Certified Clinical Coder - Texas Medicaid - Medical Billing​/Coding

Career Opportunities:
Certified Clinical Coder
- Texas Medicaid
- Medical Billing/Coding (19876)

Posting 19876
-Posted
09/02/2026

- Health & Human Services Comm

- Medical&Dental Benefits Policy

- Healthcare Support

- Eligible for Telework
- Other Locations (1) - Additional Shifts available (1) -b. $3000 - $4999 per month

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more.

Explore more details on the Benefits of Working at HHS webpage .

• Functional
  
  Title:
  
  Certified Clinical Coder
  - Texas Medicaid
  - Medical Billing/Coding
• Job Title:Program Specialist V
• Agency:Health & Human Services Comm
• Department:Medical&Dental Benefits Policy
• Posting Number:19876
• Closing Date:09/16/2026
• Posting Audience:Internal and External
• Occupational Category:Healthcare Support
• Salary Range:$4,523.16-$7,253.83
• Pay Frequency:Monthly
• Salary Group:TEXAS-B-21
• Shift:Day
• Additional Shift:Days (First)
• Telework:Eligible for Telework
• Travel:Up to 5%
• Regular/Temporary:Regular
• Full Time/Part Time:Full time
• FLSA Exempt/Non-Exempt:Nonexempt
• Facility
  
  Location:
• Job Location City:AUSTIN
• Job Location Address:701 W 51ST ST
• Other Locations:Austin
• MOS Codes: 16GX,60C0,611X,612X,63G0,641X,712X,86M0,8U000,OS,OSS,PERS,YN,YNS

Brief

Job Description:

The Certified Clinical Coder
- Program Specialist (PS V) reports to one of the Medical and Dental Benefits Policy Managers in the Medicaid and CHIP Services Division.

The position performs advanced consultative and technical medical benefits work related to the development and implementation of Texas Medicaid medical benefits with a focus on clinical/medical billing and coding related projects and questions.

The position analyzes and researches medical billing and coding impacts to Medicaid’s medical benefits.

The Certified Clinical Coder (PS V) position identifies need for medical coding changes and makes policy recommendations related to billing and coding, and researches state and federal regulations impacting Medicaid medical benefits.

This position requires excellent writing skills and strong research skills and will participate in medical benefit policy reviews.

This position is expected to understand state and federal Medicaid and CHIP laws and regulations, have knowledge of complex national coding requirements, CMS requirements, and strong knowledge of Medicare and Medicaid billing processes, as well as an awareness of the difference between Medicaid insurance and private payer health insurance.

This position is expected to have experience and strong knowledge of CPT, HCPCS, NCCI and ICD.

This position works under the general direction of the Manager with a high degree of latitude for the use of initiative and independent judgment.

The Certified Clinical Coder Program Specialist V in this position must be proactive in seeking input from other staff in the Medicaid and CHIP Services Department and demonstrate the ability to work as an effective team member within Medical Benefits as well as other divisions and business areas within HHSC.

Essential Job Functions:

(30%) Researches, analyzes, and synthesizes Medicaid medical benefit policy, complicated federal and state regulations, client information, and claims processing information for medical benefit reviews with a focus on clinical/medical coding and billing related projects. Analyzes, researches and tracks quarterly and annual ICD, CPT, HCPCS, and NCCI changes. Conducts research on managed care organization (MCO) benefit coverage, private payer benefit coverage, CMS, and other state Medicaid benefit coverage during the policy development process.

Keeps team apprised of billing and coding updates and related information.

(25%) Participates and may lead in the development, planning, and implementation of new or revising current medical benefit policies. Researches, analyzes, and synthesizes very technical information such as standards of care, evidence-based practices, and peer reviewed literature using a variety of resources and websites and applies findings to medical and dental benefit policies. Collaborates, as needed, with Medical Benefits staff as well as HHSC staff in other programs and…