United Health Services

Clinical Documentation Improvement (CDI) Specialist – CDI Coder United Health Services (UHS) is seeking a Clinical Documentation Improvement (CDI) Specialist – CDI Coder to support accurate, complete, and compliant clinical documentation across the inpatient setting. The Clinical Documentation Improvement (CDI) Specialist – CDI Coder collaborates with physicians, coders, and interdisciplinary care teams to ensure medical records accurately reflect patient acuity, severity of illness, risk of mortality, and services provided. Through concurrent and retrospective chart reviews, this role helps optimize coding accuracy, reimbursement integrity, quality reporting, and regulatory compliance. The Clinical Documentation Improvement (CDI) Specialist – CDI Coder serves as a key resource for documentation excellence by identifying opportunities for clarification, educating providers on documentation best practices, and facilitating compliant clinical queries. This position plays a critical...

Position Overview United Health Services (UHS) is seeking an experienced Inpatient Hospital Coder to join our Health Information Management team.In this role, you will be responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes for inpatient medical records, ensuring compliance with regulatory requirements and supporting timely reimbursement.At UHS, every connection matters--and your attention to detail plays a critical role in connecting quality care to accurate documentation and outcomes.Your expertise helps tell each patient's story clearly and completely, making a real difference in both clinical and operational performance.Join us and contribute to a team where precision, integrity, and collaboration are valued every day.This position is open to a hybrid schedule for experience Inpatient Coders.Primary Department, Division, or Unit:Facility Coding, UHS Revenue Cycle Operations Work Shift and Schedule:This is a per diem position, which means you will...

Sign-On Incentives :Up to a $5,000 sign-on bonus for candidates who meet eligibility criteria.Talk with your recruiter to learn more.Job Responsibilities :Assign ICD-10-CM and ICD-10-PCS codes to inpatient diagnoses and procedures, ensuring accurate MS-DRG or APR-DRG grouping in accordance with official guidelines and internal policies.Complete the appropriate number of coded records based on departmental productivity standards and accuracy requirements.Abstract key clinical and demographic information from patient records to support billing, quality reporting, and regulatory compliance.Utilize computer-assisted coding (CAC) tools, encoders, and official coding references to support consistent and accurate code selection.Initiate physician queries when documentation is incomplete, ambiguous, or unclear to ensure accurate code assignment and clarify clinical intent.Collaborate with Clinical Documentation Improvement (CDI) professionals to enhance documentation quality and identify...