22 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 high-acuity, Level I Trauma academic environment. In this role, you'll accurately assign ICD-10-CM, ICD-10-PCS, and MS-DRG 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...

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 ICD-10-CM, ICD-10-PCS, and MS-DRG 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...

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

Overview 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...

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 ICD‑10‑CM, ICD‑10‑PCS, and MS‑DRG codes across a wide range of complex inpatient cases, collaborate with CDI specialists, and submit electronic queries when clarification is needed. Application Deadline: March 6, 2026. 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...

Department Overview This level 3 coding position provides support to the Enterprise Coding Department for coding highly specialized services. The role requires advanced coding experience in highly specialized areas and certification with AAPC or AHIMA. Function/Duties of Position Coding at 95% or above accuracy. Abstract information from patient medical records to assign correct codes to inpatient records, outpatient surgical records, and/or observation cases. Work assigned charge sessions in assigned EPIC charge router work queues. Depending on posted job need, assign correct CPT, ICD‑10‑CM, HCPCS, or ICD‑10‑PCS and DRGs for facility and/or professional charges, involving complex procedure and diagnostic coding within highly specialized areas such as Inpatient Coding or surgical coding. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP). Coordinate patient encounter billing...

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,...

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:...

Department Overview This level 2 coding position provides support to the Enterprise Coding Department for coding of physician's fees. This position requires experience in coding and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS). Assign correct CPT, ICD-10-CM, and HCPCS codes for facility and/or professional charges, which could include E&M services; diagnostic services; procedural services; and/or Charge Routers and Charge entry. Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned professional services at OHSU. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS...

This position can be remote. Please review the approved remote states below. Remote Work Approved States Arizona Florida Georgia Idaho Iowa South Dakota Texas South Carolina Wisconsin North Carolina *If your state is not listed, you must relocate to Montana or one of the approved states above to be eligible for this position. Position Summary The Coder II will evaluate medical records and charge tickets to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM) and the American Medical Associations Current Procedural Terminology Manual (CPT). The Coder II will also provide technical guidance and training on medical coding to physicians and staff as required. Minimum Qualifications Required High School Diploma or Equivalent One of the following professional coding certifications: Certified Professional Coder (CPC), or Certified Coding Specialist (CCS), or Certified Coding Specialist...

Your Future Evolves Here Evolent is dedicated to transforming health care by partnering with health plans and providers to improve outcomes for individuals with complex and high-cost health conditions. We aim to bridge the gaps in the fragmented health care system, ensuring every person receives the compassionate care we would wish for our own loved ones. At Evolent, we prioritize work/life balance and provide the flexibility to allow our employees to tailor their work to fit their lives. We believe that the best work happens in an environment that supports personal well-being and encourages authenticity. This commitment to diversity and inclusion is at the heart of our organization. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Medical Coder - FWA Auditor plays a vital role in ensuring the accuracy of complex claim reviews, coding, and billing in alignment with the Plans' provider agreements and National Healthcare...

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...

Department Overview This level 2 coding position provides support to the Enterprise Coding Department for coding of physician's fees and/or facility fees. This position requires experience in coding and requires certification with AAPC or AHIMA. For Professional Services coding positions: This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers to evaluation and management services and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines. For Facility Services coding positions: This position is responsible for reviewing documentation of outpatient diagnostic and ancillary services for diagnostic radiology, pathology, and other ancillary facility services at OHSU. This position...

Department Overview This level 2 coding position provides support to the Enterprise Coding Department for coding of physician's fees. This position requires experience in coding and requires certification with AAPC or AHIMA. Function/Duties of Position Coding Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS). Assign correct CPT, ICD-10-CM, and HCPCS codes for professional charges, which could include E&M services; diagnostic services; procedural services; and/or Charge Routers and Charge entry. Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in professional services at OHSU. Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon...

