102 drg coder jobs found

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...

DRG CoderThe 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 DoReview inpatient hospital records and assign accurate diagnosis and procedure codesDetermine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentationConduct coding validation and auditing to ensure compliance with payer and regulatory requirementsIdentify...

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. 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 payer and regulatory requirements...

DRG CoderThe 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.

UCSF Health is seeking a Health Information Coder III for a three-month temporary remote assignment through UCSF's Temporary Employment Program. The role focuses on inpatient coding using ICD-10-CM, ICD-10-PCS, CPT/HCPCS, and achieving compliant documentation and coding. You will work under UCSF Health policies to code, abstract, and ensure data integrity across inpatient services, with a strong emphasis on accuracy, production standards, and confidentiality under HIPAA. #J-18808-Ljbffr

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We’re focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. AsSenior Inpatient Facility Medical Coderyou will provide codingservices directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Kern Medical Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year. Kern Medical strives to recruit the highest quality candidates, resulting in a high performance workforce that consistently delivers quality patient care. Career Opportunities within Kern Medical include many benefits such as: New Hire Premium: +6% of base rate of pay, matched up to 6% if contributed to Deferred Compensation Plan. A Comprehensive Benefits Package: includes Holidays, Vacation, Medical, Dental, Vision and Life Insurance. Job Description: Health Information Services Coder I/II - Full Time Compensation The estimated pay for this position is $23.8776 to $38.2097 per hour. The rates shown include a 6% premium pay (base=$-$ plus 6%). This reflects only a portion of the...

Kern Medical has been a community cornerstone since its founding in 1867. Today, we are an acute care teaching center with 222 beds, offering the only advanced trauma care between Fresno and Los Angeles. Kern Medical cares for 15,500 inpatients and 125,000 clinic patients a year. Kern Medical strives to recruit the highest quality candidates, resulting in a high performance workforce that consistently delivers quality patient care. Career Opportunities within Kern Medical include many benefits such as: New Hire Premium : +6% of base rate of pay, matched up to 6% if contributed to Deferred Compensation Plan. A Comprehensive Benefits Package : includes Holidays, Vacation, Medical, Dental, Vision and Life Insurance. Job Description: Health Information Services Coder I/II - Full Time Compensation The estimated pay for this position is $23.8776 to $38.2097 per hour. The rates shown include a 6% premium pay (base= $-$ plus 6%). This reflects only a portion of the...

Kern Medical is seeking a Health Information Services Coder I/II for a full-time role in California. The position involves coding and abstracting patient records using ICD and CPT, assisting DRG identification for reimbursement, and supporting OSHPD reporting and hospital statistics. Level I requires 1 year of coding experience or completion of a medical coding program; Level II requires 3 years or CCS certification. A comprehensive benefits package is available. #J-18808-Ljbffr

Cottage Health seeks a HIM Coder IIIfor their CH Health Information Management department responsible for coding and abstracting inpatient and outpatient conditions, diseases, reason for encounters, social determinants of health and PCS/CPT procedures to report accurate administrative and clinical data, utilizing approved coding guidelines as set forth in Official Coding Guidelines, ICD Book, Coding Clinic for ICD-CM/PCS, AHA Coding Clinic for HCPCS and CPT Book. Assigns appropriate DRG/APC prospective payment systems and classifications, to reflect the appropriate severity and illness for inpatient and specialty cardiac, neurology, and vascular outpatient encounters. Collaborates closely with clinicians and CDI staff, not excluding inpatient rehab coordinators to obtain appropriate documentation, as needed. Assists with internal coding audit and training activities. Qualifications QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this...

Job Summary: Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Essential Responsibilities: Coding...

Inpatient CoderUnder direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines.Essential Responsibilities:Coding and...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies....

The Health Care Agency is a comprehensive healthcare system serving our diverse community of Ventura County through Ventura County Medical Center (VCMC), Santa Paula Hospital, primary and specialty care clinics, Ambulatory Care, Public Health, and Behavioral Health. Join our team and use your coding expertise to support accurate documentation, appropriate reimbursement, regulatory compliance, and quality patient care. Are you a detail‑oriented coding professional who takes pride in accuracy and continuous learning? The Health Care Agency is seeking a Coder‑Certified to perform outpatient facility and physician professional fee (Pro‑Fee) coding across hospital and ambulatory care settings. THE POSITION: Under general direction, the Coder‑Certified reviews and analyzes medical documentation, assigns appropriate diagnosis and procedure codes, applies coding and billing guidelines, and collaborates with physicians and other healthcare professionals to support accurate and compliant...

