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At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Cardio experience is required. This is a hybrid position so you must be located in the Houston area. Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Typically reports to Coding Manager Minimum Qualifications Education: High School Diploma or GED required, Associate Degree in medical area, preferred Licenses/Certifications: One of the following licenses is required: Certified Coding Specialist (CCS), or Certified Professional Coder (CPC), or Certified Professional Coder-Apprentice (CPC-A), or Registered Heath Information Technician (RHIT), or Registered Health Information Administrator (RHIA), or Certified Medical Coder (CMC) Certified Coding Associate (CCA) Experience / Knowledge / Skills: One (1) year outpatient coding experience required, six (6) months of HCC experience preferred Ability to code multi-specialties for physicians including E&M Levels Effective oral and written communication skills. Principal Accountabilities Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for outpatient encounters. Utilizes technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses, CPT 4, E&M Levels and modifiers. Reviews documentation to extract and enter data accurately for other abstracting fields. Follow coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff. Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues. Other duties as assigned.

Job Description Calling all bill review professionals, CPC coders, AAPC, and DRG coders! Dane Street is looking for highly motivated Coders, bill reviewers, and payment integrity reviewers candidates to join our team. Dane Street offers an exciting work environment, competitive compensation, and strong growth potential. Job Summary: A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities: • Evaluates the appropriateness of codes and determine whether they meet all established program standards., • Ensures that the medical records are matched appropriately to the codes and if not, obtains them., • Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met., • Evaluates claims for conflict of interest and criteria appropriateness., • Works within established timeframes set by program parameters., • Provides strong customer service skills and works closely with clients on a case- by-case basis to provide complete, timely, and error-free quality assurance of cases., • Provides clinical oversight to cases that are complex and need additional review prior to return to the client., • Serves as an additional level of QA and clinical knowledge/review for cases with quality Issues. Requirements Required Education & Experience: ● Must have a CPC, APCC, CMBS, or DRG coder certification ● Payment integrity or professional bill review experience is strongly preferred. ● Out-of-network bill review experience is a plus. ● Experience working in a remote environment is preferred. ● Experience in a medical office or health care background. Required Skills: ● Must work with a sense of urgency and meet deadlines. ● Must be self-motivated, with a strong drive for performance excellence. ● Excellent written and verbal communication skills are required. ● Proficiency in navigating a variety of computer programs (Experience with Google Chrome, Gmail, Docs, Sheets, etc., is a plus). ● Attention to detail REQUIRED. PLEASE BE AWARE: In the interest of the security of both parties, please be aware that Dane Street will never conduct an interview via text or request checks from candidates for purchasing equipment. Benefits • Robust opportunity for supplemental income, • Schedule flexibility and predictable work hours-conduct reviews based on your schedule availability, • Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street is seeking insightful, astute forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers. We provide customized Independent Medical Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.

Job Description Position Overview Apex Health Solutions is seeking a high-caliber Practice Performance Manager (PPM) to serve as a strategic advisor and on-the-ground transformation catalyst across our growing network of value-based care partnerships. This mission-critical role sits at the intersection of clinical quality improvement, risk adjustment, population health analytics, and practice operations—empowering primary care physicians, specialist groups, and entire care teams to achieve sustainable, measurable performance gains. The PPM functions as both a trusted clinical partner and a skilled change management professional, delivering direct practice support—on-site and remotely—to drive improvement across key performance domains including HEDIS/Stars quality measures, HCC capture rates, Annual Wellness Visit (AWV) completion, care gap closure, and EHR workflow optimization. This individual will work at the forefront of Apex's value-based care delivery model, translating data into action and building lasting clinical and operational capabilities within partner practices. The ideal candidate combines deep clinical or quality improvement expertise with strong interpersonal influence skills—capable of coaching frontline staff, engaging physicians, and presenting data-driven strategies to practice leadership. If you are passionate about transforming how healthcare is delivered and measured, this role offers a unique opportunity to make a direct, lasting impact on patient outcomes at scale. What You Will Drive Clinical Quality Drive measurable improvement in HEDIS, eCQM, Stars ratings, and quality gap closure rates across assigned practices Risk Adjustment Improve HCC capture accuracy and RAF score accuracy through targeted clinical documentation improvement (CDI) education and workflow implementation Operational Efficiency Optimize EHR workflows, billing practices, and administrative processes to reduce friction and improve throughput Practice Transformation Build lasting team-based care competencies and data-driven decision-making capabilities within partner organizations Key Responsibilities Practice Partnership & Planned Care Model Development • Establish and sustain trusted, high-value advisory relationships with physician practices, serving as the primary point of contact for all value-based care performance initiatives., • Co-design and implement a planned care model within each practice, integrating administrative, financial, and clinical systems to drive coordinated, proactive patient management and improved outcomes., • Identify and prioritize root causes of financial and quality underperformance; develop and execute targeted improvement strategies with clearly defined accountability metrics for each practice site. EHR Optimization & Workflow Redesign • Lead comprehensive workflow design and redesign efforts with practice teams, encompassing EHR optimization, clinical documentation standardization, coding practices, and billing accuracy., • Conduct financial analyses and performance improvement assessments, translating findings into actionable workflow modifications that yield measurable efficiency gains., • Evaluate current-state EHR utilization across assigned practices and deliver tailored optimization recommendations to maximize data capture quality, billing compliance, and care coordination. Clinical Documentation Improvement (CDI) • Partner with clinicians to improve clinical documentation accuracy and specificity, with a focus on HCC (Hierarchical Condition Category) capture, chronic disease coding, and annual risk adjustment initiatives., • Conduct structured chart reviews, deliver real-time feedback, and facilitate targeted education sessions to improve the completeness and accuracy of clinical records supporting risk adjustment accuracy., • Serve as a subject matter expert on risk adjustment methodologies, ensuring clinical teams understand the connection between documentation quality, RAF (Risk Adjustment Factor) scores, and overall contract performance. Population Health Analytics & Data-Driven Performance Management • Leverage population health tools, EHR-based dashboards, and payer-provided data sets to support practices in identifying care gaps, stratifying patient risk panels, and prioritizing outreach efforts., • Coach practice leadership and clinical staff to independently interpret quality metric reports—including HEDIS measures, Stars scores, and cost-of-care analytics—and translate insights into sustainable process improvements., • Present data-driven performance reports to practice leaders and senior stakeholders, highlighting trends, gaps, and progress toward VBC contract benchmarks with clear improvement targets. Physician & Staff Engagement • Build and maintain collegial, trust-based relationships with physicians, advanced practice providers, and clinical staff to facilitate meaningful and sustained behavioral change in support of VBC goals., • Develop and deliver customized education programs, resources, and toolkits to build internal clinical and operational capabilities around team-based care, patient engagement, and quality improvement., • Engage directly with patients as appropriate to schedule Annual Wellness Visits (AWVs), facilitate specialist referrals, and support patient navigation—contributing directly to quality metric performance. Training, Tools & Interdisciplinary Collaboration • Develop, implement, and continuously refine training materials, project plans, and practice transformation toolkits used to support onboarding, ongoing education, and performance sustainment., • Collaborate effectively across interdisciplinary teams including clinical implementation, analytics, research, support services, and medical record retrieval to ensure a cohesive and coordinated practice support model., • Champion a culture of continuous quality improvement by modeling data-informed decision-making, collegial communication, and collaborative problem-solving with practice partners and internal colleagues alike. Qualifications Education & Experience • Bachelor's Degree in Healthcare Administration, Nursing, Health Informatics, Business, or a related field required; advanced degree preferred. A combination of equivalent education and five (5) or more years of directly relevant experience will be considered in lieu of a degree., • Minimum three (3) years of hands-on experience with Electronic Medical Record (EMR) / Electronic Health Record (EHR) systems, including demonstrated proficiency in system operations, workflow design, optimization, and implementation., • Minimum three (3) years of progressive experience in one or more of the following: medical practice management, clinical program development, healthcare quality analytics, clinical transformation, or quality improvement (QI) initiatives within a value-based care or managed care environment. Required Credentials (One or More) • Certified Risk Adjustment Coder (CRC) — demonstrates expertise in HCC methodology and risk adjustment documentation standards, • Certified Professional Coder (CPC) — demonstrates proficiency in medical coding compliance and billing accuracy Preferred Credentials (One or More) • Certified Professional in Healthcare Quality (CPHQ) — demonstrates competency in quality improvement methodologies and performance measurement, • Licensed Vocational Nurse (LVN) or equivalent clinical licensure — provides direct clinical credibility in practice settings Knowledge, Skills & Competencies • Demonstrated knowledge of value-based care models, including ACO structures, shared savings programs, risk-based contracting, and quality performance metrics (HEDIS, Stars, CAHPS, etc.), • Strong proficiency in data analysis and the ability to translate complex quality and claims data into clear, actionable practice-level recommendations, • Exceptional interpersonal and communication skills with a proven ability to build trust, navigate complex stakeholder relationships, and drive behavioral change across diverse clinical environments, • Experience with clinical documentation improvement (CDI), risk adjustment concepts, and HCC coding education strongly preferred, • Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word, Teams) and familiarity with population health management platforms and/or EHR reporting modules, • Self-directed, highly organized, and capable of managing a portfolio of multiple practice relationships simultaneously with minimal supervision, • Willingness and ability to travel within the assigned geographic region for on-site practice visits as needed About Apex Health Solutions Apex Health Solutions is a technology-enabled management services organization (MSO) purpose-built to advance value-based care. We partner with physician groups, health systems, and payers to accelerate the transition from fee-for-service to high-performing, value-based contracts—delivering measurable improvements in quality, risk accuracy, and total cost of care. Our tagline, Climb Higher, Faster, reflects our commitment to helping provider organizations achieve sustainable performance at scale. Why Join Apex Health Solutions? At Apex Health Solutions, we believe that the future of healthcare is value-based—and that meaningful, lasting change happens at the practice level. As a Practice Performance Manager, you will be at the center of that transformation, equipped with best-in-class data tools, dedicated interdisciplinary support, and the autonomy to drive real impact. • Purpose-driven mission: Directly improve patient outcomes and quality of care for communities across your region, • Innovative environment: Work at the cutting edge of value-based care with access to industry-leading analytics platforms and data-driven performance tools, • Collaborative culture: Partner with a team of experienced clinical, analytical, and operational professionals who are equally committed to practice transformation, • Career growth: Grow your expertise within a rapidly expanding organization at the forefront of healthcare's shift to value

Job DescriptionCertified Coder | $35.00/hr. | 8:00 am to 5:00 pm/In Office/Temporary What Matters Most • Competitive Pay of $35.00 per hour, • Schedule: 8:00 am to 5:00 pm, • Location: Houston, Texas 77024, • Contract role, • Weekly Pay with direct deposit or pay card, • When you work through Team1Medical, you are eligible to enroll in dental, vision and medical insurance as well as 401K, direct deposit and our referral bonus program. Job DescriptionOne of the premier Healthcare organizations is seeking a Certified Coder for their Revenue Cycle department. Submit your resume and see what opportunities are available for you! Responsibilities:, • Review clinical documentation and diagnostic results to extract relevant medical data., • Assign accurate ICD-10-CM and CPT4 codes, including modifiers, based on documentation., • Ensure coding aligns with official ICD-10-CM & CPT4 Guidelines for Coding and Reporting., • Support billing processes by applying appropriate codes to clinical services and procedures., • Contribute to internal and external reporting, research, and regulatory compliance through accurate coding., • Maintain compliance with current coding regulations and organizational standards., • Ensure thorough and precise documentation of coded conditions and procedures. Qualifications and Requirements:, • Two (2) years of outpatient E/M coding/outpatient Neurosurgery experience is required., • Having one of the licenses is required: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Heath Information Technician (RHIT), Certified Medical Coder (CMC), or Certified Coding Associate (CCA), • EPIC experience is preferred., • Must have a high school diploma or GED. Benefits and Perks:, • $35.00/hr., • Once hired on with the organization they offer a comprehensive benefits package, which includes three weeks of Paid Time Off, PPO or HMO, and 401k. Your New Organization:Our client is a healthcare organization with multiple locations within the Houston and Greater Houston areas with various career growth opportunities. Your Career Partner:Team1Medical, a Reserves Network company, a veteran-founded and family-owned company, specializes in connecting exceptional talent with rewarding opportunities. With extensive industry experience, we are dedicated to helping you achieve your professional goals and shine in your field. The Reserves Network values diversity and encourages applicants from all backgrounds to apply. As an equal-opportunity employer, we foster an environment of respect, integrity, and trust in every aspect of employment.In the spirit of pay transparency, we want to share the base salary range for this position is $35.00/hr. not including benefits, potential bonuses or additional compensation. If you are hired, your base salary will be determined based on factors such as individual skills, qualifications, experience, and geographic location. In addition, we also believe in the importance of pay equity and consider the internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is the full base salary range for the role. Hiring at the maximum of the range would not be typical in order to allow for future & continued salary growth.

