICD-10CM and CPT coding conventions
• Analytical skills, ability to interpret data and maintain spreadsheets
• Proficiency in Microsoft Office suite and expert knowledge of multiple EMR platforms
• One or more of the following credentials are required within 12 months of employment: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), Certified Professional Coder (CPC) Certified Cardiology Coder (CCC)

Core Competencies

Demonstrates expertise in ICD-10CM and CPT coding conventions, ensuring compliance with USHV and Coding Guidelines while maintaining high coding quality and productivity. Proficient in charge entry, reconciliation, and generating physician queries, with a strong focus on education and adherence to federal and state regulations.

Highest-signal resume keywords

• ICD-10CM Coding
• CPT Coding
• Charge Entry
• Coding Compliance
• Microsoft Office Proficiency

ATS Optimization Keywords

Hard Skills

• ICD-10CM Coding
• CPT Coding
• Charge Entry
• Charge Reconciliation
• Data Interpretation
• Spreadsheet Maintenance

Soft Skills

• Analytical Skills
• Feedback Provision
• Education Delivery

Certifications & Qualifications

• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Certified Coding Specialist (CCS)
• Certified Coding Specialist-Physician-based (CCS-P)
• Certified Professional Coder (CPC)
• Certified Cardiology Coder (CCC)

Industry Keywords

• Coding Guidelines
• Medical Records
• Billing
• Compliance
• Healthcare

Tools & Technologies

• EMR Platforms
• Microsoft Office Suite