417 senior inpatient coder jobs found

Senior Inpatient Coder The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM/PCS codes) and entering coded information into an automated grouper system. Technical guidance and acting in a lead role is expected. Does related work as required. Responsibilities Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. Interprets and applies American Hospital Association Official Coding guidelines to articulate and support principle and secondary diagnoses and selected procedures. Identifies and analyzes patterns in possible coding errors or other trends and reports to the coding leadership team. Participates in mandated medical record review processes. Using current ICD10 CM/PCS coding systems, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by...

McLeod Health in Florence, SC seeks a Senior Inpatient Coder responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at our facilities, focusing on complex medical/surgical encounters. You will stay current with coding developments, query physicians when documentation is unclear, collaborate with Clinical Documentation Specialists, and maintain productivity with a 95% accuracy rate. #J-18808-Ljbffr

Job Requirements Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc.utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as...

Serving as the senior member of the corporate coding team, the part-time North Carolina Licensed Senior Inpatient Coder will provide timely and accurate ICD-10-CM and ICD-10-PCS coding, DRG assignment, and medical record abstraction while collaborating with the coding and CDS teams. Key responsibilities Perform coding and DRG assignment for inpatient records to ensure accurate reimbursement and statistical reporting Review SMART accounts daily and serve as a liaison between coders and the Clinical Documentation Specialist (CDS) team Collect predefined indicators and abstract medical records as necessary to support coding accuracy Required qualifications Registered Health Information Technician, Registered Health Information Administrator, Certified Professional Coder, Certified Coding Specialist, or Certified Outpatient Coder required Associate's Degree in Health Information Management required; Bachelor's Degree preferred Minimum of 5 years of inpatient coding experience...

Working remotely on a full-time basis, the Certified Senior Inpatient Coder will accurately code hospital inpatient accounts to ensure appropriate reimbursement and compliance with federal and state regulations while collaborating with clinical staff and maintaining coding quality and productivity standards. Key responsibilities Analyze and code complex inpatient cases using ICD-10-CM and ICD-10-PCS classification systems Collaborate with senior coders and clinical documentation specialists to resolve documentation issues and provide coding advice Monitor and maintain coding quality accuracy rates of 90% and productivity rates of 95% within established timeframes Required qualifications High School graduate or equivalent; formal ICD-10-CM and CPT training preferred Minimum of three years of ICD-10-CM/ICD-10-PCS coding experience in a Level 1 Trauma and Rehab hospital or four years in inpatient hospital medical records Certification as a Certified Coding Specialist (CCS),...

TEEMA Solutions Group is seeking a Senior Clinical Coder for a fully remote opportunity focused on inpatient facility coding and DRG validation. You will support clinical operations teams in complex medical claims reviews and ensure coding accuracy. The ideal candidate has over 5 years of clinical coding experience and a CCS certification. This role offers long-term potential for permanent employment. #J-18808-Ljbffr

A healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires extensive experience in coding accuracy, regulatory compliance, and reimbursement processes for both inpatient and outpatient services. The ideal candidate will thrive in a fast-paced environment and is skilled in utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems. Strong analytical abilities and effective communication skills are essential for success in this role. #J-18808-Ljbffr

UCSF Health in San Francisco, CA is seeking a Health Information Coder III for a per diem inpatient coding role. You will apply ICD-10-CM and ICD-10-PCS to code acute academic/teaching inpatient cases, determine DRG assignments, and ensure compliance with official guidelines and UCSF policies. This senior role involves retrieving records, abstracting data, participating in coding audits, and training others as needed. Per diem arrangement; hourly rate $70.02; benefits described by UCSF. #J-18808-Ljbffr

Overview Serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation issues. Reviews SMART accounts on a daily basis as assigned. **Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.** Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Licensure Registered Health...

A healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires extensive experience in coding accuracy, regulatory compliance, and reimbursement processes for both inpatient and outpatient services. The ideal candidate will thrive in a fast-paced environment and is skilled in utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems. Strong analytical abilities and effective communication skills are essential for success in this role. #J-18808-Ljbffr

Location: Baltimore, Maryland, United StatesCompany: University of Maryland Medical SystemPosted: University of Maryland Medical System seeks an experienced inpatient coder to accurately code hospital accounts for reimbursement, research and compliance. You will analyze complex trauma and rehab cases, collaborate with CDI and senior coders, and ensure timely, compliant coding across departments.Qualifications include a minimum of three years ICD-10-CM/ICD-10-PCS coding, abtracting experience at a Level 1 Trauma/ Rehab hospital, and one of CCS/RHIT/RHIA/CIC credentials.#J-18808-Ljbffr

UnitedHealth Group seeks an experienced Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct inpatient coding for MS-DRG/APR-DRG, handle three-day rule edits, denials, and related tasks ensuring accurate documentation and coding. Responsibilities include querying physicians, working with editors, and supporting payer and compliance reviews. Medical terminology and EPIC experience are beneficial. #J-18808-Ljbffr

