69 facility coding inpatient complex coder jobs found

Position title: Remote Inpatient Coder III Location: Fully Remote, USA Assignment Length: contract-to-hire Compensation: $35-38 hourly Work schedule: Monday - Friday; Candidates must now be prepared to work a weekend day after the pre-bill review is complete. This can be done on a Sunday through Thursday or Monday through Saturday schedule. Benefits: This position is eligible for medical, dental, vison, and 401 (k) We are seeking an experienced Inpatient Coder III to join a high-performing team supporting a Level I Trauma facility . Due to increasing chart complexity post-COVID, this role requires strong clinical knowledge and the ability to code high-acuity inpatient cases with accuracy and efficiency. Key Responsibilities Perform inpatient coding across a variety of complex case types Accurately assign ICD-10-CM/PCS codes and MS-DRGs Work within pre-bill and post pre-bill workflows Ensure compliance with coding guidelines and facility standards Collaborate with CDI and revenue...

Oxford is known for our unmatched ability to deliver The Right Talent. Right Now.® We leverage over 30 years of recruiting experience and specialize in fields where superior resource solutions are most in demand. Apply today! Job Description **Must have a minimum of 3 years of Inpatient or Outpatient Facility or Physician Based Coding Experience** **Must have one or more of the following; (CCS, RHIT, RHIA, CPC, COC, CCS-P) We have immediate openings for Hospital Coders. All qualified applicants will be contacted. * Ability to code and maintain >95% quality standards and meet productivity standards as documented for each project *Advanced knowledge of medical terminology, anatomy and physiology, disease process, pharmacology, complex surgical procedures * Advanced knowledge of accepted medical abbreviations and their meanings. * Advanced knowledge of hospital information systems, encoders and other technology to facilitate a successful virtual work environment while maintaining...

Job Description Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or...

Req Number 169415 Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/...

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...

This position follows a hybrid model with 1-2 onsite days. Job Description 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 Responsibilities 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...

Medical Coder (Inpatient) - Remote (#R10206)Location :Remote (U.S.-based only)Employment :Full-TimeHourly Rate :$26.80 / hrWhy Join Us :100% remote with secure VPN setup.Flexible 40-hour / week schedule.Work for a high-volume academic Level 1 Trauma Center.Career development in a mission-driven setting.Play a key role in accurate and compliant data reporting.Qualifications :RHIT or RHIA certification (AHIMA) - CCS considered.3years of inpatient coding in a Level 1 Trauma Center.Experience in Labor & Delivery and Newborn coding preferred.Strong with EPIC EHR & 3M encoder.Secure, VPN-ready remote equipment required.Key Responsibilities :Accurately code complex inpatient records using EPIC / 3M.Meet or exceed 1.5 charts / hour productivity and 95%accuracy.Collaborate with CDI to reconcile documentation.Respond to coding queries within 1 business day.Ensure full compliance with HIPAA, DOH, DNV, OSHA, SUNY regulations.About Greenlife Healthcare Staffing :We are committed to our...

Job Description Job Description Salary: $21.68 Benefits include: Monday - Friday (No weekends and no holidays) Health, dental, and vision full coverage for individual Short term/long term disability options Vacation (annual) + PTO (accrued weekly) 16 paid holidays in the calendar year 401K - 5% matching Parental, medical, education, bereavement leaves and so much more! BASIC FUNCTION: Incumbent reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments. Ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. GENERAL RESPONSIBILITIES: Abstracts all necessary information and sequences and assigns codes (ICD-10, CPT, and HCPCS), which most accurately describe each documented diagnosis, surgical procedure and special therapy/procedure according to established guidelines, and to identify secondary...

