10 hospital inpatient coder specialist jobs found

Diagnosis Related Group Clinical Validation Auditor‑RN (CDI, MS‑DRG, AP‑DRG and APR‑DRG) Join to apply for the Diagnosis Related Group Clinical Validation Auditor‑RN (CDI, MS‑DRG, AP‑DRG and APR‑DRG) role at Elevance Health . Virtual Work This role enables associates to work virtually full‑time, with the exception of required in‑person training sessions. Candidates must be within a reasonable commuting distance from a posting location unless accommodations are granted as required by law. Primary Duties Analyze and audit claims by integrating medical chart coding principles, clinical guidelines and objective medical audit practices. Apply advanced ICD‑10 coding expertise, clinical guidelines and industry knowledge to substantiate audit conclusions. Use audit tools and workflow systems to make determinations and generate audit findings letters. Maintain accuracy and quality standards set by audit management for claim identification and documentation purposes. Identify new...

Anticipated End Date: 2025-04-04 Position Title: DRG Coding Auditor Job Description: DRG CODING AUDITOR Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding...

DRG Coding Auditor This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG CODING AUDITOR is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for...

DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case...

DRG Coding Auditor Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician's statement sent in by acute care hospitals on submitted DRG. Primary duties may include, but are not limited to: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit...

Harrison County Hospital is seeking a Certified Inpatient Hospital Coder - CCS required. **This position has the opportunity to be a remote position. Employee will be asked to complete training at Harrison County Hospital and must be able to come in for business purposes. Employees in the role must reside in Kentucky or Indiana. Position available: Full-time, Days, 32-40 hrs/wk. The Coder reports directly to the HIM Director. The Coder performs the assignment of ICD-10 diagnosis and procedures and CPT procedure codes for billing and classification of medical records for both Inpatient and Outpatient charts. REGULATORY REQUIREMENTS: Must have detailed knowledge of third party reimbursement rules and regulations including Medicare and Medicaid. Complies and adheres to the Corporate Compliance Program. LANGUAGE SKILLS: Must be able to speak English fluently. Must be able to speak and understand medical terminology. EDUCATION/EXPERIENCE: Must...

Inpatient Hospital Coder, CCS Required Health Information Corydon, IN, USA Full Time

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Job Purpose: The Coding Specialist III can maintain up to two concurrent client assignments that are short-term in nature. For each client, the Coding Specialist III reviews documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs. For both professional and technical claims and data needs, the Coding Specialist III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also validates MS-DRG and APC calculations,...

Ovation Healthcare Facility Inpatient Coder Welcome to Ovation Healthcare! At Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions. The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior. We're looking for talented, motivated...

3 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Estimated Pay Range: $23.16 - $34.74 / hour, based on location, education, & experience. Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfillment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced Profee Coder with at least 1 year of Urology coding experience to join our talented team. Preferred experience in Surgical Urology and Gynecology Oncology and coding, knowledge and experience with academic coding/guidelines. Ideal Candidate: Minimum 1 year recent...