23 facility coding inpatient complex coder jobs found

*Inpatient Coder II (Remote)* We're seeking an experienced Inpatient Coder II to join our remote team supporting a highacuity, Level I Trauma academic environment. In this role, you'll accurately assign ICD10CM, ICD10PCS, and MSDRG codes across a wide range of complex inpatient cases, collaborate with CDI specialists, and submit electronic queries when clarification is needed. *Responsibilities:* * Code diverse inpatient specialties, including trauma and critical care * Maintain 95% accuracy and meet productivity standards * Assign POA indicators and support accurate DRG assignment * Assist with mortality, rehab, and special case types * Support denial rebuttals and participate in projects *Requirements:* *-A minimum of three (3) years of experience as an inpatient coder at an academic facility.* * Required Education: -Coding Certificate Program Completion or Associate Degree in HIM or equivalent. Preferred Education: -Bachelor's degree in HIM or equivalent. Required...

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...

Inpatient Coder II (Remote) We’re seeking an experienced Inpatient Coder II to join our remote team supporting a high‑acuity, Level I Trauma academic environment. In this role, you’ll accurately assign ICD10CM, ICD10PCS, and MSDRG codes across a wide range of complex inpatient cases, collaborate with CDI specialists, and submit electronic queries when clarification is needed. Responsibilities Code diverse inpatient specialties, including trauma and critical care Maintain 95% accuracy and meet productivity standards Assign POA indicators and support accurate DRG assignment Assist with mortality, rehab, and special case types Support denial rebuttals and participate in projects Requirements A minimum of three (3) years of experience as an inpatient coder at an academic facility Required Education: Coding Certificate Program Completion or Associate Degree in HIM or equivalent Preferred Education: Bachelor’s degree in HIM or equivalent Required Certifications &...

Summary 100% REMOTE OPPORTUNITY Eligible remote states: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests. Key Responsibilities: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of facility outpatient records....

Job Title Under direct supervision, codes hospital Emergency Department and ancillary visit records for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10 diagnostic coding and CPT-4 procedure coding classification systems. Job Description The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Identifies and assigns ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient visits including ED, clinic, recurring rehabilitation, recurring psychiatry and other recurring visit locations for the purpose of reimbursement, research and compliance with federal and state regulations. Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes....

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. Where you Come In 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...

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:...

Medical Coder Location: Greater Baltimore Area Type/Duration: Contract, 13 weeks possible extensions Pay: $15-40/hour Job Summary Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of records within the facility. Meets departmental accuracy and production standards. Responsibilities Reviews medical records to determine the providers diagnosis/procedures for unit and assigns ICD-10-CM codes, CPT, and facility E&M levels to those diagnoses/procedures. Reviews the entire record for codable information. Uses resources (Coding references and guidelines, Coding Clinics, Auditors, CDI staff, Co-workers, internet, etc.) for guidance on coding as needed. Reviews the entire medical record for codeable information. Writes queries as appropriate and adheres to the query policy. Follows-up on queries and updates coding and the query as appropriate and in a timely manner. Abstracts predetermined information from...

Auditing Team Lead Under direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assists Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists. The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and scheduling. Manages time and attendance...

Outpatient Coder Location Baltimore, MD Facility SINAI CORPORATE Department HLTH INFORMATION MNG Schedule - Shift - Hours PRN - As Needed - 8:00am-4:30pm Job Category PROFESSIONAL Req # 87195 $21.06-$39.12 Experience based Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests. SIGN-ON BONUS ELIGIBLE $10,000 Eligible remote states: District of Columbia, Maryland,...

Job Title : Medical Coder Location : Greater Baltimore Area Type/Duration : Contract, 13 weeks - possible extensions Pay : $15-40/hour We are currently staffing for Medical Coders across several Hospital locations and units. This is a Generic Post for Personnel, who would be working in a Hospital setting in the greater Baltimore area. Specifics on Pay, Location, Unit, and Hours would be provided during your interview. JOB SUMMARY : Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of records within the facility. Meets departmental accuracy and production standards. Reviews medical records to determine the providers diagnosis/procedures for unit and assigns ICD-10-CM codes, CPT, and facility E&M levels to those diagnoses/procedures. Reviews the entire record for codable information. Uses resources (Coding references and guidelines, Coding Clinics, Auditors, CDI staff, Co-workers, internet, etc.)...

Summary 100% REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 Eligible remote states: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests. Key Responsibilities: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of...

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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

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...

*Description* The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Essential Job Duties: The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1.Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. 2.Utilizes critical thinking to analyze and evaluate documentation...

Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently demonstrates high accuracy and productivity. Responsibilities: Perform diagnosis coding of inpatient, outpatient, and physician office medical records...

Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance...

Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. This position is located on the campus of Carroll Hospital in Westminster, MD. Consideration will be given for a potential hybrid work model after 6 months of successful employment. About the Role: Supports the LifeBridge Health Institutional Compliance. The auditor works under the under general direction of the Director of Institutional Compliance to perform institutional (e.g., hospital, post-acute care (DME, Home Health, etc.) compliance related audit activities to ensure compliance with federal health care program requirements and federal and state laws and regulations. Responsible...

Job Title The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. Job Description I. General Summary Accurately audits hospital Inpatient,...

Currently recruiting an REMOTE Medical Coding Auditor to provide support to Active Duty heroes, their families, and retirees.The full-time position is Monday-Friday, 8 hours shifts between 7:30am and 4:30pm.DUTIES OF THE MEDICAL CODING AUDITOR:Verifies the accuracy of the diagnosis, procedure, supply codes, modifiers, and sequencing for the professional and institutional (facility) components of inpatient, ambulatory, and outpatient encounters.Provides second-level review of coding assignment to ensure compliance with legal and procedural policies to ensure optimal reimbursements while adhering to regulation prohibiting unbundling and other questionable practices.Examines records for proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained.When assigned to perform Data Quality Management Control (DQMC) audits, provides each assigned MTF with coding audit accuracy data...

Overview Schedule - Full-time, Day shift, 8:00am-4:30pm LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. About the Role: Certified Coder reviews clinical documentation, abstracts and codes based on AMA, CCI Policies, Government Regulations, Payer Policies, and ICD-10-CM guidelines. Coders will submit charges through IDX. Coding feedback will be sent to providers regularly. Coders will serve as a coding resource for their coding assignment(s). Identify trends and coding educational opportunities to management. CANDIDATES MUST RESIDE IN MD, DC, PA, VA OR WVA Responsibilities Review documentation and follow AMA, Government Regulations, CCI, and ICD-10-CM guidelines to accurately...

Job Description Job Description Job Title: Financial Analyst/ Medical Biller (Entry-Level) Walter Reed National Military Medical Center (Hybrid) Location: WRNMMC - Bethesda, MD Contract: Walter Reed Contractor Period of Performance: Full-time position Start Date: Open Additional: THIS POSITION IS FIVE (5) DAYS IN THE OFFICE/ NO TELEWORK Salary: $22.42 per hour + $4.93 health & welfare allowance= $27.35 per hour Clearance Requirement: Must be able to pass a NACI background check/ still checking for background clearance requirements. Preference: Must have a High School Diploma, Associate Degree, or higher/ preferred BA Degree, and must have a minimum of 2–3 years of experience with standard office financial and administrative functions, especially in the medical field. **** Veterans are encouraged to apply**** Note: The Ravens Group, Inc. requests that all interested parties complete the attached...