Medical Coding Specialist The Medical Coding Specialist is responsible for reviewing medical records and encounter documentation to ensure accurate, complete, and compliant coding in accordance with ICD-10-CM and CPT guidelines. Under the supervision of the Director of Revenue Cycle and Billing, this role supports compliant billing practices, maximizes reimbursement, and ensures adherence to federal, state, and payer regulations, including those specific to Federally Qualified Health Centers (FQHCs). The Medical Coding Specialist collaborates closely with providers, billing staff, and other members of the healthcare team to clarify documentation, resolve coding issues, and promote best practices in clinical documentation and coding accuracy. Medical Coding Review and analyze patient records and clinical documentation to ensure completeness and accuracy for coding purposes. Assign and sequence diagnosis and procedure codes using ICD-10-CM and CPT for all services rendered....

Job Description Job Description Job Title Medical Coding Specialist Department Revenue Cycle Position Type Full-Time FLSA Non-Exempt Job Summary The Medical Coding Specialist is responsible for reviewing medical records and encounter documentation to ensure accurate, complete, and compliant coding in accordance with ICD-10-CM and CPT guidelines. Under the supervision of the Director of Revenue Cycle and Billing, this role supports compliant billing practices, maximizes reimbursement, and ensures adherence to federal, state, and payer regulations, including those specific to Federally Qualified Health Centers (FQHCs). The Medical Coding Specialist collaborates closely with providers, billing staff, and other members of the healthcare team to clarify documentation, resolve coding issues, and promote best practices in clinical documentation and coding accuracy. Duties and ResponsibilitiesMedical Coding Review and analyze patient records and clinical...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $59,066.00 - $88,599.00 The Hospital Coder applies skills and knowledge of currently mandated Inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, Uniform...

About Us: NYSTEC is a nonprofit technology consulting company, advising agencies, organizations, institutions, and businesses since 1996. We're independent and vendor-neutral, so we have our clients' best interests at heart. At NYSTEC, we know that we succeed when individuals and teams flourish personally and professionally, so our benefits and perks support that mindset. About the Role: As a senior consultant - Certified Professional Coder (CPC) analyst in the Policy and Program Strategic Solutions practice area, you will collaborate with team members to navigate complex stakeholder environments, communicate effectively with both technical and non-technical audiences, and build trusted client relationships while advancing policy and operational goals. Serving as a CPC analyst, your day-to-day role as a NYSTEC consultant will require expertise in medical coding, healthcare claims processes, and business analysis, along with strong client engagement and diplomacy skills....

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. Under direction of the Coding Manager, the primary responsibility of the MedicalCoder is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy,...

Requisition number: 2339753 Job category: Medical & Clinical Operations 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts...

Description Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions for the establishment of diagnoses and procedures. The coded data is utilized for reimbursement, clinical care assessment, education, research, case mix and health care statistical reporting. Responsibilities 1.Reviews, analyzes and codes inpatient and/or ambulatory (outpatient) surgery records utilizing all prevailing coding guidelines and conventions for the establishment of diagnoses and procedures. 2.Queries physicians for clarification of documentation if required. 3.Participates in the documentation improvement process on conjunction with Coding management and leadership. 4.Consistently meets or exceeds coding productivity standards as per department policies. 5.Ensures compliance with CMS and other regulatory compliance guidelines. 6.Participates in continuing education opportunities as set forth by...

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance 401(k) matching Employee discounts RECOVRY is seeking a highly organized and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will have Out-of-Network Physical Therapy experience and be responsible for ensuring accurate and timely billing and coding for patient services as well as oversee our billing operations. This role will include administrative patient services. This role is a crucial part of our medical office, and we are looking for someone who is passionate about providing excellent patient care while also ensuring the financial well-being of our organization. Duties: Utilize medical coding skills to assign accurate ICD-10 and CPT codes to patient records and submit claims to insurance companies Verify patient insurance coverage and obtain necessary authorizations for services Analyze and resolve billing...

Job Summary The Junior Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD10 CM/PCS), Current Procedural Terminology (CPT) and Health Care Financing Administration Common Procedures Coding System (HCPCS) and entering coded information into an automated grouper system. Does related work as required. Responsibilities Using the current HCPCS, ICD10 CM/PCS and CPT coding system, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by the attending physician in the indicated patient\'s medical record. Ensures that all factors necessary for assigning an accurate DRG are present, and that all diagnoses are ranked properly. Makes appropriate contacts in order to acquire or clarify necessary information. Enters final diagnostic code numbers and narrative descriptions of diagnoses and...

