31 facility coding inpatient complex coder jobs found

At Datavant, we're transforming healthcare by improving data collaboration. Our mission is to ensure health data is secure, accessible, and actionable. As a key player in the healthcare ecosystem, we provide crucial data solutions for providers, health plans, researchers, and life sciences companies. Whether fulfilling a single patient's medical records request or driving innovation in healthcare with AI, our dedicated team is committed to shaping the future of health data. Join our vibrant and cooperative team as a Full-Time Inpatient Coding Auditor . This fully remote role offers a flexible schedule, enabling you to make a significant impact in healthcare from the comfort of your workspace. In this position, you will play an essential role in addressing consulting and educational needs concerning coding quality, compliance assessments, external payer reviews, and more. Your Responsibilities Will Include: Conducting inpatient coding audits on medical records, ensuring...

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...

Summary This position is located in the Health Information Management (HIM) section at the Edward Hines Jr. VA Hospital. 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. The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below. Responsibilities Coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. 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. Selects and assigns codes from the current version of several coding...

Summary 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. Responsibilities Total Rewards of a Allied Health Professional 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....

Overview Join our dynamic Health Information Management (HIM) team as a Coder IV , where your advanced coding expertise will make a direct impact on patient care and organizational success. Under the guidance of the Coding Supervisor, you'll take on a diverse and challenging caseload—ranging from Maternity and Pediatrics to Trauma, Behavioral Health, and complex Surgical cases—using ICD-10-CM and ICD-10-PCS coding systems. In this key role, you’ll manage specialized work queues, support denial reviews, and ensure coding accuracy for stop-billed and combined accounts using SMART software. You'll also be a leader in quality assurance, mentoring new coders, assisting with training, and playing an active role in new software testing and implementation. If you're ready to elevate your coding career while helping shape the future of HIM, we want to hear from you. Compensation Hourly Pay Rate: $25.96 - $38.29 Qualifications Education: Requires an associate degree in Health...

Transform Your Career with Evolent At Evolent, we are on a mission to revolutionize health care by partnering with health plans and providers to enhance outcomes for individuals dealing with complex and costly health conditions. We strive to close the gaps in the healthcare system, ensuring that every individual receives the compassionate care that we would wish for our own loved ones. We emphasize work/life balance and offer flexibility to enable our employees to adjust their work to suit their lives. We believe the best work is accomplished in an environment that promotes personal well-being and encourages authenticity. Our commitment to diversity and inclusion is fundamental to our organization. Join us for the mission, and stay for the culture! Key Responsibilities: Work closely with SIU Investigators to support research and provide informed coding decisions. Analyze and interpret patient medical records pertinent to FWA investigations. Review claims...

Become a part of our caring community and help us put health first 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,...

Job Description Job Description Occupational health medical facility is seeking a full-time medical billing specialist. Prefer qualified candidate to have prior experience with submission of electronic billing, insurance appeals and denials, CPT/ICD10 codes, and payment posting. Knowledge with worker's comp insurance billing and collections rules also a plus. Candidate must be detailed-oriented, dependable, goal-oriented, willingness to assist others as necessary and with ability to work independently. Good customer service skills are a must. Medical Biller Duties and Responsibilities Ensure patient information is accurate and complete Request any missing patient information Review referrals and authorizations Confirm patient benefits and insurance Follow all regulations and guidelines set by Medicare, state programs, and HMO/PPO Transfer insurance claims and billing data to billing software Create both paper and electronic copies of documentation Develop and maintain...

Coding Specialist Responsible for timely and accurate coding and abstracting of Inpatient visits. Codes and abstract patients following established coding guidelines and utilizing ICD-10 code sets. This position ensures that revenue cycle, customer service, quality, individual, and team goals are met. Essential Job Functions: Thorough review of inpatient encounter documentation for diagnoses, treatments, services. Performs daily coding and abstracting utilizing ICD-10 Code sets and DRG Grouping systems. Validates MS-DRG and APR-DRG assignment for appropriateness to encounter Performs weekly coding of Inpatient Interim Bill Requests Review of Clinical Documentation Specialists notes and queries to ensure capture of queried conditions. Validates admission diagnosis assignment and coordinates correction with Case Management personnel when appropriate. Identifies documentation issues that may lead to incorrect coding, billing, and quality metrics. Communicates issues to...

Supervisory Medical Records Technician (Coder-Outpatient) This position is located in the Health Information Management (HIM) section at the Edward Hines Jr. VA Hospital. 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. The 2-page Resume requirement does not apply to this occupational series. For more information, refer to Required Documents below. Accepting applications Open & closing dates 03/13/2026 to 03/20/2026 Salary: $75,983 to $98,772 per year Pay scale & grade: GS 10 Location: 1 vacancy in the following location: Hines, IL Remote job: No Telework eligible: Yesas determined by the agency policy. Travel Required: Not required Relocation expenses reimbursed: No Appointment type: Permanent Work schedule: Full-time Service: Excepted Promotion potential: None Job family...

