32 drg coder jobs found

Direct Jobs is seeking a Senior Coder in Raleigh, North Carolina, providing expertise in accurate coding and DRG assignment. The role includes abstracting medical records and timely coding for reimbursement purposes. The ideal candidate will possess certifications as a Registered Health Information Technician, Certified Professional Coder, and a degree in Health Information Management. Join us to deliver quality healthcare services and support the community's health. #J-18808-Ljbffr

Clinical Coding Specialist III Thoroughly reviews patient medical records as required to specifically and accurately code diagnoses and procedures treated or otherwise impacting the patient care. Effectively verifies the electronic medical record contains supporting documentation to justify diagnostic and procedural code assignments and follows up accordingly if questionable. Assists with auditing medical records for quality of coding and to ensure appropriate reimbursement, and reports findings to the Coding Program Manager. Also serves as backup for coding, billing, abstracting, and/or auditing of Outpatient and ED records. The Clinical Coding Specialist III is responsible for remaining current on all ICD and CPT coding changes as well as payer specific requirements and regulations. Coding of complex inpatient records. Successful demonstration of proficiency and compliance with regulatory requirements Identification of principal diagnosis and appropriate MS-DRG. Complete...

Overview At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. OCC Summary The Medical Records Coder II is a certified Coder. Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal...

Clinical Documentation Specialist Reviews clinical documentation and diagnostic results as appropriate to extract abstract data and apply appropriate ICD-9-CM/ICD10-CM/PCS and CPT 4 codes for reimbursement and external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and any other regulatory edits. Code and abstract medical records of high complexity within the Primary Enterprise acute care facilities. Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital...

Duke Health is seeking a Medical Records Coder II to code medical records using ICD-10-CM and CPT-4 conventions. The role involves coordinating staff, auditing work, and supporting continuing education in coding. A RHIA/RHIT/CCS/CPC/HCS-D certification and a high school diploma are required, with experience expectations listed in the posting. You will work remotely with Duke Health, supporting hospital and professional charge reimbursement; ongoing education and DRG/APC assignment accuracy are #J-18808-Ljbffr

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke HomeCare & Hospice Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC. Must Reside in North Carolina Please note: All Duke medical coding opportunities require candidates to have a North Carolina address as a condition of employment. Job Summary The Duke HomeCare &Hospice Medical Records Coder II is a certified Coder, responsible for coding activities for the home health and...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina,Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, Washington....

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. Willing to pursue your passion for caring with the Patient Revenue Management Organization, the fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions for Duke Health. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas. Occ Summary The Medical Coder Specialist will have frequent and daily interactions with internal and external clients, including but not limited to physician and non‑physician surgical providers. Responsibilities include primary...

Overview Serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation issues. Reviews SMART accounts on a daily basis as assigned. **Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.** Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Licensure Registered Health...

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina,Alabama, Arizona, Connecticut, District of Columbia, Florida, Georgia, Illinois, Iowa, Kentucky, Louisiana, Maine, Michigan, Missouri, Montana, New Hampshire, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Virginia,...

Duke HomeCare & Hospice is seeking a Medical Records Coder II to accurately code home health and hospice records using ICD-10-CM conventions. The role requires attention to detail, ability to review complex documentation, and collaboration with clinicians. Qualifications include CCS/CPC/HCS-D certifications and a strong foundation in anatomy, terminology, and DRG/APC knowledge. Remote work arrangements apply for this PRN regular position in North Carolina. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

This is a remote based position. Applicants can be located nationwide Back Medical Coder - Surgery/Anesthesia #2889 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks. Responsibilities: Assigns International Classification of Diseases 10-CM diagnostic and ICD-10-PCS procedural codes accurately and productively, and other applicable codes such as MS-DRG on inpatient cases for all Health Care system cases excluding the academic medical center Groups codes and completed product into payment group. Assigns codes that affect Severity of Illness and Risk of Mortality and...

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...

Clinical Documentation Specialist Reviews clinical documentation and diagnostic results as appropriate to extract abstract data and apply appropriate ICD-9-CM/ICD10-CM/PCS and CPT 4 codes for reimbursement and external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and any other regulatory edits. Code and abstract medical records of high complexity within the Primary Enterprise acute care facilities. Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital...

Duke HomeCare & Hospice is seeking a Medical Records Coder II to code home health and hospice records using ICD-10-CM conventions, ensuring precise diagnoses and optimal reimbursement. The coder will abstract data from records and maintain compliance with coding guidelines and regulations. The role requires RHIA/RHIT/CCS/CPC or HCS-D certifications and a strong foundation in anatomy, medical terminology, and DRG/APC knowledge. #J-18808-Ljbffr

OverviewThe Inpatient Coder Sr serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment.Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records.Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes.Serves as a liaison between coders and CDS team on coding and documentation issues.Reviews SMART accounts on a daily basis as assigned.Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.Department DescriptionServing the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County.With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care.For more information, visit www.wakemed.org.EOELicensureRegistered Health Information Technician Or...

Medical Biller/Coder Location:Concord, NC (On-site)Job Type:Full-Time About Walkers Group Home Walkers Group Home provides residential and community-based services for individuals with behavioral health needs.Our mission is to deliver compassionate, person-centered care while maintaining the highest standards of quality, compliance, and financial integrity.We are currently seeking a detail-oriented and organized Medical Biller/Coder to join our administrative team.This role is essential to maintaining the financial health of our organization while ensuring the delivery of efficient, compliant, and ethical healthcare billing practices.Job Summary The Medical Biller/Coder is responsible for managing the billing process for medical and behavioral health services, ensuring accurate coding and timely submission of claims to Medicaid, Medicare, and private insurance payers.The ideal candidate will have a strong understanding of medical coding systems, attention to detail, and the ability...

Responsibilities Coder PRN Opportunity Brynn Marr Hospital is committed to providing the highest standard of psychiatric care to adults, adolescents, and children. Since 1983, our behavioral health therapists in Jacksonville, NC, have equipped patients with the skills they need to live happier, healthier, and more productive lives. We offer evidence-based treatment programs that address a number of issues, including grief, trauma, psychiatric disorders, and substance abuse problems. Brynn Marr Hospital offers comprehensive benefits for full time positions, such as: Challenging and rewarding work environment Competitive Compensation Excellent Medical, Dental, Vision, and Prescription Drug Plan Generous Paid Time Off 401(K) with company match and discounted stock plan Career development opportunities within UHS and its Subsidiaries If you would like to learn more about the Coder position before applying, please contact Michael James, HR...

About Judi Health Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: Judi Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers, Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit www.judi.health. Position Responsibilities: Supportsthe weekly, monthly, and quarterly maintenance and quality assurance checks of standard and custom formularies for all lines of business including Commercial, Medicaid, Medicare Part D, and the...

REMOTE OUTPATIENT - Wound Care CODERS NEEDED!!! NATIONWIDE WORK FROM HOME Call David at 513-206-9881 or send resumes to dlutz@acuitymri.com Full Job Description Responsible for final coding of outpatient account types for GI, Pain Clinic, Radiation Oncology, Wounds, Outpatient Specialty single and series accounts, and infusion coding. This position is responsible for accurately assigning and sequencing diagnosis codes using ICD-10-CM in accordance with advice from Coding Clinic and ICD-10-CM Official Coding Guidelines. This position is accountable for utilizing 3M coding products including encoder and groupers for Medicare reimbursement and other third‑party payors, and for internal Advocate business and quality purposes. This position is accountable for accurate abstracting of selected clinical and non‑clinical information to create a comprehensive database of information for billing purposes, internal data management, and external reporting of data. Codes diagnoses utilizing...