CLS Health
About CLS Health:
At CLS Health, we are redefining healthcare delivery. As Houston’s largest physician-owned, physician-led healthcare system, our mission is to provide patient-centered care through innovation and operational excellence. With over 200 providers in 35+ locations and over 50 specialties, we’re building a scalable healthcare system that empowers physicians and delivers unmatched quality and access for patients.
We are Looking for: We are seeking a highly experienced and detail-oriented Lead Certified Professional Coder to help shape and optimize our coding workflows and compliance standards. This role plays a key leadership position in designing rules, audits, and education logic that directly support claim accuracy, reduce denials, and ensure payer and CMS compliance across multiple specialties.
Key Responsibilities:
Define coding logic and business rules for:
Claim Holds, Edits, and Denials
Appeal types and resolution pathways
Develop audit and education frameworks to ensure provider documentation meets requirements for CPT, ICD-10, and HCPCS coding.
Collaborate with the Compliance Officer to maintain up-to-date adherence with CMS guidelines and payer-specific rules.
Create and maintain clinical-to-coding mappings, workflows, and coding pathways for multi-specialty environments.
Assist in the development of tools and systems (e.g., Coder+) that support coding workflow automation.
Participate in coder education, documentation improvement efforts, and coding policy development.
Stay current with changes in federal regulations, payer guidelines, and specialty-specific coding updates.
Why You’ll Love Working With Us:
Competitive salary
Supportive team culture
Real opportunities for professional development and career growth
Full benefits package including:
401(k) with company match
Medical, Dental, Vision, and Life Insurance
Paid time off
Disability insurance
Requirements
CPC (Certified Professional Coder) or COC (Certified Outpatient Coder) certification required.
5–10 years of coding experience, preferably in a multi-specialty or ambulatory care setting.
Deep understanding of CPT, ICD-10-CM, HCPCS Level II coding systems, and medical terminology.
Experience in coding audits, documentation review, and education.
Familiarity with claim workflows, denial management, and appeal processes.
Strong knowledge of CMS regulations, payer policies, and clinical documentation standards.
Excellent attention to detail and ability to interpret complex medical and billing documentation.
Strong communication and collaboration skills to work with compliance, product, and clinical teams.
Preferred Qualifications
Experience with EHR and RCM platforms (e.g., Epic, athenahealth, eClinicalWorks).
Exposure to coding automation platforms or rule-based engines.
Prior leadership or mentorship experience in coding teams.
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We are Looking for: We are seeking a highly experienced and detail-oriented Lead Certified Professional Coder to help shape and optimize our coding workflows and compliance standards. This role plays a key leadership position in designing rules, audits, and education logic that directly support claim accuracy, reduce denials, and ensure payer and CMS compliance across multiple specialties.
Key Responsibilities:
Define coding logic and business rules for:
Claim Holds, Edits, and Denials
Appeal types and resolution pathways
Develop audit and education frameworks to ensure provider documentation meets requirements for CPT, ICD-10, and HCPCS coding.
Collaborate with the Compliance Officer to maintain up-to-date adherence with CMS guidelines and payer-specific rules.
Create and maintain clinical-to-coding mappings, workflows, and coding pathways for multi-specialty environments.
Assist in the development of tools and systems (e.g., Coder+) that support coding workflow automation.
Participate in coder education, documentation improvement efforts, and coding policy development.
Stay current with changes in federal regulations, payer guidelines, and specialty-specific coding updates.
Why You’ll Love Working With Us:
Competitive salary
Supportive team culture
Real opportunities for professional development and career growth
Full benefits package including:
401(k) with company match
Medical, Dental, Vision, and Life Insurance
Paid time off
Disability insurance
Requirements
CPC (Certified Professional Coder) or COC (Certified Outpatient Coder) certification required.
5–10 years of coding experience, preferably in a multi-specialty or ambulatory care setting.
Deep understanding of CPT, ICD-10-CM, HCPCS Level II coding systems, and medical terminology.
Experience in coding audits, documentation review, and education.
Familiarity with claim workflows, denial management, and appeal processes.
Strong knowledge of CMS regulations, payer policies, and clinical documentation standards.
Excellent attention to detail and ability to interpret complex medical and billing documentation.
Strong communication and collaboration skills to work with compliance, product, and clinical teams.
Preferred Qualifications
Experience with EHR and RCM platforms (e.g., Epic, athenahealth, eClinicalWorks).
Exposure to coding automation platforms or rule-based engines.
Prior leadership or mentorship experience in coding teams.
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