938 facility coding inpatient complex coder jobs found

Overview Join to apply for the Facility Coding Inpatient Complex Coder role at Banner Health This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MD, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY. The hours are flexible as we have remote Coders across the Nation. Generally any 8-hour period between 7am – 7pm can work, with production being the greatest emphasis. A Coding Assessment will be given after a successful interview to be completed within 48 hours. Banner Health provides your equipment when hired. You will be fully supported during initial training by the Banner Coding Education team and your hiring manager, with continued support throughout your career here. Responsibilities Provides coding and abstracting for mid-tiered complexity range of acute care services at all Banner hospitals. Reviews diagnosis and diagnostic information and...

*Location:* *Remote (WI/IL preferred).* Candidates must reside in the U.S. *Schedule:* Full-time, remote | Flexible hours after training *Work Setup:* Private, dedicated workspace with a door required *About the Role* We're seeking a detail-oriented and experienced *Inpatient Coder (Coder Inpatient II)* to join our Health Information Management team. In this remote role, you will accurately assign *ICD diagnosis/procedure codes* and *MS-DRGs* for inpatient hospital services at an academic, Level I Trauma environment. You'll code across complex specialties (e.g., Neurology, Oncology, Urology, Transplant, OB/Newborn, Orthopedics, Cardiology, Critical Care), collaborate with providers via compliant queries, and partner closely with CDI to ensure documentation supports the most appropriate DRG assignment. This is an advanced, independent role where accuracy, communication, and sound judgment are essential. *What You'll Do* * *Code inpatient charts* across medical/surgical...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

Summary The Medical Records Technician (Coder) Auditor is located in the Health Information Management (HIM) section of Medical Administration Service at the VA Maryland Health Care System. A Medical Records Technician must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), the Healthcare Common Procedure Coding System (HCPCS) and be skilled in classifying medical data from patient health records. Responsibilities Total Rewards of a Allied Health Professional Duties: Applies comprehensive 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. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural...

The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services. In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical professional who thrives in a fast-paced, remote environment and is passionate about accuracy, compliance, and continuous improvement in healthcare operations. Duties & Responsibilities Serve as a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding Perform DRG validation and retrospective medical claims reviews Analyze inpatient and outpatient claims for coding accuracy and reimbursement determinations Prepare clear, detailed determination letters and...

Coder Major Responsibilities: This role will have all responsibilities of coder I, II and III in addition to: Reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Adhere to organizational and internal department policies and procedures to ensure efficient work processes. Responsible for coding high dollar and long length of stay cases for all patient types. Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate. Serves as a subject matter expert to Coding department leaders and peers. Recommends modifications to current policies and procedures as needed to coincide with government regulations....

Summary This position is located in the Health Information Management (HIM) section of the Business Office at the Orlando VA Healthcare System. MRTs (Coders) 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, multispecialty clinics, and specialty centers. Please read the duties section of this announcement for further information on remote work status. Duties Help PLEASE NOTE: This position is designated as remote. Remote work is defined as full-time employment conducted outside of a VA facility or in VA-leased spaces. The option for remote work will be assessed continuously, and the selected individual may need to return to a VA office if required. The VA will categorically exempt military spouses authorized to engage in remote work and spouses of U.S. Foreign Service members from Agency plans to return all eligible employees to in-person work...

Medical Records Technician Coder (Outpatient and Inpatient) This position is located in the Health Information Management (HIM) section of the Business Office at the Orlando VA Healthcare System. MRTs (Coders) 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, multispecialty clinics, and specialty centers. Please read the duties section of this announcement for further information on remote work status. The Medical Records Technician (Coder-In/Outpatient) 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,...

Medical Records Technician Coder (Auditor) This position is located in the Health Information Management (HIM) section at the Orlando VA Healthcare System. A Medical Record Technician (Coder) Auditor reviews clinical documentation and coded data to ensure accuracy, compliance, and proper reimbursement while maintaining the ability to perform all duties of a Medical Record Technician (Coder). Duties include, but are not limited to: Medical Records Technician - Coder Auditors must be able to perform all duties of a MRT (Coder). Through prospective and retrospective audits, they identify coding errors and documentation gaps, consult with clinical staff, provide education and recommendations, and support regulatory compliance by monitoring data quality and reporting audit findings. Auditors serve as experts of current coding conventions and guidelines related to professional and facility coding. Auditors perform audits of encounters to identify areas of non-compliance in...

Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

DRG Coder The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis, and claims processing. The DRG coder creates consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitate data quality in hospital inpatient services. Responsibilities The coder abstracts pertinent information from patient records and assigns ICD-9-CM/ICD-10-CM, ICD-10-PCS or CPT/HCPCS codes, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. The coder keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. Abides by the standards of Ethical Coding as set forth by the American Health Information Management...

Join to apply for the Ambulance Coder Remote role at Pafford Medical Services Join to apply for the Ambulance Coder Remote role at Pafford Medical Services Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes Prioritize workflow to ensure timely claim submission Knowledge of state and federal insurance regulations Ability to analyze and problem solve complex issues Knowledge of billing requirements, coverage and benefits Uphold Medicare, Medicaid and HIPAA guidelines Identifies and communicates documentation issue trends Utilize various resources to locate insurance payers for ambulance transportation Contact the hospital, patient’s family, and/or patient to obtain insurance information Fax partner hospitals requests for information Validate and update patient demographics in the practice management system Responsible for the accurate entry of data into the practice management system This...

Senior Inpatient Medical Coder 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. As a Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are...

The Coder Inpatient II This is a remote, advanced position functioning under general supervision and utilizing independent decision making. The Coder Inpatient II correctly assigns ICD diagnosis and procedure codes and MS-DRGs for inpatient hospital services at Hospital, an academic, Level I Trauma Center. The Coder Inpatient II codes a variety of medical and surgical specialties such as Neurology, Oncology, Urology, Transplant, OB/Newborn, Ortho, Cardiology, and Critical Care which can include complex trauma and acutely ill patients. Coders in this role communicate with care providers when necessary mainly via the electronic query process. In order to ensure the most appropriate DRG assignment, coders partner with clinical documentation improvement specialists with the goal of obtaining the most complete and accurate medical record documentation. The coders in this position will apply all departmental coding quality guidelines and meet productivity standards, while maintaining...

Requisition number: 2304578 Job category: Medical & Clinical Operations $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. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a...

Apply for Job Job ID 83608 Location Sacramento Full/Part Time Part Time Add to Favorite Jobs Email this Job Job Summary #CA-KN Under the general direction of the Supervisor, incumbent performs abstracting of medical services provided by UCDHS and affiliates. Incumbent identifies all billable services (IP Professional, Outpatient professional and facility, Hospital Service Departments, Freestanding, and Ancillary Services), CPT-4, ICD-10, and HCPCS codes for billing purposes to government agencies, insurance companies and patients. Incumbent is responsible for the accuracy of above procedure and diagnosis coding relative to corresponding documentation and standards. Incumbent will ensure compliance to all federal, state and carrier specific rules, regulations and requirements related to professional fee services are adhered to. Apply By Date: 3/23 /2026 at 11:59 pm - Interviews and recruiting process may occur at any time Minimum Qualifications - For full...

Radiation Medicine Coder (Coding Specialist 3) US-OR-Portland Position Summary This level 3 coding position provides support to the Enterprise Coding Department for coding highly specialized services. This position covers requires advanced coding experience in highly specialized areas of coding, and requires certification with AAPC or AHIMA. Responsibilities Coding Coding at 95% or above accuracy. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Depending on posted job need, assign correct CPT, ICD‑10‑CM; HCPCS; or ICD‑10‑PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas such as Inpatient Coding or surgical coding. Monitor activity for compliance with federal and/or state laws regarding correct...

