12 inpatient coder 2 jobs found

Job Summary:   The DRG Coding Validator integrates advanced clinical nursing knowledge with expert inpatient coding proficiency to perform comprehensive validation of Diagnosis-Related Group (DRG) assignments and associated inpatient medical record coding. Drawing on dual expertise as a Registered Nurse (RN) and a Certified Inpatient Coder (CIC or CCS), this role evaluates both the clinical validity of documented diagnoses and procedures and the accuracy of ICD-10-CM/PCS code assignments, DRG sequencing, and discharge dispositions. This position serves clients by identifying coding inaccuracies, unsupported clinical documentation, and DRG assignment errors across MS-DRG and APR-DRG reimbursement methodologies.     Why You'll Love Working at ClarisHealth   We believe our team deserves the best, and we’re proud to offer a comprehensive benefits package designed to support your success, both at work and in life. Here’s what you can look forward to:   Medical,...

AGS Health is seeking an Inpatient Coding Specialist who will be responsible for coding all requested inpatient medical records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment, while meeting specified productivity and accuracy standards. The coding specialist will also be responsible for abstracting key data required from the medical information consistent with UHDDS requirements and other regulatory coding guidelines. JOBS-TO-BE-DONE ( JTBDs): Codes all requested Inpatient records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment in accordance with coding guidelines. Abstracts, codes, and assigns necessary demographic and clinical data elements required. Writes appropriate, non-leading queries. Maintains quality and productivity according to client requirements.   KEY SELECTION CRITERIA: Candidate qualifications :  Certified through AHIMA or AAPC (CCS, CPC, or CIC) Minimum 2 years inpatient...

Join the winning team and work with the best!    With over 40 years of experience and enduring partnerships with our valued clients, we take pride in the stability we have built and the long-term success of our dedicated team. At UASI, we provide coding professionals with an ideal opportunity: an exciting and fulfilling role that challenges you to utilize and enhance your coding expertise, all while enjoying the flexibility and comfort of working from home. We are currently seeking experienced an experienced Medical Coding Specialist to perform accurate code assignments for facility outpatient, same day surgery and observation records. The ideal candidate will be flexible, detail-oriented, quality conscious and be able to adapt well to change. Additional qualifications include: AHIMA or AAPC certification. A minimum of five years’ outpatient coding experience in an acute care setting is required. Experience accurately assigning ICD-10-CM, CPT,...

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 a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the...

Summary The Experienced Medical Billing Specialist provides best-in-class full RCM billing services for our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late, underpaid or denied; work closely with providers, practice managers and staff to implement best practice protocols. Responsibilities Learn and become proficient with the premiere pediatric system in the industry - Physician’s Computer Company (PCC) Billing. Efficiently analyze insurance claims throughout the submission process, insuring claims are accurately coded in a timely fashion, and for optimum reimbursement and compliance. Ensure that all claims reach the payers, and independently resolve any issues (underpayments, denials, etc.) with the claims so they are paid fully and on time. Post payments, organize processing of patient correspondence and statements. Answer phone inquiries from...

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. Risk Adjustment Coding Specialists are an important part of the Team at Virtix Health. The HCC Coding Team Member will review medical records to abstract ICD-10 codes, specifically those that map to HCCs, RxHCCs, and ESRD models. Coders will follow Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements. Equipment provided along with Encoder software with access to AHA Coding Clinic This is a remote position ESSENTIAL DUTIES AND RESPONSIBILITIES:...