Job Description Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Revenue Cycle Revenue Integrit Work Type: Full Time (Total FTE between 0.9 and 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay Range: $29.36 - $47.79 per hour Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case. Summary: The Billing Coding Auditor uses advanced knowledge of billing, coding, auditing, documentation requirements, and charge capture to...

Insight Hospital And Medical Center Chicago At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides patient care second to none! If you would like to be a part of our future team, please apply now! Position Purpose Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and/or Inpatient health...

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:...

Job Description Job Description Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description The Outpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.  Follows ICD-10-CM Official Guidelines for Coding and...

WE ARE INSIGHT: AtInsight Hospital and Medical Center Chicago,we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now! These duties are to be performed in a highly confidential manner, following the mission, values, and behaviors of Insight Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and...

Inpatient Medical Coding Auditor page is loaded## Inpatient Medical Coding Auditorlocations: Remote Nationwidetime type: Full timeposted on: Posted Todayjob requisition id: R-409089# **Become a part of our caring community and help us put health first**The Inpatient Medical Coding Auditor 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and...

Outpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, OH, MO, MI, or FL - Sign-on bonus eligible) At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description The Outpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and...

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor 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. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Salary: $25.89 - $28.48 Hourly Location : Springfield, IL Job Type: Civil Service Job Number: 2401379 Department: SIU HealthCare Coding-SMS Division: Administration Opening Date: 10/02/2025 Closing Date: 3/16/2026 2:00 PM Central FLSA: Non-Exempt Bargaining Unit: Non-Represented Shift: Days ExemptorNon_Exempt: Non-Exempt We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

We recommend using the following browsers to complete the application: Desktop: Google Chrome, Edge with Chromium Mobile: Google Chrome, Safari Description The Revenue Cycle Coding Auditor will perform reviews for employees in the Coding department. Audits will include, but are not limited to; employee productivity and quality based on proper documentation, accuracy and coding guidelines. The Auditor will also provide feedback and support relating to departmental/role specific productivity and quality expectations. The incumbent for this position will utilize a high level of in-depth knowledge of the coding role to perform all audits based on specific departmental need. Examples of Duties PBS Auditor: 100% Conduct quality and productivity reviews of coding staff using structured and consistent review programs and methods. Demonstrate in-depth knowledge and experience with SIU-HC supported applications, including but not limited to Athena IDX, TouchWorks,...

Overview EMS Biller and Coder Office Location: ELMHURST, IL - Not a remote position We are currently looking for an EMS Biller and Coder to join our Billing Department team! Below lists the duties, responsibilities and the qualifications needed for this position. We will train the right individual! The EMS Biller and Coder are responsible for scrubbing sites for active health Insurance while complying with insurance, local, state, and federal billing. The EMS Biller and Coder are liable for adding appropriate key identifiers from the Patient Care Reports with coordinating ICD codes. All representatives will conduct insurance verification as needed and are required to complete prebilling training to qualify for the role. Responsibilities Responsibilities of the EMS Biller and Coder Reviews Patient Care Report thoroughly, utilizing all available documentation to establish medical necessity, selection of levels of service, origin/destination modifiers and...

Job Description Job Summary The Inpatient Coder is responsible for accurately assigning ICD-10-CM and ICD-10-PCS to inpatient hospital visits while adhering to official coding guidelines. Essential Responsibilities Ability to sequence and assign ICD-10-CM/PCS diagnosis and procedure codes to complex inpatient visits by following the coding guidelines. Proficient in interpreting medical documentation to determine the principal diagnosis and procedures codes and to assign the correct Present on Admission (POA) indicator to all codes. Assigns the correct Diagnosis Related Groups (DRG) and All Patient Refined (APR-DRG) while adhering to coding guidelines for sequencing. Ability to write a compliant physician query and collaborate with Clinical Documentation Improvement (CDI) to clarify or resolve conflicting documentation prior to assigning final codes on inpatient accounts. Ability to utilize the Computer Assistant Coding (CAC) software to review medical...

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Day (United States of America) Location 680 Lake Shore Drive Job Description Responsible for timely and accurate coding and abstracting of Inpatient visits. Codes and abstract patients following established coding guidelines and utilizing ICD-10 code sets. This position ensures that revenue cycle, customer service, quality, individual, and team goals are met. Essential Job Functions: Thorough review of inpatient encounter documentation for diagnoses, treatments, services. Performs daily...