46 inpatient coder specialist jobs found

A regional healthcare provider in Champaign, Illinois, is seeking a HIM Coder responsible for the accurate coding of hospital encounters to ensure compliant billing. The ideal candidate must hold multiple coding certifications and possess technical coding skills. Duties include providing coding assistance, developing compliant methodologies, and optimizing revenue while adhering to regulatory standards. The role offers a competitive hourly wage ranging from $23.58 to $39.38, alongside a comprehensive benefits package. #J-18808-Ljbffr

Allegheny Health Network Coding Auditor 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 plans in accordance with...

Overview The HIM Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT or HCPC codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Coder is responsible for understanding nd applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM Coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American Academy of...

A leading health data exchange company is seeking a Remote Inpatient Auditing Specialist. The ideal candidate has a minimum of 5 years of inpatient coding experience and is proficient with MS-DRG and APR-DRG. Responsibilities include conducting coding audits and providing coder education. This role offers flexibility and the opportunity to contribute significantly to healthcare decisions. The pay range is competitive, ranging from $35 to $45 per hour. #J-18808-Ljbffr

*Applicants must be located within driving distance to Paris, IL. This role is not a 100% remote role* Horizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you-our family, friends, and neighbors. Position Summary: Codes and/or bills the patient's medical record using pertinent information according to departmental and HMFP policy and procedures. Uses the healthcare coding systems to accurately assign codes to patient accounts and may require entering billing entries....

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) - American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) - American...

Work Schedule: 100% FTE, full-time. Day shift, Monday thru Friday 8:00 am to 4:30 pm (possible flexible schedule - 7:30am to 4:00 pm or 8:30am to 5:00pm). Remote position. Specialties for this role include: Cardiology, Vascular, Interventional Radiology, Oncology and Pulmonary. Additional components of compensation may include: Evening, night, and weekend shift differential Overtime On-call pay At UW Health in northern Illinois, you will have: Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance Annual wellness reimbursement Opportunity for on-site day care through UW Health Kids Tuition reimbursement for career advancement--ask about our fully funded programs! Abundant career growth opportunities to nurture professional development Strong shared governance structure Commitment to employee voice Qualifications...

Work Schedule: 100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote. At UW Health in northern Illinois, you will have : * Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance * Annual wellness reimbursement * Opportunity for on-site day care through UW Health Kids * Tuition reimbursement for career advancement--ask about our fully funded programs! * Abundant career growth opportunities to nurture professional development * Strong shared governance structure * Commitment to employee voice Qualifications High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required Graduate of a Health Information Technology program. Preferred Work Experience 2 years Two years of...

Overview This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This position also reviews and responds to coding-based denials for inpatient, hospital outpatient, and professional fee claims and advises leadership on trends related to denials. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. This position participates in the onboarding...

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...

Job Description Job Summary The Inpatient Coder is responsible for accurately assigning ICD-10-CM and ICD-10-PCS to inpatient hospital visits while adhering to official coding guidelines. Essential Responsibilities Ability to sequence and assign ICD-10-CM/PCS diagnosis and procedure codes to complex inpatient visits by following the coding guidelines. Proficient in interpreting medical documentation to determine the principal diagnosis and procedures codes and to assign the correct Present on Admission (POA) indicator to all codes. Assigns the correct Diagnosis Related Groups (DRG) and All Patient Refined (APR-DRG) while adhering to coding guidelines for sequencing. Ability to write a compliant physician query and collaborate with Clinical Documentation Improvement (CDI) to clarify or resolve conflicting documentation prior to assigning final codes on inpatient accounts. Ability to utilize the Computer Assistant Coding (CAC) software to review medical...

Summary The Medical Record Tech (Coder) position is authorized to telework during the Return to Office (RTO) Mid-term Extension through 04-30-26. Per 10-31-25 Memo from the Acting Under Secretary for Health, "Approval for Mid-term Extension to Return to In-Person Work Requirement," this position is considered part of a series permitted to continue teleworking through 04-30-26." Approval to continue regular reoccurring telework or remote status is contingent upon approval/denial of the RTO Exemption. Responsibilities This position is responsible for maintaining the quality of patient records, assigning of appropriate International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, and various other duties as assigned. Assigns codes to documented patient care encounters covering all DoD outpatient services provided in AHLTA clinics. Applies advanced knowledge of medical terminology, anatomy &...

