18 facility coding inpatient complex coder jobs found

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: PRN (non-benefit eligible, as needed) Shift: Flexible Days: Sunday - Thursday OR Tuesday - Saturday The Advanced Inpatient Coding Specialist is a PRN (non-benefit eligible) 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...

BayCare 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. Sign on bonuses available! 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...

Medical Coder Inspire health. Serve with compassion. Be the difference. Job Summary To code medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines. This position will perform Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. To code for...

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. 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...

Coder II Under the direct supervision of the Hospital Coding Supervisor, the Coder II will be responsible for abstracting and coding medical record documentation across various departments, including inpatient, outpatient, clinic, and emergency services. This role involves selecting and sequencing the appropriate ICD-10-CM/PCS, HCPCS, and CPT-4 codes to ensure accuracy and compliance with coding guidelines. The Coder II will contribute to coding compliance by ensuring timely and accurate assignment of codes for diagnoses and procedures, including the final DRG assignment. Adheres to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment. Entity: Medical University Hospital Authority (MUHA) Worker Type: Employee Worker Sub-Type: Regular Cost Center: CC002307 SYS - Hospital Coding Pay Rate Type: Hourly Pay Grade: Health-25 Scheduled Weekly Hours: 40 The...

Job Description Job Description Job Title: Medical Biller and Financial Coordinator Position Summary This position is responsible for accurate medical coding, timely insurance claim submission, managing patient accounts and efficient revenue cycle management. This role works closely with providers, patients, and insurance companies to maintain compliance, maximize reimbursement, and provide excellent patient financial communication. The ideal candidate demonstrates strong analytical and communication skills, attention to detail, and a solid understanding of insurance processes to support financial integrity and patient satisfaction. Key Responsibilities Medical Coding Review clinical documentation to accurately assign ICD-10, CPT, and HCPCS codes Ensure coding accuracy, completeness, and compliance with payer and regulatory guidelines Identify and resolve coding discrepancies in collaboration with clinical staff Stay current with coding updates, policy changes, and industry...

Coding Full Time Day Shift 8:00 am-4:30 pm Sign-On Bonus: 5,000.00 Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation. Minimum Qualifications Minimum Education: High School Diploma or Equivalent Minimum Years of Experience: 3 Years of Experience in Facility Coding Covering Multiple Services (Combination of DRG and OP Services or Multiple OP Services), which they successfully met quality and productivity standards. Substitutable Education & Experience (Optional): None. Required Certifications/Licensure: At least one active certification (RHIA/RHIT//CCS/CCS-P//CPC/CPC-H/COC//CIC) Required Training: Experience working in a combination of the following areas: ED, OPS, or IP; completion of courses in Anatomy, Physiology, and Medical Terminology; must be computer...

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...

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...

Coder II-1 Under the direct supervision of the Hospital Coding Supervisor, the Coder II will be responsible for abstracting and coding medical record documentation across various departments, including inpatient, outpatient, clinic, and emergency services. This role involves selecting and sequencing the appropriate ICD-10-CM/PCS, HCPCS, and CPT-4 codes to ensure accuracy and compliance with coding guidelines. The Coder II will contribute to coding compliance by ensuring timely and accurate assignment of codes for diagnoses and procedures, including the final DRG assignment. Adheres to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment. Location: South Carolina Entity: Medical University Hospital Authority (MUHA) Worker Type: Employee Worker Sub-Type: Regular Cost Center: CC002307 SYS - Hospital Coding Pay Rate Type: Hourly Pay Grade: Health-25 Scheduled Weekly...

Overview BlueCross BlueShield of South Carolina is a leading national insurance company that has served the South Carolina community for more than seventy years. We are the largest insurance company in South Carolina, a leading administrator of government contracts, and operate one of the most sophisticated data processing centers in the Southeast. With a diverse family of subsidiary companies we deliver outstanding service to our customers and build on diverse business strengths. Position Purpose Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (serious, preventable medical errors) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. Location This is a remote position, Monday -...

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...

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. Core Values 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: Benefits may vary based upon position type and/or level. Job Summary The...

Overview Coding Full Time Day Shift 8:00 am-4:30 pm. Sign-On Bonus: 5,000.00. Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer’s care center. Its postgraduate...

Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation. Minimum Qualifications Minimum Education: High School Diploma or Equivalent Minimum Years of Experience: 3 Years of Experience in Facility Coding Covering Multiple Services (Combination of DRG and OP Services or Multiple OP Services), which they successfully met quality and productivity standards. Substitutable Education & Experience (Optional): None. Required Certifications/Licensure: At least one active certification (RHIA/RHIT//CCS/CCS-P//CPC/CPC-H/COC//CIC) Required Training: Experience working in a combination of the following areas: ED, OPS, or IP; Completion of courses in Anatomy, Physiology, and Medical Terminology; Must be computer literate and have experience with Microsoft applications (i.e., Word,...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

Inspire health.Serve with compassion.Be the difference.Job SummaryCodes medical information into the organization billing / abstracting systems for multiple facilities.Performs moderate to complex Outpatient Surgery, Gastrointestinal (GI) Procedure and Observation coding by assigning International Classification of Diseases (ICD), Current Procedural Terminology (CPT) codes, and HCC codes.Performs Emergency Department, ambulatory clinic, diagnostic, and ancillary coding.Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Codes moderate to complex Outpatient Surgery, and Observation records from clinical documentation as well as Emergency department, ancillary and ambulatory clinic records; assigns modifiers as appropriate.Queries...