Senior Inpatient Coder (REMOTE)Valhalla-NY-10595-United StatesJob Summary :The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM / PCS codes) and entering coded information into an automated grouper system.Technical guidance and acting in a lead role is expected.Does related work as required.Responsibilities :Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement.Interprets and applies American Hospital Association Official Coding guidelines to articulate and support principle and secondary diagnoses and selected procedures.Identifies and analyzes patterns in possible coding errors or other trends and reports to the the coding leadership team.Participates in mandated medical record review processes.Using current ICD10 CM / PCS coding systems, assigns and records an accurate code to all diagnoses,...

Medical Coding Specialist Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. Duties and responsibilities include: Reviewing and submitting charges from the coding workqueues (WQ). Manually entering off-premise charges in Charge Review. If applicable, manually entering in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. If indicated, arriving the Surgery Schedule on a daily basis using the DAR function. Checking each patient in to create the visit number. Reviewing and processing re-submits....

Inpatient Coding Auditor Cedar Park Group is hiring an Inpatient Coding Auditor for a remote, short-term summer assignment supporting Inpatient Level 1 Trauma coding audits. If you're looking for flexible hours, competitive pay, and meaningful audit work with clear deliverables, this is a great opportunity to make an immediate impact. Assignment length is 36 months with possible extension. Shift / Schedule Remote Flexible schedule Part-time to full-time Minimum 20 hours per week 36 month assignment (possible extension) Position Overview As an Inpatient Coding Auditor, you will lead annual inpatient coding audits for a Level 1 Trauma program, including chart review, scoring, rebuttals, and executive-level reporting. You'll partner with leadership to communicate audit findings, identify trends and education needs, and deliver both group and 1:1 education sessions to improve coding accuracy and documentation quality. Responsibilities Complete annual inpatient coding...

Position Summary In this role, the successful candidate analyzes medical records, extracts clinical, pathological, therapeutic and epidemiologic data for Inpatient and/or Outpatient records in accordance with established ICD-10-CM/PCS and CPT coding principles and guidelines. Health Information Coders analyze, abstract, and code in order for the hospital to submit a bill for services rendered and various departments and clinics associated with patient care; perform other related duties as required. Medical coding is a critical aspect of HIM. Professionals assign standardized codes to diagnoses and procedures, which are used for billing, insurance claims, and statistical analysis. They use coding systems such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology). The selected candidate will work on site in Greenport, NY for all shifts. Job Duties & Essential Functions Abstracts and codes medical information from Inpatient...

We are seeking a detail-oriented and knowledgeable Medical Coder Analyst to join our healthcare team. The ideal candidate will be responsible for accurately coding medical records, ensuring compliance with industry standards, and supporting the billing and reimbursement processes. This role requires a strong understanding of ICD-10-CM, CPT and HCPCS coding guidelines, rules and regulations with knowledge of basic anatomy and physiology. The Medical Coder Analyst plays a vital role in maintaining the integrity of medical documentation and optimizing revenue cycle management. Candidates with prior experience in medical office settings and proficiency with EMR/EHR systems are highly preferred. Seeking Certified Medical Coder with at least one to two years experience. Responsibilities Analyze provider documentation for diagnosis, procedures, modifier, date of service and place of service following billing and coding guidelines. Code and/or validates all outpatient service areas,...

It takes great medical minds to create powerful solutions that solve some of healthcare's most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you've honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you'll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary We are seeking a talented individual for an Inpatient Coding Auditor, Senior Associate who is responsible for performing coding reviews of medical records and/or other documentation to determine correct coding as defined by review methodologies specific to the contract for which review services are being provided. This involves accessing proprietary systems to audit medical records, accurately document findings and...