1514 drg coder jobs found

RN, DRG Coder / Clinical Auditor Must be a Registered Nurse with experience Remote | Full-Time | Healthcare | Clinical Documentation & Coding About the Role We’re seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records and documentation. This role ensures accurate coding and clinical support for DRG assignments, helping improve billing accuracy, reimbursement, and compliance. You’ll work independently to review records, validate coding, and communicate findings clearly and professionally. Key Responsibilities Chart Review & Validation Review medical records to validate DRG assignments and ensure clinical documentation supports coding decisions. Physician Documentation Review Confirm that physician notes and clinical indicators support assigned DRGs. Audit & Compliance Conduct audits to verify coding accuracy, enhance reimbursement, and identify cost-saving opportunities. Coding Expertise Apply ICD-10-CM and PCS...

DRG Coder The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis.

DRG Coder The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis.

Astrana Health, Inc. is seeking a Senior DRG Coder to ensure coding accuracy and compliance. You will review inpatient medical records, assign appropriate codes, and collaborate with various teams for accurate reimbursement. This role requires at least 5 years of inpatient coding experience with a strong background in ICD-10-CM and ICD-10-PCS methodologies. The position is remote but requires occasional in-person meetings. #J-18808-Ljbffr

Astrana Health Management is seeking a Senior DRG Coder to review inpatient medical records and assign diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS. The role is critical to ensuring coding accuracy and compliance within hospital reimbursement frameworks. Candidates should possess an associate’s degree, at least five years of inpatient coding experience, and relevant certifications. The position offers a competitive hourly wage and requires remote work capabilities with occasional in-person meetings. #J-18808-Ljbffr

To support healthcare operations, the full-time Senior Inpatient DRG Coder will identify appropriate coding assignments for facility services, maintain coding quality and productivity, and participate in educational events while working remotely from anywhere in the U.S. Key responsibilities: Identify appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility services while adhering to coding guidelines Maintain up-to-date coding knowledge and adhere to ethical standards established by AAPC and/or AHIMA Abstract additional data elements during the chart review process and query physicians when necessary Required qualifications: High School Diploma/GED Professional coder certification from AHIMA and/or AAPC (e.g., CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) 3+ years of experience with inpatient DRG coding in an acute care facility setting 3+ years of experience with ICD-10-CM, ICD-10-PCS, and DRG coding utilizing an encoder Intermediate...

Job Description Job Description Description The DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment.  This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and procedure codes Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation Conduct coding validation and auditing to ensure compliance with...

Optum is recruiting an experienced inpatient DRG coder to support facility coding across a telecommuting model. You will assign ICD-10-CM/PCS, DRG, and abstraction per guidelines, while maintaining coding quality and productivity targets. Responsibilities include querying physicians, staying current with coding standards, and participating in department meetings. Candidates must hold AHIMA/AAPC credentials and have 3+ years inpatient DRG experience in acute care, with strong Excel and EMR #J-18808-Ljbffr

Location: Louisville, Kentucky, United StatesCompany: Healthcare SupportPosted: 2026-08-19A leading healthcare staffing firm is looking for an experienced Inpatient Medical Coder in Louisville, Kentucky. The role involves assigning appropriate DRG grouping and conducting peer reviews to ensure coding compliance. Candidates are expected to have at least 1 year of inpatient/DRG coding experience and strong communication skills. This opportunity offers a fun and positive work environment working Monday to Friday from 8:00 AM to 5:00 PM.#J-18808-Ljbffr

Elliot Hospital is seeking a Hospital Inpatient Coder to accurately assign ICD-10 and DRG codes for inpatient services in accordance with current guidelines, payer policies, and regulatory requirements. You will collaborate with providers and coding leadership to resolve coding discrepancies, participate in audits, and support revenue cycle goals. The role offers remote work with standard daytime hours. Ideal candidates have 2+ years of coding experience, AHIMA or AAPC certification, and a track #J-18808-Ljbffr

A leading healthcare staffing firm is looking for an experienced Inpatient Medical Coder in Louisville, Kentucky. The role involves assigning appropriate DRG grouping and conducting peer reviews to ensure coding compliance. Candidates are expected to have at least 1 year of inpatient/DRG coding experience and strong communication skills. This opportunity offers a fun and positive work environment working Monday to Friday from 8:00 AM to 5:00 PM. #J-18808-Ljbffr

Optum Frontier Therapies, part of UnitedHealth Group, seeks a skilled clinical coder to support inpatient DRG coding and ICD-10 coding tasks from a remote US location. You will follow official guidelines, maintain high accuracy, and collaborate with QM leadership to ensure compliant coding practices. The role requires AHIMA/AAPC credentials, 3+ years in inpatient DRG coding, and strong Excel/EMR proficiency. #J-18808-Ljbffr

UnitedHealth Group is seeking a skilled inpatient coder to assign ICD-10-CM/PCS and DRGs for facility services. You will abstract data, maintain coding quality, and adhere to AHIMA/AAPC ethics. Expect ongoing education, collaboration with the coding leadership, and opportunities for professional growth. The role requires 3+ years of inpatient DRG coding experience, AHIMA/AAPC credentials, and strong Excel/EMR proficiency. Telecommuting is available within the United States, with full-time hours. #J-18808-Ljbffr