Coder-Certified The Health Care Agency is a comprehensive healthcare system serving our diverse community of Ventura County through Ventura County Medical Center (VCMC), Santa Paula Hospital, primary and specialty care clinics, Ambulatory Care, Public Health, and Behavioral Health. Join our team and use your coding expertise to support accurate documentation, appropriate reimbursement, regulatory compliance, and quality patient care. Are you a detail-oriented coding professional who takes pride in accuracy and continuous learning? The Health Care Agency is seeking a Coder-Certified to perform outpatient facility and physician professional fee (Pro-Fee) coding across hospital and ambulatory care settings. Under general direction, the Coder-Certified reviews and analyzes medical documentation, assigns appropriate diagnosis and procedure codes, applies coding and billing guidelines, and collaborates with physicians and other healthcare professionals to support accurate and compliant...

Salary : $83,674.74 - $127,725.91 Annually Location : Ventura, CA Job Type: Full-Time Regular Job Number: 0103HCA-26AA (VM) Department: Health Care Agency Division: HCA Administration Opening Date: 10/07/2026 Closing Date: 10/21/2026 5:00 PM Pacific Description How to Submit a Successful Application video: THE DEPARTMENT: The Health Care Agency is a comprehensive healthcare system serving our diverse community of Ventura County through Ventura County Medical Center (VCMC), Santa Paula Hospital, primary and specialty care clinics, Ambulatory Care, Public Health, and Behavioral Health. Join our team and use your coding expertise to support accurate documentation, appropriate reimbursement, regulatory compliance, and quality patient care. Are you a detail-oriented coding professional who takes pride in accuracy and continuous learning? The Health Care Agency is seeking a Coder-Certified to perform outpatient facility and physician professional fee...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies....

Inpatient CoderUnder direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines.Essential Responsibilities:Coding and...

Job Description Please note: this is a temporary assignment (3 months) with potential to extend. Fully remote. UCSF's Temporary Employment Program (TEP) recruits and hires temporary employees for immediate clerical and technical support services to UCSF Departments and various off‑campus locations. UCSF departments deploy temporary employees to work on special projects, fill in for regular employees who are on vacation or leave, or to temporarily fill a vacant position during recruitment. Frequently temporary employees become successful candidates for career and limited appointment positions. The Health Information Coder III is a senior level inpatient coder with an advance knowledge and skill set to utilize the ICD-10-CM, ICD-10-PCS, CPT, HCPCS classification systems. The skill set extends to advanced knowledge and comprehension of code sequences into Diagnoses Related Groups. Cases are coded to comply with the official guidelines for coding and reporting, practice...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies....

Remote Remote - USA Full time R2658919 If you're ready to be part of our legacy of hope and innovation, we encourage you to take the first step and explore our current job openings. Your best is waiting to be discovered. Day - 08 Hour (United States of America) This is a Stanford Health Care job. A Brief Overview Billing and Coding Compliance Auditors conduct audits and monitoring activities to identify and address compliance risks related to billing and coding practices. They review and evaluate healthcare regulatory compliance, focusing on the detection of documentation, coding, and billing errors. Responsibilities include assessing the adequacy and accuracy of documentation supporting billed services, including ICD, CPT, HCPCS, and other third-party payer codes, as well as adherence to Teaching Physician guidelines, Evaluation & Management criteria, DRG and APC assignments, medical necessity, and reimbursement accuracy. Auditors serve as a communication channel,...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies....

Emanate Health Queen of the Valley Hospital - West Covina Full time R0012206 Current Emanate Health Employees - Please log into your Workday account to apply Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals. On Glassdoor's list of "Best Places to Work" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country. Job Summary Assigns and sequence diagnostic/procedural codes to in-patient and outpatient medical records for billing, reimbursement and data retrieval by following established coding guidelines. Reviews documentation for accurate abstracting of clinical data to meet regulatory and compliance requirements. Job Requirements Minimum Education...

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process. These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies....