12 jobs found

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. Required Qualifications: High School Diploma or equivalent One or more of the following certifications required: RHIA, RHIT, CCS or CCA Minimum of 2 years...

Responsibilities Atlantic Region CBO: The Atlantic Region Central Billing Office ("ARCBO") or ("CBO") provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. atlantic-region-cbo The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department. The primary responsibility of the DRG Coder is to analyze third party coding audits of paid claims, draft detailed appeal letters, evaluate clinical level of care and review denial trends. Key Responsibilities include: Perform DRG (Diagnosis Related Group) validation reviews in response to audits from third party payers. Review audit findings letters from third party payers to obtain a clear understanding of audited diagnosis codes and underlying payer clinical / coding rationale. Analyze medical records to obtain supporting clinical documentation for billed diagnosis...

Atlantic Region CBO: The Atlantic Region Central Billing Office (“ARCBO”) or (“CBO”) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. Responsibilities The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department. The primary responsibility of the DRG Coder is to analyze third party coding audits of paid claims, draft detailed appeal letters, evaluate clinical level of care and review denial trends. Key Responsibilities Include Perform DRG (Diagnosis Related Group) validation reviews in response to audits from third party payers. Review audit findings letters from third party payers to obtain a clear understanding of audited diagnosis codes and underlying payer clinical / coding rationale. Analyze medical records to obtain supporting clinical documentation for billed diagnosis codes. Write detailed appeal...

Universal Health Services is seeking an Inpatient Coder for the Appeals department within the Atlantic Region CBO to analyze third party coding audits, draft appeal letters, and review denial trends. The role requires DRG validation, review of audit findings, and analysis of medical records to justify coding decisions; responsibilities include drafting detailed appeal letters to prevent payment downgrades and supporting the appeals team. #J-18808-Ljbffr

Inova Systems Operations is seeking a Medical Records Coder 4 for Inpatient to join a full-time day-shift team. The role offers potential remote work for eligible states and requires at least two years of inpatient coding experience with ICD-10-CM/PCS. RHIA/RHIT/CCS certification is preferred. Responsibilities include assigning DRGs and discharge dispositions, ensuring accuracy and productivity, and maintaining high-quality coded records for inpatient exams and procedures. #J-18808-Ljbffr

Augusta Health in Virginia offers a fully remote Coder III (Inpatient Coding) position. The role requires CCS or CPC certification and at least three years of inpatient hospital coding experience. The successful coder will ensure accurate ICD-10-CM/PCS coding, generate queries, and manage accounts receivable with a goal of high DRG accuracy. Competitive compensation is based on experience with a strong benefits program including health insurance, retirement plans, and paid time off. #J-18808-Ljbffr

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

A regional healthcare organization in Virginia is seeking a Hospital Inpatient Coding Specialist to review inpatient medical records and assign appropriate diagnosis and procedure codes. The ideal candidate should have 2+ years of acute care coding experience, relevant certifications, and the ability to work independently. Strong attention to detail and proficiency in coding guidelines are required. The position may involve remote work and offers a collaborative environment with clinical specialists. #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...

Inpatient Coder (Remote)Full-time • Work From HomeMust have CCS, RHIA, or RHIT certificationJob SummaryAs a Coding Integrity Specialist III WORK FROM HOME, you will review and evaluate hospital inpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and ICD-10-PCS codes. A CIS III performs coding and/or code/DRG validation across multiple entities by applying all appropriate coding guidelines and criteria for code selections.Job QualificationsAssign, sequence, validate, and/or edit codes/DRGs and abstracted data (e.g., physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCSMaintain or exceed established accuracy standardsMaintain or exceed established productivity standardsUtilize the complete patient medical record documentation in code/DRG assignment, validation, and/or editing of codes/DRGsUndergraduate (Associate's or Bachelor's) degree in HIM/HIT...

Responsibilities One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department. This...

Universal Health Services, Inc. (UHS) is seeking an Inpatient Coder to join our Atlantic Region CBO. The role involves coding inpatient and outpatient records with ICD-10, utilizing 3M Encoder, and maintaining a 95% accuracy rate while meeting productivity standards. Candidates should have IP DRG experience, a professional coding certification, and 1–3 years of coding experience (3–5 preferred). Strong MS Office skills and familiarity with documentation improvement are required. #J-18808-Ljbffr