175 coder inpatient jobs found

Inpatient Coder Inpatient coder with a minimum of 3 years of experience coding for an acute care teaching and trauma level 1 facility. Must be experienced in coding trauma and complex medical cases and surgical procedures across a wide range of specialties including but limited to Cardiac, Vascular, OB/GYN, Pediatrics, Critical Care, Oncology, Neurology, Neurosurgery, Spinal Surgery, General Medicine and Surgery. Must have experience with Epic and 3M. Must have a RHIA, RHIT, or CCS credential with the appropriate experience listed above. Must be able to work full time. The scheduled hours are flexible within reason after the initial training with the schedule days being flexible. The initial training will take place between 8am - 5pm CST for the first couple of days. Qualifications 3+ years coding experience with acute care teaching and trauma level 1 facilities Experience coding medical and surgical cases for cardiac, vascular, spinal, neurosurgery, neurology, transplants,...

Summary MRTs are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients. health records and assign alphanumeric codes for each diagnosis and procedure. Learn more about this agency Duties Help ** *THIS IS AN ON SITE POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Duties of the Medical Records Technician (Coder) In/Outpatient include, but not limited to: Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare...

Summary This position is located in the Health Information Management (HIM) section at the Orlando VA Healthcare System. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities Duties Include:: Assigns codes to documented patient care encounters (Inpatient /Outpatient facility and/or professional services) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Selects and assigns codes from the current version...

IP CoderWe are seeking an IP coder, the Coder Inpatient reviews medical records and performs coding on all diagnoses, procedures, and DRG. The Coder Inpatient uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. The Coder Inpatient will be charged with maintaining the confidentiality of patient records and procedures.Essential Job FunctionsResponsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.Responsible for assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure codes with attention to accurate sequencing.Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.Abstracts and codes pertinent...

Medical Records Technician (Coder) In/Outpatient *THIS IS AN ON SITE POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION* Duties of the Medical Records Technician (Coder) In/Outpatient include, but not limited to: Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Monitors ever-changing regulatory and policy requirements affecting coded information for the full...

Medical Records Technician (Coder) In/Outpatient *THIS IS AN ON SITE POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION* Duties of the Medical Records Technician (Coder) In/Outpatient include, but not limited to: Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Monitors ever-changing regulatory and policy requirements affecting coded information for the full...

Job Description Job Description Description: At Sage Clinical RCM, you'll code high-acuity inpatient encounters across a national portfolio of health systems, from academic medical centers to community hospitals. No two client environments are identical, and that's the point. You'll sharpen your skills across specialties, payers, and documentation styles instead of coding the same census for years. What You'll Do Review inpatient encounters and assign accurate ICD-10-CM/PCS codes and DRGs that hold up to audit. Read documentation critically. When it doesn't support the coded services, flag it and escalate the gap. Code in full compliance with CMS requirements, payer-specific rules, and official coding guidelines. Move confidently between client workflows, systems, and audit expectations. Hold the line on quality (95% accuracy or better) while meeting realistic productivity standards. Requirements: What You Bring Active RHIA, RHIT, and/or CCS credential....

Job Requirements Position Summary To be fully engaged in providing timely, complete, and accurate code assignment and data collection for quality clinical analysis and revenue enhancement. Primary Accountabilities Uphold regulatory compliance by assigning and sequencing accurate ICD 10 codes to inpatient medical records as per coding guidelines demonstrating behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Validates the accuracy of codes assigned by the computer assisted coding software, recognizing inappropriate application of clinical coding regulations/guidelines, and revising the codes assigned based on expert subject matter knowledge and provider documentation. Literacy and proficiency in computer technology, particularly related to health information and coding applications utilized for daily job performance, are essential. Interpret clinical documentation to ensure codes...

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

Health Information Management Coder Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators. Maintains strict adherence to patient confidentiality according to MHS...

Nemours Children's Health is seeking an Inpatient Coder to assess documentation and code principal diagnoses, procedures, and social determinants using AHEn guidelines, CPT, and payer rules, supporting accurate hospital billing and revenue capture. This remote position requires residence in listed states including Florida. Responsibilities include analyzing documentation for concurrent and discharged accounts, applying MEAT criteria, ensuring correct code sequencing, and querying clinicians to #J-18808-Ljbffr

A leading healthcare institution in Florida is seeking a Hospital Inpatient Coder who will work remotely. The role involves coding and abstracting inpatient medical records with an emphasis on high accuracy rates and timely processing. Candidates must have an Associate degree in Health Information Management and relevant certification, with a strong background in ICD 10-CM and ICD-10-PCS coding. The position offers comprehensive health benefits, retirement plans, and wellness programs. #J-18808-Ljbffr

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community.We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.Position Details:Location:Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status:Full time (non-exempt) Shift:7:00 AM to 3:30 PM Days:Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position.Sign on bonuses available! Responsibilities:The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems.Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis.Formulates physician queries and monitors bill hold...