Revenue Cycle Position Conducts concurrent and occasionally onsite medical chart reviews for pediatric and neonatal ICU patients. Collaborates with medical directors and staff to enhance the quality of physician documentation, ensuring a precise representation of the patients' severity of illness, anticipated risk of mortality, and the complexity of care administered. Ensures the accuracy, completeness, and compliance of medical coding and documentation for all pediatric patient encounters. Strives to optimize coding practices, minimize denials, and maintain the highest standards of data integrity. Job Responsibility Analyzes and interprets complex pediatric medical records to ensure accurate capture and coding of diagnoses, procedures, and appropriate levels of service, adhering to established coding guidelines (ICD-10-CM, CPT, HCPCS). Applies advanced knowledge of pediatric anatomy, physiology, and medical terminology to interpret clinical documentation and assign the most...

Multi-Specialty Profee And/or Facility Medical Coder Artificial Intelligence. Automation. Cloud engineering. Advanced analytics. For business leaders, these are key factors of success. For us, they're our core expertise. We work with iconic brands worldwide. We bring them a unique value proposition through market-leading technology and business process excellence. We've created over 200 unique inventions under several patents across AI and other critical technologies. Leveraging our advanced products and platforms, we drive digital transformation, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless "as a service" model. For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. We tailor proven and rapid formulas, to fit their unique DNA. We bring together human expertise and artificial intelligence to develop digital chemistry. This unlocks new...

Medical Records Technician Coder - Auditor This position is located in the Health Information Management (HIM) Section of the Patient Administration Department at the Captain James A. Lovell Federal Health Care Center (FHCC) in North Chicago, IL. 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. Auditors must be able to perform all duties of a MRT (Coder) Auditor: Serve as experts of current coding conventions and guidelines related to professional and facility coding. Perform audits of encounters to identify areas of non-compliance in coding. Facilitate improved overall quality, completeness, and accuracy of coded data. Provide recommendations on appropriate coding and are responsible for maintaining current knowledge of the various regulatory guidelines and requirements. Assist facility staff...

Specialist - Concurrent Coding / Inpatient Coder Accounting and Finance/Healthcare Specialist-Concurrent Coding/Inpatient Scottsdale Arizona 85258 Exp 2-5 Degree Associates Job Summary: The Concurrent Coding Specialist performs and facilitates concurrent inpatient coding in order to establish a working DRG. Ensures high quality documentation that is thorough, accurate and complete to ensure accurate reimbursement capture. He or she will concurrently reviews health records, identifies key clinical data elements within the record, and translate this data from verbal description of disease, injuries and procedures into numerical designations, applying ICD coding systems. Audits for documentation opportunities and queries clinical staff with CDI to fill in any gaps, clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Ensures coding compliance and acts as technical resource, resolves issues, educates and works...

Remote Profee Coder - Primary Care Under general supervision, performs in depth complex daily CPT, HCPC, and ICD10 coding of inpatient outpatient and global package delivery services received from physicians via EPIC Charge Review and EPIC Surgical Case tool related to Primary Care encounters. Their primary focus will be coding Primary Care encounters and will help out as needed with other specialties such as Sports Med, Urgent Care, Hospitalists, Multi-Specialty E/M Profee, Profee GI, Family Medicine, Internal, Urology, Behavioral Health, Wound Care, Neurology, Surgery, Osteoporosis, Derm, infectious disease, Clinic Visits with Procedures, Cardiology/CT, Surgeries, claim edits, and denials. Accurately abstract, CPT, HCPCS, ICD10 and Modifiers as appropriate per clinical documentation. Queries and provides feedback to providers and other clinical department personnel. Performs other related functions as required. All work is carried out in accordance with the rules, regulations...

Remote Profee Coder - Pain Management Under general supervision, performs in depth complex daily CPT, HCPC, and ICD10 coding of inpatient outpatient and global package delivery services received from physicians via EPIC Charge Review and EPIC Surgical Case tool related to Pain Management. MUST have recent Pain Management experience. Having the AAPC CANPC credential is highly preferred. Accurately abstract, CPT, HCPCS, ICD10 and Modifiers as appropriate per clinical documentation. Queries and provides feedback to providers and other clinical department personnel. Performs other related functions as required. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM/PCS, Centers for Medicare and Medicaid Services (CMS). Essential Functions and Responsibilities: Must possess a thorough knowledge of ICD-10 CPT, HCPCS, Modifiers, procedure, diagnosis coding principles and applications as...