52 facility coding inpatient complex coder jobs found

Schedule Monday - Friday except for weekends with shift differential. Telecommuting Telecommute from anywhere within the U.S. is available. All telecommuters must adhere to UnitedHealth Group's Telecommuter Policy. Primary Responsibilities Identify appropriate assignment of ICD-10-CM and ICD-10-PCS Codes for inpatient services provided in a hospital setting and understand their impact on the DRG with reference to CC / MCC, while adhering to the official coding guidelines and assigned facility guidelines. Abstract additional data elements during Chart Review when coding, as needed. Adhere to ethical standards of coding established by AAPC and/or AHIMA. Maintain required levels of coding quality and productivity as established by Optum360. Provide documentation feedback to providers and query physicians when appropriate. Maintain up-to-date coding knowledge by reviewing materials disseminated by the QM Manager, Coding Operations Managers, and Director of Coding / Quality...

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery.Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and treatments to primary care for the entire family.The primary site of inpatient care services is at the University of Toledo Medical Center, but many of our physicians' practice at hospitals and medical offices throughout the region.University of Toledo Physicians offers competitive pay and benefits including:403B, Pension, health and tuition waiver at UT.POSITION SUMMARYThe Certified Coder is responsible for coding ICD diagnosis and CPT facility and professional codes.Assignment may include outpatient clinic visits, diagnostic procedures, outpatient surgeries, observation and inpatient encounters, and emergency room charges for the...

Medical Coder (Inpatient) - Remote (#R10206)Location :Remote (U.S.-based only)Employment :Full-TimeHourly Rate :$26.80 / hrWhy Join Us :100% remote with secure VPN setup.Flexible 40-hour / week schedule.Work for a high-volume academic Level 1 Trauma Center.Career development in a mission-driven setting.Play a key role in accurate and compliant data reporting.Qualifications :RHIT or RHIA certification (AHIMA) - CCS considered.3years of inpatient coding in a Level 1 Trauma Center.Experience in Labor & Delivery and Newborn coding preferred.Strong with EPIC EHR & 3M encoder.Secure, VPN-ready remote equipment required.Key Responsibilities :Accurately code complex inpatient records using EPIC / 3M.Meet or exceed 1.5 charts / hour productivity and 95%accuracy.Collaborate with CDI to reconcile documentation.Respond to coding queries within 1 business day.Ensure full compliance with HIPAA, DOH, DNV, OSHA, SUNY regulations.About Greenlife Healthcare Staffing :We are committed to our...

Job Title: Coder/Abstractor III (Remote, WA residents only) Location: Remote (Renton, WA) Department: Health Information Management Shift: Days Hourly Rate: $28.00–$46.80 (DOE) Job Overview Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned. Resolves coding related edits and denials and provides ongoing feedback and education to physicians and clinicians. Responsible for following up on all accounts unable to code due to missing or incomplete documentation or charges. Prerequisites Associate or bachelor’s degree in Health Information Management, required. RHIA, RHIT, or CCS certification, required. Three or more years of exclusive inpatient hospital coding experience, required. Advanced ability to use and understand DRG, ICD‑10‑CM, and ICD‑10‑PCS coding methodologies. Advanced knowledge of anatomy, physiology, pharmacology, disease processes, and...

Overview Senior HB Coder - Remote at LCMC Health Position details: Remote coding role focusing on ICD-10-CM/PCS, CPT, MS-DRG/APR-DRG assignments for inpatient and ambulatory records across multiple specialties. The Coding Senior may perform functions of a Coding Specialist I as assigned. Responsibilities Proficiently navigates patient health records and other systems to accurately determine diagnosis and procedure codes, MS-DRGs/APCs, and all required modifiers. Validate charges by comparing charges with health record documentation as necessary. Communicate effectively with clinical staff, physicians, and other stakeholders regarding documentation needs related to inpatient, outpatient, or ambulatory coding. Identify concerns and notify leadership for resolution; provide resolutions to moderate to complex problems. Track issues (missing documentation, charges, physician queries) requiring follow-up to facilitate timely coding. Meet or exceed coding quality and productivity...

Company Overview :Upward Health is an in-home, multidisciplinary medical group providing 24 / 7 whole-person care.Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help.Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients.We are able to treat a wide range of needs - everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals - because we know that health requires care for the whole person.It's no wonder 98% of patients report being fully satisfied with Upward Health!Job Title & Role Description :The Certified Medical Coder is responsible for analyzing provider documentation to accurately select ICD-10 and CPT / HCPCS codes, ensuring compliance with coding guidelines, third-party reimbursement policies, and accreditation standards.This role...