Sage Clinical RCM, LLC seeks an experienced inpatient coder for a fully remote role serving a national health-system portfolio. You will review encounters, assign ICD-10-CM/PCS codes and DRGs, and ensure CMS and payer guidelines compliance across varied client environments. The position requires RHIA/RHIT/CCS credentials and 3+ years of inpatient coding in acute care; 5+ years for certain engagements. EPIC/Cerner proficiency and CAC tools are essential for success. #J-18808-Ljbffr

Inpatient Rehab Coder “ Contract-to-Hire Remote $32“$37/hr 1 Opening Start ASAP About the Role:Our Client is seeking an experienced Inpatient Rehab Coder to join their team. This role supports highly complex rehabilitation patients with extensive comorbidities, multi-traumas, and large documentation volumes (90“100pages). Training is 1:1. Responsibilities:Code Inpatient Rehab (IRF) encounters, including IRF-PAI, IGC assignment, and IRF-PPS/CMG guidelines Manually abstract codes (no CAC) using Meditech Expanse and 3M/Solventum Review extensive multi-disciplinary notes (OT/PT/ST) Maintain productivity (4“5 charts/day) and 95% accuracy Schedule:Training:9“5 PM EST After training:flexible EST hours; 40 hrs/week; weekend option if consistent Contract Details:Contract-to-Hire Remote; equipment provided (dual monitors, computer, accessories) Open to candidates in...

Coder IP | Health Information and Record Management | Full Time | Day Shift UF Health Central Florida – Leesburg, FL Overview The Coder InPatient is responsible for evaluating and assigning the appropriate ICD-9, ICD-10, CPT-4, and HCPCS codes, and abstracting pertinent clinical information for bill preparation. This includes work for Inpatient, Rehabilitation, and select Coder II functions as outlined in the Coding Policy and Procedure Manual. Responsibilities Evaluate patient records and assign accurate ICD-9, ICD-10, CPT-4, and HCPCS codes. Abstract and document pertinent clinical information to support accurate billing. Perform selected Coder II functions in accordance with the Coding Policy and Procedure Manual. Research and resolve coding and billing issues as they arise. Analyze medical records for completeness, consistency, and compliance with all regulatory requirements. Qualifications Post high school special training required. Credentials or equivalent through...

Summary:Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Detailed Responsibilities:Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators. Reviews appropriate inpatient coding work queues daily to address coding edits...

Summary:Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures.Detailed Responsibilities:Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines.Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment.Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators.Reviews appropriate inpatient coding work queues daily to address coding edits and...

Summary:Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures.Detailed Responsibilities:Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines.Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment.Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators.Reviews appropriate inpatient coding work queues daily to address coding edits and...

OverviewBaptist Health, founded in 1955, is North Florida's most comprehensive health care system and the area's only non-profit, mission-driven, locally governed health care provider.Baptist Health has over 200 points of care throughout the Northeast Florida region, including our six award-winning hospitals :Baptist Medical Center Jacksonville, Wolfson Children's Hospital, Baptist Medical Center Beaches, Baptist Medical Center Clay, Baptist Medical Center Nassau and Baptist Medical Center South.The most preferred health care system in the region, Baptist Health also includes 57 primary care offices, as well as home health, behavioral health, pastoral care, rehabilitation services, occupational health and urgent care..

HIMS Supervisor Career Opportunity Valued for your Expertise in HIMS Management Are you an experienced Health Information Management Systems (HIMS) professional looking for a leadership role that combines expertise with a commitment to hospital efficiency? Encompass Health is currently searching for a skilled HIMS Supervisor to lead our Health Information Management team. In this pivotal position, you'll take charge of overseeing HIMS functions, ensuring strict compliance with regulatory requirements, and optimizing the efficiency of our medical records systems. As a supervisor, you'll not only establish and manage systems for collecting, maintaining, and retrieving clinical information but also contribute to fostering a workplace culture that values inclusion and diversity. Ready to take your career to new heights in a role that's close to both home and heart? Explore this exciting opportunity with us. A Glimpse into Our World At Encompass Health, you'll experience the...

Clinical Coder III The Department of Neurosurgery is seeking an experienced surgical coder to perform highly specialized diagnosis and procedural coding for all operative procedures and inpatient consulting services performed by the faculty of the Department of Neurological Surgery including those performed in Gainesville and at Halifax Regional Medical Center. The ideal candidate will have a thorough knowledge of anatomy, surgical and medical terminology coding, a working knowledge of the billing requirements of insurance carriers, and the operating procedures of the department and the hospital(s). The Lillian S. Wells Department of Neurosurgery at the University Of Florida, College Of Medicine is committed to providing comprehensive clinical services for the diagnosis, management, treatment, and rehabilitation of patients suffering from diseases of the brain, spinal cord, and nervous system, including brain tumors, aneurysms, stroke, epilepsy, functional disorders, and spinal...

Medical Coder Educator - USFTGP Revenue Cycle Operations Serves as the coding reviewer and documentation educator for USFTGP Revenue Cycle Operations. Collaborate extensively with compliance; utilizing approved coding industry tools and approved internal documentation. This position is responsible for providing coding literacy and awareness using adult methodologies to revenue cycle, coding professionals, department managers, medical staff and others, ensuring proficiency is accurate and within compliant coding practices for billing. Analyze and report review findings indicating documentation gaps reimbursement and data internation, inpatient, outpatient and professional service coded. Report to compliance focused areas of improvements, recommendations and actions taken to improve medical staff knowledge and coding accuracy. Conduct individual and group coding and documentation support instructions as assigned and acts as an internal coding expert resource. Qualifications...

Coding Auditor The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and responds...