Optum Frontier Therapies, part of UnitedHealth Group, seeks a skilled clinical coder to support inpatient DRG coding and ICD-10 coding tasks from a remote US location. You will follow official guidelines, maintain high accuracy, and collaborate with QM leadership to ensure compliant coding practices. The role requires AHIMA/AAPC credentials, 3+ years in inpatient DRG coding, and strong Excel/EMR proficiency. #J-18808-Ljbffr

South Texas Health System is seeking a skilled medical coder to ensure accurate inpatient coding and DRG assignments. The ideal candidate will have 3-5 years of coding experience, advanced training in ICD10-CM/PCS, and a commitment to compliance with organizational policies. Responsibilities include coding inpatient records and maintaining knowledge across coding areas. This position allows for remote work, requiring high-speed internet and a compliant work area. Candidates must possess necessary certifications and a high school diploma or higher education. #J-18808-Ljbffr

South Texas Health System is seeking an experienced inpatient coder to ensure DRG accuracy and timely coding across IP records. The role leverages ICD-10-CM/PCS and the 3M Encoder to classify medical records with precision. The ideal candidate has 3–5 years of inpatient coding experience, AHIMA or AAPC certification, and the ability to work remotely with a secure home workspace. A strong understanding of medical terminology and coding guidelines is essential. #J-18808-Ljbffr

Lehighbar is seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist to review, analyze, and write compelling appeals for coding and DRG-related denials in Towson, MD. The role requires mastery of inpatient coding guidelines, MS-DRG methodology, and payer policies. The ideal candidate has 2–5 years of inpatient coding experience, with strong ICD-10-CM/PCS knowledge and proven ability to craft persuasive appeals. #J-18808-Ljbffr

The Elliot Health System is seeking a Hospital Inpatient Coder to accurately assign ICD-10 and DRG codes for hospital inpatient services, ensuring compliance with guidelines, payer rules, and regulatory requirements. This role supports revenue cycle integrity and timely, precise coding to minimize denials. You'll collaborate with providers and coding leadership to resolve discrepancies, participate in audits, and contribute to quality improvement in a dynamic hospital environment. #J-18808-Ljbffr

Inpatient Medical Coder DRG Specialist - Remote In this role, we will look to you to analyze and interpret complex records in order to identify and accurately bill for Trauma 1 facility Inpatient services. Specifically, you will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when necessary, obtain clarification when presented with conflicting, ambiguous, or non-specific documentation. Qualifications At least 2 years of inpatient coding experience in a trauma 1 setting. RHIA, RHIT, and/or CCS, CIC certification Strong communication, analytical and research skills with a keen attention to detail Additionally, your background must include demonstrated knowledge of: Coding concepts for facility diagnosis and procedure coding and DRG assignment Legal and policy directives pertinent to coding Be familiar with proper reference materials, standards and guidelines for coding Experience using various EMRs and...

Location: Eden Prairie, Minnesota, United StatesCompany: UnitedHealth GroupPosted: 2026-08-19UnitedHealth Group is seeking a professional inpatient coder to accurately assign ICD-10-CM/PCS codes for hospital services and assess DRG impact. You will abstract data during chart reviews, maintain high coding quality and productivity, and provide feedback to providers as needed.Responsibilities include staying current with coding guidelines, participating in departmental meetings, and ensuring chart accuracy and documentation integrity across inpatient cases.#J-18808-Ljbffr

Job Summary Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply...

Location: Edinburg, Texas, United StatesCompany: Universal Health ServicesPosted: 2026-08-19Universal Health Services, Inc. is seeking an experienced IP Coder to perform inpatient coding, including DRG assignment and validation. You will work with the CDI team, Coding Manager, and Case Management to ensure accuracy and timeliness using the 3M Encoder for ICD-10-CM/PCS.The role requires 3–5 years of inpatient coding experience, AHIMA/AAPC certification, and strong knowledge of medical terminology and anatomy. Remote work is available with secure, high-speed internet requirements.#J-18808-Ljbffr

A healthcare staffing agency is seeking a Certified Medical Coder to work remotely. This role involves reviewing medical records and coding diagnoses and procedures using ICD-9-CM and CPT-4 conventions. The ideal candidate should have extensive experience in inpatient and DRG auditing, knowledge of medical coding systems, and effective communication skills. Benefits include medical, vision, and dental insurance, a 401K plan, and an employee referral bonus, among others. #J-18808-Ljbffr

UMC Health System is seeking a Medical Coder to code inpatient and outpatient records using ICD-10-CM/PCS, CPT, and HCPCS. The role requires knowledge of Medicare/Medicaid rules and DRG assignment to ensure proper reimbursement, with collaboration across CDI and PFS teams. Candidates should have RHIT/RHIA/CCS or coding certification, 2+ years of HIM coding experience, and strong attention to detail and communication skills to maintain accuracy and confidentiality. #J-18808-Ljbffr