UnitedHealth Group is seeking a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to correct CCIs, MUE edits, and medical necessity edits, while handling three-day rule combinations and other queues. This remote role supports Allina Health in ensuring accurate inpatient coding. You will query physicians for documentation and assign MS-DRG/APR-DRG, with a focus on compliance and data integrity, leveraging strong coding knowledge. #J-18808-Ljbffr

University of Maryland Medical System seeks an experienced inpatient coder to accurately code hospital accounts for reimbursement, research and compliance. You will analyze complex trauma and rehab cases, collaborate with CDI and senior coders, and ensure timely, compliant coding across departments. Qualifications include a minimum of three years ICD-10-CM/ICD-10-PCS coding, abtracting experience at a Level 1 Trauma/ Rehab hospital, and one of CCS/RHIT/RHIA/CIC credentials. #J-18808-Ljbffr

United Health Services in New York's Southern Tier is seeking an Inpatient Coder III to perform independent coding of inpatient medical records, assigning ICD-10-CM/PCS codes in accordance with guidelines and hospital policies. This role requires prior inpatient coding experience, knowledge of DRG assignment, and completion of CPC/RHIA/RHIT/CCS or CIC certifications; a high school diploma is required, with associates degree preferred. #J-18808-Ljbffr

United Health Services in Binghamton, NY, seeks an Inpatient Coder III to perform independent coding of inpatient medical records, assigning ICD-10-CM and ICD-10-PCS codes for hospital encounters in accordance with official guidelines and hospital policies. This role requires prior inpatient coding experience and a strong focus on accurate DRG assignment. The position is in the Facility Coding department with a daytime shift and a 40-hour work week, offering opportunities for professional growth #J-18808-Ljbffr

Hospital Inpatient Coding Specialist The Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement. The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra's coding policies. The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information. Responsibilities Assigns diagnosis and procedure codes. Verifies accuracy of DRG Accurately abstracts required...

Centra Health in Lynchburg seeks an Hospital Inpatient Coding Specialist to assign ICD-10-CM diagnosis and ICD-10-PCS procedure codes for APR-DRG or MS-DRG reimbursement. The role emphasizes accuracy and adherence to Centra’s coding policies and guidelines. You will collaborate with the Clinical Documentation Integrity Specialist to abstract relevant information, ensuring data integrity and proper documentation while formulating provider queries when needed. #J-18808-Ljbffr

Hospital Inpatient Coding SpecialistThe Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement. The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra's coding policies. The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information.ResponsibilitiesAssigns diagnosis and procedure codes.Verifies accuracy of DRGAccurately abstracts required...

United Health Services in Binghamton, NY, seeks an Inpatient Coder III to perform independent coding of inpatient medical records, assigning ICD-10-CM and ICD-10-PCS codes for hospital encounters in accordance with official guidelines and hospital policies. This role requires prior inpatient coding experience and a strong focus on accurate DRG assignment. The position is in the Facility Coding department with a daytime shift and a 40-hour work week, offering opportunities for professional growth #J-18808-Ljbffr

Parkland Community Health Plan, Inc. is seeking a Coding Specialist III to code and verify inpatient encounters, ensuring accurate DRG assignment and compliant billing. The role supports remote work for TX, AR, WI and FL and requires advanced ICD-10-CM/PCS coding knowledge, HCC, and CPT/HCPCS modifiers. The candidate must hold RHIT/RHIA/CCS or CIC certifications, with 3 years of acute care coding experience and a strong understanding of reimbursement principles. #J-18808-Ljbffr

The Ohio State University Wexner Medical Center is seeking an experienced coding specialist for inpatient coding services. This role requires expertise in ICD-10-CM and ICD-10-PCS coding and a solid understanding of DRG assignment. The position demands a minimum of two years of inpatient hospital coding experience and offers an opportunity to ensure compliance with federal coding guidelines while collaborating with Clinical Documentation Integrity specialists. #J-18808-Ljbffr

Location: Scarborough, Maine, United StatesCompany: MaineHealthPosted: MaineHealth in Scarborough, Maine is seeking an Inpatient Coder III responsible for assigning ICD10 codes after reviewing provider documentation. This role is crucial for data collection, research, and compliance.Qualified candidates will possess a degree in Health Information Management and relevant certifications. At MaineHealth, employees enjoy a supportive workplace with benefits like paid parental leave, flexible work policies, and professional development opportunities.#J-18808-Ljbffr

Location: Allenton, Wisconsin, United StatesCompany: Aurora Health CarePosted: Aurora Health Care in Wisconsin seeks an experienced inpatient coder with solid expertise in ICD-10-CM/PCS, CPT, and HCPCS. You will review complex inpatient documentation, ensure accurate code selection, and collaborate with CDI to match DRGs and support compliant reimbursement.The role requires 7+ years inpatient coding in an acute care facility, proficiency with EMR systems, and strong attention to detail. Expect to work within a high-volume, regulated environment at Aurora Health Care.#J-18808-Ljbffr