31 facility coding inpatient complex coder jobs found

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...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details: Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. Responsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis. Formulates physician queries and monitors bill hold...

About The Role The Hybrid Inpatient Coder position plays a critical role in ensuring accurate medical coding and documentation. This involves handling complex case scenarios, applying a combination of facility coding and professional coding, and aligning with industry standards like ICD-10-CM, CPT, and HCPCS codes. The coders will code inpatient facility and inpatient professional rounds and facilitate proper documentation and communication with medical staff to enhance compliance and coding accuracy. Key Responsibilities Accurately assign various medical codes and modifiers for inpatient discharges and surgical procedures. Review and resolve inconsistencies in medical documentation. Educate and provide feedback to providers regarding documentation support. Collaborate with medical coding auditors and provide coding guidance to staff. Utilize Military Health System (MHS) to access and code patient records supporting other facilities. Maintain Defense Health Agency (DHA) coding...

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

RCM Coder Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina. Essential Functions Post medical charges into NextGen software in a timely manner to meet daily and monthly goals. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information and assigns codes for reimbursements Ability to navigate around CPT, ICD-10, and HCPCS. Work with providers to correct the diagnosis or procedure codes so that the claim can be processed. Identify coding or billing problems from EOBs and...

Coding Specialist The incumbent performs highly technical and specialized functions for the Cherokee Indian Hospital Authority. The employee reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Job Description The incumbent assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnosis and procedure for documented information. Assures the final diagnosis and operative procedures as stated by the physician are valid and complete....

RCM Coder Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina. Essential Functions Post medical charges into NextGen software in a timely manner to meet daily and monthly goals. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information and assigns codes for reimbursements Ability to navigate around CPT, ICD-10, and HCPCS. Work with providers to correct the diagnosis or procedure codes so that the claim can be processed. Identify coding or billing problems from EOBs and...

Supervisor Certified Professional Coder Under the direction of the Revenue Cycle Manager, the Supervisor Lead Certified Professional Coder provides operational oversight, leadership, and supervisory support to the coding team and Lead Certified Professional Coder. This role ensures accurate, compliant, and timely coding and charge capture for physician services, while supporting workflow optimization, staff development, performance management, and quality assurance. The position serves as a key leadership layer to support team growth, scalability, and operational excellence. Primary Job Responsibilities/Tasks may include, but not limited to: Provides direct supervision, mentorship, and daily operational oversight of the Lead Certified Professional Coder and coding staff. Supports staffing, scheduling, workload distribution, and productivity management. Assists with onboarding, training, coaching, and performance evaluations of coding staff. Promotes accountability,...

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry‑standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana’s internal standards. WORK STYLE Remote / Work at home WORK HOURS Associates will work on EST, regardless of where the associate resides. All associates must start between 6 AM‑9 AM EST, Monday‑Friday as a dedicated schedule. Work hours can vary occasionally and/or depending on business needs. Responsibilities Conduct comprehensive...

Inpatient/Outpatient Coder At Ashe Memorial Hospital, we are driven by our mission: "To meet the needs of the community by delivering patient-centered, high quality health care." Ashe Memorial Hospital is proud to have been voted Ashe's Best Place to Work in 2022, 2023, 2024, and 2025. Join a team recognized throughout the community for excellence in healthcare, including awards for Best Hospital, Best Surgeon, Best Physician, Best Nurse, and Best Medical Practice. This is your opportunity to make a meaningful difference in a close-knit mountain community. Position Details Position: Inpatient/Outpatient Coder Schedule: Full-Time Location: Remote at Ashe Memorial Hospital in Jefferson, NC Remote Work: This is remote or hybrid position Supervisory Responsibilities: None Travel Requirements: None Compensation: Pay commensurate with experience Position Summary The Inpatient/Outpatient Coder is responsible for accurately coding diagnoses, procedures, and...

Liberty Cares With Compassion At Liberty Home Care we know that following an illness, trauma or surgery, the ability to recover at home can greatly improve patient outcomes. Our healthcare professionals are dedicated to offering recovery with independence to our patients. We are currently seeking an experienced: HIM FIELD CODER Full Time (Must be located in North Carolina) Job Summary: Provides LHRS facilities with accurate pre-authorization ICD coding and reports codes to facility designated staff within a turn-around time of 5-15 minutes, business days. Provides LHRS facilities with accurate ICD codes during facility HIM staff new hires, vacation, extended leaves or vacancy. Entering codes into facility EHR within a 24 business hours following resident admit. Completes LHM home health and hospice intake coding as assigned. Entering codes into EHR within 24 business hours following notification. Perform ICD code analysis, as requested and report...

Overview 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,...

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 accuracy...

Rural Health Group is seeking a Medical Biller for a full-time position in our Billing department. The position will be located at our Finance office in Roanoke Rapids, NC. Certified Professional Coder certification is preferred, but not required. If certified, you will be required to provide a copy of the certification on your application.  Other details surrounding requirements for the role are below. Rural Health Group, Inc. (RHG) is a well-established 501(c)3 non-profit Federally Qualified Health Center with roots going back 40+ years, now with multiple locations across northeastern North Carolina. Led by a patient-majority Board of Directors, our 300+ employees are dedicated to offering quality care to all with a range of services, including: medical (family practice, internal medicine, infectious disease, pediatrics, OB/GYN), dental, pharmacy, behavioral health, case management, and community outreach. Job duties and responsibilities include: Processes...

