8 jobs found

Job Summary:   The DRG Coding Validator integrates advanced clinical nursing knowledge with expert inpatient coding proficiency to perform comprehensive validation of Diagnosis-Related Group (DRG) assignments and associated inpatient medical record coding. Drawing on dual expertise as a Registered Nurse (RN) and a Certified Inpatient Coder (CIC or CCS), this role evaluates both the clinical validity of documented diagnoses and procedures and the accuracy of ICD-10-CM/PCS code assignments, DRG sequencing, and discharge dispositions. This position serves clients by identifying coding inaccuracies, unsupported clinical documentation, and DRG assignment errors across MS-DRG and APR-DRG reimbursement methodologies.     Why You'll Love Working at ClarisHealth   We believe our team deserves the best, and we’re proud to offer a comprehensive benefits package designed to support your success, both at work and in life. Here’s what you can look forward to:   Medical,...

Sierra7 is look for experienced Medical Coding professionals to join our team! If you have recent VA coding experience and want a flexible, part-time opportunity, we’d love to hear from you. Open Positions: Outpatient Medical Coder Inpatient Medical Coder Profee Medical Coder Outpatient Medical Coder Auditor Inpatient Medical Coding Trainer Outpatient Medical Coding Trainer Requirements: Recent medical coding experience with the VA Proficiency in WebVIRR (VIRR) Strong attention to detail and coding accuracy Able to work a minimum of 20-25 hours per week.  If you're seeking a flexible, part-time role supporting veterans through your coding expertise, this is your chance to make an impact. Apply today and join the Sierra7 team!

AGS Health is seeking an Inpatient Coding Specialist who will be responsible for coding all requested inpatient medical records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment, while meeting specified productivity and accuracy standards. The coding specialist will also be responsible for abstracting key data required from the medical information consistent with UHDDS requirements and other regulatory coding guidelines. JOBS-TO-BE-DONE ( JTBDs): Codes all requested Inpatient records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment in accordance with coding guidelines. Abstracts, codes, and assigns necessary demographic and clinical data elements required. Writes appropriate, non-leading queries. Maintains quality and productivity according to client requirements.   KEY SELECTION CRITERIA: Candidate qualifications :  Certified through AHIMA or AAPC (CCS, CPC, or CIC) Minimum 2 years inpatient...

Join the winning team and work with the best!    With over 40 years of experience and enduring partnerships with our valued clients, we take pride in the stability we have built and the long-term success of our dedicated team. At UASI, we provide coding professionals with an ideal opportunity: an exciting and fulfilling role that challenges you to utilize and enhance your coding expertise, all while enjoying the flexibility and comfort of working from home. We are currently seeking experienced an experienced Medical Coding Specialist to perform accurate code assignments for facility outpatient, same day surgery and observation records. The ideal candidate will be flexible, detail-oriented, quality conscious and be able to adapt well to change. Additional qualifications include: AHIMA or AAPC certification. A minimum of five years’ outpatient coding experience in an acute care setting is required. Experience accurately assigning ICD-10-CM, CPT,...

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the...

Position Summary The Certified Medical Biller and Coder is responsible for accurately reviewing medical documentation, assigning appropriate diagnosis and procedure codes, and supporting the billing process to ensure timely and compliant reimbursement. This role plays a critical part in maintaining the integrity of the revenue cycle by ensuring claims are coded correctly, submitted efficiently, and compliant with payer and regulatory guidelines. The position requires strong knowledge of CPT, ICD-10-CM, HCPCS coding systems, payer requirements, and medical billing workflows. Essential Duties and Responsibilities Review provider documentation and assign accurate CPT, ICD-10-CM, and HCPCS codes Ensure coding compliance with Medicare, Medicaid, and commercial payer guidelines Verify documentation supports medical necessity and appropriate coding Apply correct modifiers and place-of-service codes Prepare and review claims prior to submission to ensure...