Job DescriptionDescriptionWe are currently seeking a highly motivated Risk Adjustment Coding Specialist to support our Beaumont market. In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. You’ll translate your findings into actionable insights, creating and delivering education to providers and practice leaders while navigating complex conversations. Additionally, you’ll track and report on key performance metrics—such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success. We are seeking candidates who have experience with provider education and at least 3-5 years of risk adjustment experience! We are seeking candidates who reside in Houston and are able to travel to Beaumont on a monthly basis. Our Values: • Put Patients First, • Empower Entrepreneurial Provider and Care Teams, • Operate with Integrity & Excellence, • Be Innovative, • Work As One Team What You'll Do • Review provider documentation of diagnostic data from medical records to verify that all Medicare Advantage, Affordable Care Act (ACO) and Commercial risk adjustment documentation requirements are met, and to deliver education to providers on either an individual basis or in a group forum, as appropriate for all IPAs managed by the company, • Review medical record information on both a retroactive and prospective basis to identify, assess, monitor, and document claims and encounter coding information as it pertains to Hierarchical Condition Categories (HCC), • Perform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines, • Interacts with physicians regarding coding, billing, documentation policies, procedures, and conflicting/ambiguous or non-specific documentation, • Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected through auditing, • Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements., • Provides recommendations to management related to process improvements, root-cause analysis, and/or barrier resolution applicable to Risk Adjustment initiatives., • Trains, mentors and supports new employees during the orientation process. Functions as a resource to existing staff for projects and daily work., • Provides peer to peer guidance through informal discussion and overread assignments. Supports coder training and orientation as requested by manager., • May assist or lead projects and/or higher work volume than Risk Adjustment Coding Specialist I, • Other duties as assigned Qualifications • Required Certification/Licensure: Must possess and maintain AAPC or AHIMA certification - Certified Coding Specialist (CCS-P), CCS, or CPC., • 3-5+ years of experience in risk adjustment coding and/or billing experience required, • Reliable transportation/Valid Driver’s License/Must be able to travel up to 75% of work time, • PC skills and experience using Microsoft applications such as Word, Excel, and Outlook, • Excellent presentation, verbal and written communication skills, and ability to collaborate, • Must possess the ability to educate and train provider office staff members, • Proficiency with healthcare coding software and Electronic Health Records (EHR) systems.You're great for this role if:, • Strong billing knowledge and/or Certified Professional Biller (CPB) through APPC, • Certified Risk Adjustment Coder (CRC) and/or Risk Adjustment coding experience, • Have knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) for Medicare Advantage, • Strong PowerPoint and public speaking experience, • Ability to work independently and collaborate in a team setting, • Experience with Monday.com, • Experience collaborating with, educating, and presenting to provider teams in a face-to-face setting Environmental Job Requirements and Working Conditions • The national target pay range for this role is $70,000 - $85,000 per year. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors., • This role follows a hybrid work structure where the expectation is to work on the field and at home on a weekly basis. This position requires monthly travel to Beaumont from Houston.Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Job DescriptionPosition Summary We are seeking a detail-oriented and knowledgeable Medical Biller and Coder to join our healthcare clinic team. This role is responsible for accurately coding medical procedures and diagnoses, submitting insurance claims, posting payments, and ensuring timely reimbursement while maintaining compliance with healthcare regulations and clinic policies. The ideal candidate is organized, professional, and committed to supporting quality patient care through accurate billing and coding practices. Essential Duties and Responsibilities • Review patient charts, clinical documentation, and physician notes for accurate coding and billing, • Assign appropriate ICD-10, CPT, and HCPCS codes for services rendered, • Prepare and submit electronic and paper insurance claims in a timely manner, • Verify insurance eligibility, benefits, and authorization requirements, • Monitor unpaid claims and follow up with insurance companies regarding denials, underpayments, or delayed payments, • Research and resolve billing discrepancies and claim rejections, • Post payments, adjustments, and patient balances accurately into the billing system, • Communicate professionally with patients regarding billing questions, payment arrangements, and account balances, • Maintain confidentiality of patient information in compliance with HIPAA regulations, • Stay current on coding updates, payer guidelines, and healthcare billing regulations, • Collaborate with providers, front office staff, and management to improve billing accuracy and workflow efficiency, • Assist with month-end reporting and other administrative duties as assignedQualifications, • High school diploma or GED required, • Certification in Medical Billing and Coding preferred (CPC, CCS, CBCS, or equivalent), • Minimum of 1–2 years of medical billing and coding experience preferred, • Knowledge of ICD-10, CPT, and HCPCS coding systems, • Familiarity with insurance verification, claims processing, and denial management, • Experience working with electronic medical records (EMR) and billing software, • Strong attention to detail and accuracy, • Excellent communication and customer service skills, • Ability to multitask and manage deadlines in a fast-paced healthcare environment, • Proficient in Microsoft Office applicationsPreferred Skills, • Knowledge of Medicare, Medicaid, and commercial insurance guidelines, • Understanding of medical terminology and anatomy, • Ability to maintain professionalism and confidentiality at all times, • Strong problem-solving and organizational skills

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