Job Summary The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits, conducting audits for physician education, and ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, providing guidance to faculty and staff on the...

## Abstractor/Coder IApplyremote type: Remotelocations: Burr Ridge, ILtime type: Full timeposted on: Posted Todayjob requisition id: JR33674**Department**BSD UCP - Professional Billing Coding - Medical Specialty**About the Department**The Biological Sciences Division (BSD) and the University of Chicago Medical Center (UCMC) are managed by a single Dean/Executive Vice President and comprises the largest unit of the University, accounting for 60% of its annual budget. All physician, hospital, and clinic services are managed through the Medical Center, which is a $1.3 billion enterprise. The BSD includes the Pritzker School of Medicine, approximately 20 academic units, degree granting committees, and research centers and institutes. The BSD is located on the University's main campus in Hyde Park, ten minutes south of downtown Chicago. BSD's patient care operations are conducted primarily at the University of Chicago Hospital and clinics, which share the same campus. The...

GoTo Telemed seeks an exceptional Remote Medical Biller to manage comprehensive Revenue Cycle Management (RCM) operations for our rapidly expanding telehealth platform serving multiple medical specialties and healthcare providers nationwide.As a key member of our distributed RCM team, you will process, manage, and optimize medical claims for an increasing portfolio of telehealth providers--with new clients and provider networks added every month as our organization scales.In this critical role, you will be the financial backbone of our provider network, managing the complete end-to-end billing lifecycle including patient eligibility verification, insurance claim submission, payment posting, accounts receivable follow-up, and comprehensive denial management.Your expertise in medical coding (CPT, ICD-10-CM, HCPCS), telehealth modifiers, payer policies, and compliance will directly impact provider revenue, patient satisfaction, and our organizational growth trajectory.This position...

Job Summary The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits, conducting audits for physician education, and ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, providing guidance to faculty and staff on the...

Overview Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we’re supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality...

The Senior / Super Coder serves as a high-performing coding professional responsible for the accurate and timely assignment of ICD-10-CM/PCS, CPT, and HCPCS codes for all hospital services including inpatient, outpatient, emergency, surgery, and RHC encounters. This position functions as the department’s top-tier coder and provides advanced coding expertise, mentorship, and support to the Coding Team Leader, enabling her to focus on quality assurance, compliance, and education. The Senior Coder must maintain exceptional accuracy, productivity, and compliance with official coding guidelines, payer requirements, and FMH policy. Key Responsibilities Independently review and abstract complex clinical documentation for accurate code assignment. Assign appropriate ICD-10-CM/PCS, CPT, and HCPCS codes using the 3M encoder across multiple service lines. Resolve coding edits, medical necessity issues, and payer rejections efficiently. Collaborate with providers and the Coding Team...

Overview Opportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together. We are focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high-quality health services. As Senior Inpatient Medical Coder , you will provide coding services directly to providers. You will play a key part in healing the health system by ensuring our high standards for documentation processes are...

Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding and medical terminology commensurate with coding guidelines. Education/Training Associates required with Bachelor’s Degree preferred. Approved Coding Course completion Licenses/Certification RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist) required Required Qualifications and Skills Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate Proficiency in technology usage, including 3M encoder. Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology. Knowledge of ICD-10CM and ICD-10-PCS coding systems, guidelines, and...

Overview Join to apply for the Coder Senior role at LCMC Health . Get AI-powered advice on this job and more exclusive features. Responsibilities Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion. Consistently meets or exceeds coding quality and productivity...

Specialties: ENT / General Surgery / Plastic Surgery / Dermatology General Duties Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion. Consistently meets or exceeds coding quality and productivity standards established by coding department. Adheres to LCMC...

* Maintains an expert level of knowledge of CPT, ICD-10 and HCPCS coding principles, modifier usage, medical terminology, HIPAA compliance, governmental regulations and third-party payer requirements pertaining to billing, coding and documentation.* Codes highly complex services in orthopedic specialty, maintaining departmental standards for productivity and accuracy.* Works under minimal supervision using specialized expertise in the subject matter.* Ensures all services documented in the patient’s medical record are coded with appropriate diagnoses and procedure codes. When services are not documented appropriately, seeks to attain proper documentation in a timely manner based upon established protocols.* Researches and resolves coding related system edits, payer rejections, and insurance denials.* Acts as a knowledge resource to clinical staff in billing code matters. Provides feedback to providers on how to improve documentation and charge capture to ensure revenue...