Supervisor Certified Professional Coder Job Summary: Under the direction of the Revenue Cycle Manager, the Supervisor Lead Certified Professional Coder provides operational oversight, leadership, and supervisory support to the coding team and Lead Certified Professional Coder. This role ensures accurate, compliant, and timely coding and charge capture for physician services, while supporting workflow optimization, staff development, performance management, and quality assurance. The position serves as a key leadership layer to support team growth, scalability, and operational excellence. Primary Job Responsibilities/Tasks may include, but not limited to: Leadership & Supervision: Provides direct supervision, mentorship, and daily operational oversight of the Lead Certified Professional Coder and coding staff. Supports staffing, scheduling, workload distribution, and productivity management. Assists with onboarding, training, coaching, and performance...

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

Department: 34408 Carolinas Medical Center - Nursing: Med Surg 10A Status: Full time Benefits Eligible: Yes Hou rs Per Week: 36 Schedule Details/Additional Information: 3, 12-hour night shifts per week Holiday rotation Weekend rotation Pay Range $44.15 - $66.25 AH Carolinas Medical Center This position is Sign-on Bonus eligible. In addition to the sign-on bonus, this position may be eligible for a relocation bonus if current residency is outside of the designated distance to the facility. Where You Will Work: 10A is a medical telemetry unit that provides 24-hour care to the adult population. This unit received the Heart of Nursing award recognizing each team member's commitment to process improvement and improving quality and safety outcomes for our patients. Patients are admitted with acute medical and/or surgical conditions, including: COPD, infectious disease, diabetes, r/o TB, pneumonia, fever of unknown etiology and...

Become a part of our caring community The Evaluation & Management Auditor (Medical Coding Auditor) is responsible for the accurate and compliant review of Evaluation and Management services, including complex professional inpatient encounters, minor procedures, emergency room services, consultation services, and annual wellness visits. The ideal candidate will have a strong background in professional fee coding and auditing, expertise in industry-standard encoders, and familiarity with multiple coding resources. This role ensures correct documentation, coding, and billing in accordance with regulatory guidelines, payer policies, and Humana's internal standards. The Medical Coding Auditor Evaluation & Management will report to the Manager, Medical Coding. WORK STYLE: Remote/Work at home WORK HOURS: Associates will work on EST, regardless of where the associate resides. All associates must start between 6AM-9AM EST, Monday - Friday as a dedicated schedule. Work...

Physician Practices Coder Ashe Memorial Hospital | Health Information Management Department At Ashe Memorial Hospital, we are driven by our mission: "To meet the needs of the community by delivering patient-centered, high-quality health care." Ashe Memorial Hospital is proud to have been voted Ashe's Best Place to Work from 2022-2025. Join an award-winning team recognized for excellence in healthcare, including Best Hospital, Best Surgeon, Best Physician, Best Nurse, and Best Medical Practice. This is your opportunity to make a meaningful impact while serving a close-knit mountain community. Position Details Position: Physician Practices Coder Department: Health Information Management (HIM) Reports To: HIM Supervisor Status: Full-Time | Non-Exempt Schedule: Monday-Friday during general business hours Location: Ashe Memorial Hospital - West Jefferson, NC Remote Work: Eligible for remote work up to three (3) days per week upon approval Supervisory...

Become a part of our caring community 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 increasing the accuracy of...

Why Join First Choice Community Health Centers Nestled in the heart of North Carolina, Harnett County offers a unique blend of small-town charm and convenient access to big-city amenities. Located less than an hour from both Raleigh and Fayetteville, residents enjoy the tranquility of rural living with the benefit of nearby urban excitement. At First Choice, we're proud to offer employment opportunities in this beautiful area, giving you the chance to work in a close-knit community while staying connected to the vibrant Triangle region. With a perfect balance of peaceful + affordable living and easy access to cultural and career opportunities, Harnett County is an ideal place to call home. Position Summary The Medical Billing Specialist will be responsible for billing and collections for Medicare, Medicaid, Insurance, and Self Pay patients for all Medical and Dental clinics. Responsibilities of individual Billing Specialist will vary depending on assignment of...

Summary: Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina. Essential Functions Post medical charges into NextGen software in a timely manner to meet daily and monthly goals. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information and assigns codes for reimbursements Ability to navigate around CPT, ICD-10, and HCPCS. Work with providers to correct the diagnosis or procedure codes so that the claim can be processed. Identify coding or billing problems...

Job Description Job Description Job Summary: Envision Pain Management is seeking a detail-oriented and experienced Medical Billing and Coder to join our dedicated team. As a Medical Billing and Coder, you will play a critical role in ensuring accurate coding, timely billing, efficient collections, and overall seamless financial operations across our clinics. Join us in delivering next level care and support to our patients and team members! Responsibilities Verify appropriate ICD, CPT, and HCPCS codes according to Clinicians documentation. Posting of ancillary charges. Manage and process medical claims, including preparing and submitting claims to insurance companies. Follows-up with insurance companies & worker's comp to ensure claims are paid/processed timely. Reports on any trends or possible discrepancies that may cause claims not to be adjudicated correctly. Investigate and resolve any billing discrepancies or insurance-related issues, working...

Overview FirstHealth of the Carolinas is a nationally recognized health care system located in central North Carolina. Comprised of four hospitals with more than 600 beds, the system also offers leading-edge heart care in the Reid Heart Center, the area's only dedicated heart and vascular center. Our growing health system has more than 6,200 employees serving in more than 75 locations throughout a 15-county service area. In addition, FirstHealth has received numerous accolades for its patient care and outcomes, including recognitions from Healthgrades, U.S. News & World Report, and Becker's Healthcare. Employee Benefits At FirstHealth of the Carolinas, we believe in supporting our employees' professional growth and personal well-being. That is why we offer a comprehensive benefit package that is designed to help you thrive. Enjoy a free gym-membership to one of our 7 FirstHealth Fitness Centers to stay active and prioritize your health, take advantage of our...