21 drg coder jobs found in Chicago

Anticipated End Date: 2026-02-13 Position Title: DRG Coding Auditor Principal Job Description: DRG Coding Auditor Principal Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is...

A Health Organization is seeking a Health Information Management (HIM) Coder in Illinois to abstract clinical information for patient care reimbursement and compliance. The ideal candidate will use ICD-10-CM, CPT-4, and HCPCS codes accurately and maintain high productivity and quality standards. Strong communication skills and the ability to work flexible hours, including weekends and holidays, are essential. This role offers comprehensive benefits including medical, dental, and vision coverage. #J-18808-Ljbffr

A prominent healthcare organization is seeking an experienced Inpatient Coder II to oversee diagnosis coding in complex inpatient cases. Candidates must have at least 3 years of inpatient coding experience in an acute care setting, possess relevant credentials such as RHIA, RHIT or CCS, and demonstrate proficiency in ICD-10-CM/PCS coding. The role involves collaboration with clinical documentation teams and requires a strong understanding of medical terminology and coding guidelines. This position offers remote work flexibility within several states. #J-18808-Ljbffr

A leading healthcare provider in Chicago seeks an experienced coder to analyze health records and assign accurate diagnostic codes for patient care. The ideal candidate will possess a strong knowledge of medical coding standards and demonstrated experience in both outpatient and inpatient settings. This role is crucial for maintaining high-quality care standards and requires adherence to confidentiality and ethical coding practices. #J-18808-Ljbffr

Overview Be a part of a world-class academic health-care system at UChicago Medicine as an Outpatient Coder – Same Day Surgery/Observation Coder and ASC. This is a remote, work-from-home opportunity and you may be based outside of the greater Chicagoland area. In this role, the Outpatient Coder – Same Day Surgery/Observation Coder and ASC, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient and outpatient medical records for optimal and timely reimbursement and quality reporting. Responsibilities Assign ICD-10-CM/PCS codes and assign DRGs for inpatient medical records accounts; assign ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts Abstract key data elements required for billing Review records for clinical pertinence Interact with providers for clarification of documentation/education Abstract and code records for patients currently in the Hospitals for interim billing purposes Review records...

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Job Purpose: The Coding Specialist III can maintain up to two concurrent client assignments that are short-term in nature. For each client, the Coding Specialist III reviews documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs. For both professional and technical claims and data needs, the Coding Specialist III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also validates MS-DRG and APC calculations,...

Inpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, MO, OH, MI, or FL - Sign-on bonus eligible) At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? The Inpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards....

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Remote work from Illinois, Wisconsin, Indiana, and Iowa Description The Inpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Inpatient Coder II is the coding and reimbursement expert for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex inpatient acute care discharges. This person possesses a strong foundation in coding conventions, instructions, Official Guidelines for Coding and Reporting and Coding Clinics. The Inpatient Coder II has a deep understanding of disease process, anatomy/physiology, pharmacology and medical terminology. Responsibilities Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II’s typically...

Overview PLEASE BE ADVISED that this position is covered by the collective bargaining agreement between Cook County and the AFSCM Union. Pursuant to the collective bargaining agreement, Cook County will exhaust internal eligible applicants prior to considering external applicants. Cook County is assembling a list of qualified candidates for this position that will be considered should the position not be filled with internal eligible applicants. Location: John H. Stroger, Jr. Hospital Department: Health Information Management Shift: 7:30 AM - 3:30 PM Pay range: $37.658 Salary is commensurate with years of experience indicated at time of application submittal. Experience not disclosed or documented at the time of application will not be considered for initial step placement. Job Summary Under the supervision of a Coding Supervisor, the Health Information Management (HIM) Coder abstracts relevant clinical and demographic information from the medical record to identify the...

WE ARE INSIGHT: AtInsight Hospital and Medical Center Chicago,we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now! These duties are to be performed in a highly confidential manner, following the mission, values, and behaviors of Insight Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and...

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. Coder - Hospital Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. Coder - Hospital Job Description Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Medical Record Management Hours: Full-time Required: High School Diploma, CCA coding certification is preferred Pay: Based on experience, starting at $22.72 Responsibilities Assists physicians with record documentation needs by requesting clarification for additional information. Assists in educating physicians and...

Overview Join our dynamic Health Information Management (HIM) team as a Coder IV , where your advanced coding expertise will make a direct impact on patient care and organizational success. Under the guidance of the Coding Supervisor, you'll take on a diverse and challenging caseload—ranging from Maternity and Pediatrics to Trauma, Behavioral Health, and complex Surgical cases—using ICD-10-CM and ICD-10-PCS coding systems. In this key role, you’ll manage specialized work queues, support denial reviews, and ensure coding accuracy for stop-billed and combined accounts using SMART software. You'll also be a leader in quality assurance, mentoring new coders, assisting with training, and playing an active role in new software testing and implementation. If you're ready to elevate your coding career while helping shape the future of HIM, we want to hear from you. Compensation Hourly Pay Rate: $25.96 - $38.29 Qualifications Education: Requires an associate degree in Health...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Job Description Be a part of a world-class academic healthcare system at UChicago Medicine as a Coding Auditor - DRG/APC Coordinator for the Health Information Management department. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area.    In this role, the Coding Auditor - DRG/APC Coordinator is responsible for ensuring accuracy and quality of coding assignments for all records requiring DRG and/or APC coding, and ensures optimal and timely reimbursement.   Essential Job Functions   Performs data quality reviews on inpatient and outpatient records to ensure proper coding guidelines have been followed and appropriate DRG or APC assignments have been made for appropriate reimbursement  Provides DRG/APC and coding quality information and statistical reports to the Coding Manager  Communicates with the Medical Staff and House staff as needed to discuss clinical questions with respect to the...

Job Description: Job Title: Auditor & Educator - Revenue Integrity Primary Location: Chicago, IL (Hybrid / Onsite as required) Position Type: Direct Hire Overview TalentFish is casting a line for an Auditor & Educator - Revenue Integrity to support a high-performing healthcare organization. This role is a key member of the Revenue Integrity team and is responsible for auditing EMR documentation, ensuring accurate coding and documentation, and partnering closely with clinical providers to improve revenue cycle integrity. The Auditor & Educator identifies trends, provides targeted education, and supports compliance initiatives to optimize reimbursement and reduce denials. What You Bring to the Role (Ideal Experience) Bachelor's Degree OR Associate's Degree with 5+ years of auditing experience Active CPC or CCS-P certification RHIA or RHIT certification with physician-based coding experience (contingent upon obtaining CPC or CCS-P within 6...

Coding Integrity Specialist - Professional Fee page is loaded## Coding Integrity Specialist - Professional Feeremote type: Remotelocations: Chicago - 550 Van Burentime type: Full timeposted on: Posted Todayjob requisition id: JR-0013443Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower...

The Inpatient Rehab Hospital Coder works from home and is responsible for identifying correct coding and sequencing of ICD-10-CM diagnosis and comorbidity codes on the claim form and IRF-PAI for the Hospital's inpatient population. Responsibilities Ensures that documentation to substantiate code assignment is present in the medical record Completes coding and abstracting of inpatient medical records in accordance with ICD-10 CM coding rules and guidelines Queries physicians when documentation is unclear for coding purposes Enters codes into the medical record and outcome system to ensure IRF-PAI and claim will submit timely. Minimum Education and Experience Two years of medical coding experience- IRF experience preferred Medical Coding certification- CPC, CCS, CMC or equivalent Knowledge, Skills and Ability Requirements Excellent verbal and written communication skills Strong organizational, time management and prioritization skills Strong analytical and critical...

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...

Inpatient Medical Coding Auditor page is loaded## Inpatient Medical Coding Auditorlocations: Remote Nationwidetime type: Full timeposted on: Posted Todayjob requisition id: R-397765# **Become a part of our caring community and help us put health first**The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and...