Metro Vein Centers is a rapidly growing healthcare practice specializing in state‑of‑the‑art vein treatments. Our board‑certified physicians and expert staff are on a mission to improve people’s quality of life by relieving the painful, yet highly treatable symptoms of vein disease—such as varicose veins and heavy, aching legs. With over 60 clinics across 7 states , and still growing,we’re building the future of vein care—delivering compassionate, results‑driven care in a modern, patient‑first environment. We proudly maintain a Net Promoter Score (NPS) of 93 , the highest patient satisfaction in the industry. In this position, you’ll serve as a key resource for the coding team. You’ll help guide coders by answering questions, offering coaching, and mentoring where needed. You’ll also perform regular audits to make sure coding is accurate and compliant, and provide support with claims processing when issues come up. In addition, this position will work closely with the Coding...

Reports to the Manager, Coding & Records.Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system.Assigns DRGs to Medicare, Medicaid, and other required payors.Determines DRG and APC assignment on outpatient and inpatient records.Maintains productivity and accuracy levels for the assigned job code.This is a remote position; however, candidates must reside in one of the following states:Indiana, Michigan, Illinois, Kansas, Ohio, Georgia, Kentucky, Florida, Idaho, Minnesota, Tennessee, Wisconsin, Colorado, South Carolina, North Carolina, or Texas.MISSION, VALUES and SERVICE GOALS MISSION:We deliver outstanding care, inspire health, and connect with heart.VALUES:Trust.Respect.Integrity.Compassion.SERVICE GOALS:Personally connect.Keep everyone informed.Be on their team.Reviews and analyzes discharged patient medical records to ensure all applicable patient data is available for coding and...

Remote Inpatient Coder - HIMJOB SUMMARYThe Health Information Management (HIM) Coder impacts Memorial's Healthcare quality initiatives and reimbursement through the assignment of the most accurate and optimal diagnosis and procedural codes to individual patient health information for data retrieval, analysis, and claims processing.Under the direction of the Health Information Management (HIM) Coding and Clinical Documentation Integrity (CDI) Manager, this position will code and analyze physician documentation contained in health records (electronic, paper or hybrid) to determine the appropriate principal diagnosis, secondary diagnoses, and procedures codes to accurately capture MS-DRG assignment.Use the Current Procedural Terminology (CPT) / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required modifiers in accordance with coding rules and regulations.The coding information is used to determine APC's (Ambulatory Payment Classification) for data...

Senior Inpatient Coder (REMOTE)Valhalla-NY-10595-United StatesJob Summary :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 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,...

Dynamic and growing dermatology practice is seeking an energetic and highly motivated Medical Biller/Coder to join our team.This role is essential to maintaining the financial health of our practice and ensuring accurate, timely billing and reimbursement.Key Responsibilities:Verify and submit claims to insurance companies for reimbursement AR follow up Working rejected, denied and non-covered claims Completing appeals Completing large insurance payer projects Working with Insurance Provider Representatives to initiate and complete all major insurance projects Analyze large groups of claims by insurance payer to identify trends and develop solutions for future submissions Review and analyze medical records and patient information to ensure accurate coding and billing Verify appropriate coding has been utilized including ICD-10, ICD-9, HCPCS, and CPT coding Communicate with healthcare providers, insurance companies, and patients regarding billing inquiries or disputes Maintain...

Job OverviewWe are seeking a motivated and detail-oriented Medical Billing Specialist to join our dynamic healthcare team.In this vital role, you will be responsible for managing the entire billing process, ensuring accurate coding, timely submission of claims, and effective follow-up on unpaid accounts.Your expertise will help streamline revenue cycle operations, improve cash flow, and enhance patient satisfaction.If you thrive in a fast-paced environment and are passionate about healthcare administration, this opportunity is perfect for you! Responsibilities Prepare and submit accurate insurance claims using Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, ensuring compliance with all coding standards.Review medical records to verify diagnoses, procedures, and services for proper billing using ICD-9, ICD-10, CPT coding, and DRG classifications.Analyze and assign appropriate medical codes to ensure precise reimbursement and adherence to regulatory...

Inpatient Coder- REMOTEValhalla-NY-10595-United StatesJob Summary :The Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD) for diagnoses and procedures, and entering coded information into an automated grouper system.Does related work as required.Responsibilities :Using the current ICD coding systems for diagnoses and procedures, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by the attending physician in the indicated patient's medical record.Ensures that all factors necessary for assigning an accurate DRG are present, and that all diagnoses are ranked properly.Makes appropriate contacts in order to acquire or clarify necessary information.Enters final diagnostic code numbers and narrative descriptions of diagnoses and procedures into an automated grouper system.Provides...