Abstractor/Coder Under moderate supervision, the Abstractor/Coder is responsible for accurate and timely review and coding of inpatient and outpatient physician services including procedures and surgeries. Ensure that all external regulations affecting the coding process are administered to compliance. Review physician reports and append appropriate CPT, HCPCS, ICD-10 codes, and modifiers verifying that physician documentation supports the billing. Perform and facilitate accurate charge capture of physician services through the review of provider documentation to abstract and/or validate ICD and CPT codes. Responsibilities include: Obtain appropriate reimbursement levels for professional services by reviewing and coding physician services including but not limited to procedures, evaluation and management services, diagnoses, and modifiers. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the...

Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Carle Health. The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient, and/or professional fee encounters using appropriate ICD-10/ICD-PCS, CPT, or HCPCS codes, along with coding software such as computer-assisted coding and encoders. This ensures compliant billing of Carle claims. The HIM Certified Coder must understand and apply all regulatory coding guidelines, including National and Local Coverage Determinations, and CPT modifiers. They are also responsible for applying coding knowledge to resolve billing edits related to coding. The coder uses Carle electronic medical record systems to review clinical encounters. Responsibilities Accurately code all records according to the appropriate coding classification system (ICD-10, CPT, HCPCS, and modifiers). The assigned codes should accurately reflect the diagnoses and procedures...

Overview Medical Coding Specialist II - Inpatient role at UW Health SwedishAmerican. 100% FTE, day shift, Monday - Friday 7am - 3pm Central. You will work remote. Location: northern Illinois. Responsibilities Inpatient facility medical coding (specific duties not listed in the original description). Qualifications High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Graduate of a Health Information Technology program. Preferred 2 years of progressive inpatient facility coding experience. Required 2 years or more of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center. Preferred Licensure and Certifications Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Required CCS or CIC AND RHIT or RHIA combination considered as an...

A healthcare provider seeks a Coding Specialist responsible for applying ICD-10 CM, ICD-10 PCS, and CPT coding rules. The role ensures timely and precise coding of inpatient, outpatient, and ancillary accounts while maintaining compliance and confidentiality. Candidates should possess AHIMA or AAPC certification, preferably with at least two years of coding experience. This position offers a supportive environment committed to professional development and the best patient experience. #J-18808-Ljbffr

WE ARE INSIGHT: AtInsight Hospital and Medical Center Chicago,we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full-service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world-class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago team that provides PATIENT CARE SECOND TO NONE! If you would like to be a part of our future team, please apply now! These duties are to be performed in a highly confidential manner, following the mission, values, and behaviors of Insight Hospital and Medical Center. Employees are further expected to provide a high quality of care, service, and...

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. Coder - Hospital Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. Coder - Hospital Job Description Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Medical Record Management Hours: Full-time Required: High School Diploma, CCA coding certification is preferred Pay: Based on experience, starting at $22.72 Responsibilities Assists physicians with record documentation needs by requesting clarification for additional information. Assists in educating physicians and...

Job Description Be a part of a world-class academic health-care system at UChicago Medicine as a  Clinical Data Analyst, Registry - Inpatient Coder in the Medical Records department . Note: Our Registry staff are expected to work 10 hours per week.  In this role, the Clinical Data Analyst - Inpatient Coder, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient and outpatient medical records for optimal and timely reimbursement and quality reporting. Essential Job Functions Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts Abstracts key data elements required for billing Reviews records for clinical pertinence Interacts with providers for clarification of documentation/education Abstracts and codes records, for patient currently in the Hospitals, for interim billing purposes...

Anticipated End Date: 2026-03-02 Position Title: DRG Coding Auditor Principal Job Description: DRG Coding Auditor Principal Virtual: 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...

Overview This position is responsible for timely and accurate quality review of both internal and vendor coding team members to assure compliance with coding guidelines and standards in addition to their foundation coding responsibilities. The position performs quality checks on coding and provides feedback to coders to assure the timely and accurate coding of medical charts for billing. This position also reviews and response to coding-based denials for inpatient, hospital outpatient and professional fee claims and advises leadership on trends related to denials. In collaboration with HIM coding management, the coder/quality review analyst will assist with selection of coders and encounters to be reviewed, as well as education to be presented to the coder based on review outcomes. The coder/quality review analyst will also bring forward any issues related to documentation or systems as they are discovered during the review process. This position participates in the onboarding...

Description: Remote position; will utilize NM equipment. Description The Financial Coding Specialist reflects the mission, vision, and values of NM, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Responsible for the translation of diagnoses and diagnostic/therapeutic procedures into codes using the International Classification of Diseases and Procedures and the Current Procedural Terminology systems. Generates accurate claims to insurance companies, verifying that infusion documentation and charges coordinate and appropriate modifiers are added. Research and resolves all inquiries from Revenue Cycle Departments in an efficient manner. Responsibilities: • Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types • Assigns Evaluation and Management codes for Facility...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Job Posting The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education opportunities. Navigates Epic EMR,...