OB/GYN Professional Fee Coder (Coding Specialist 2) US--Remote Requisition ID: 2025-36725 Position Category: Hospital/Clinic Support Job Type: AFSCME union represented Position Type: Regular Full-Time Posting Department: Enterprise Coding Posting Salary Range: $33.07 - $44.69 per hour, with offer based on experience, education and internal equity Posting FTE: 1.00 Posting Schedule: Monday - Friday Posting Hours: 5:00am - 10:00pm (with some flexibility available) HR Mission: Central Services Drug Testable: No Department Overview Join OHSU's Enterprise Coding Department and help drive excellence in women's health documentation, OB/GYN coding integrity, and high quality patient care. We're looking for a detail driven, credentialed coding professional with significant experience in obstetrics and gynecology professional fee coding who thrives in a collaborative, mission focused environment. If you're passionate about specialty coding accuracy, continuous...

Overview This level 2 coding position provides support to the Enterprise Coding Department for coding of physician’s fees and/or facility fees. This position requires experience in coding and requires certification with AAPC or AHIMA. Responsibilities For Professional Services coding positions: review clinical documentation and apply the correct coding and modifiers to evaluation and management services and non-surgical procedural services. Ensure that the documentation supports the levels or types of service billed, is in compliance with Medicare/Medicaid billing regulations, and provider documentation guidelines, CPT documentation and CMS coding guidelines. For Facility Services coding positions: review documentation of outpatient diagnostic and ancillary services for diagnostic radiology, pathology, and other ancillary facility services at OHSU. Provide support to the Enterprise Coding Department for abstracting of records, coding, and charge router submission of Facility...

A healthcare services provider is seeking an experienced Inpatient Coder II to join a remote team focused on complex inpatient cases. This role involves coding diverse specialties while maintaining high accuracy, collaborating with specialists, and submitting electronic queries. Applicants should have a minimum of three years of inpatient coding experience, relevant certifications, and the ability to thrive in a fast-paced remote environment. The position offers competitive pay of $35.00 - $42.00/hr and comprehensive benefits. #J-18808-Ljbffr

Overview Coding Auditor/Trainer (Coding Coordinator) US--Remote Requisition ID: 2025-34528 Position Category: Hospital/Clinic Support Job Type: AFSCME union represented Position Type: Regular Full-Time Posting Department: Enterprise Coding Posting Salary Range: $44.02 - $60.45 per hour, with offer based on experience, education and internal equity Posting FTE: 1.00 Posting Schedule: Monday - Friday HR Mission: Central Services Drug Testable: No Department Overview Empower coders. Elevate accuracy. Transform the future of coding excellence. We\'re hiring a Coder Auditor/Trainer to help elevate coding excellence across OHSU. If you\'re an experienced profee coding auditor and trainer who loves diving into complex cases, shaping coder development, and raising the bar for accuracy and compliance, this role puts your expertise exactly where it belongs — at the center of organizational impact. As a Coder Auditor/Trainer at OHSU, you\'ll be the go-to authority for some of the most...

Coding Auditor/Trainer (Coding Coordinator) Location : US – Remote Requisition ID : 2025-34528 Position Category : Hospital/Clinic Support Job Type : AFSCME union represented Position Type : Regular Full-Time Posting Department : Enterprise Coding Salary Range : $44.02 – $60.45 per hour, offer based on experience, education, and internal equity FTE : 1.00 Schedule : Monday – Friday HR Mission : Central Services Drug Testable : No Department Overview Empower coders. Elevate accuracy. Transform the future of coding excellence. We’re hiring a Coder Auditor/Trainer to help elevate coding excellence across OHSU. If you’re an experienced coding auditor and trainer who loves diving into complex cases, shaping coder development, and raising the bar for accuracy and compliance, this role puts your expertise exactly where it belongs — at the center of organizational impact. As a Coder Auditor/Trainer at OHSU, you’ll be the go‑to authority for some of the most challenging coding...

A prominent healthcare institution is seeking a Coding Auditor/Trainer to enhance coding excellence. This role involves designing training programs, conducting audits, and mentoring coders across multiple specialties. The ideal candidate will have strong medical coding knowledge, excellent communication skills, and the ability to simplify complex concepts. Join a collaborative team dedicated to improving documentation quality and patient care while enjoying a comprehensive benefits package. #J-18808-Ljbffr