23 inpatient coder specialist jobs found

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

Join Our Extraordinary Team 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. Title: 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. Alternate locations may be considered if candidates reside within a commuting distance from an office. The DRG Coding Auditor is...

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...

Reports to the Manager, Coding & Records.Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system.Assigns DRGs to Medicare, Medicaid, and other required payors.Determines DRG and APC assignment on outpatient and inpatient records.Maintains productivity and accuracy levels for the assigned job code.This is a remote position; however, candidates must reside in one of the following states:Indiana, Michigan, Illinois, Kansas, Ohio, Georgia, Kentucky, Florida, Idaho, Minnesota, Tennessee, Wisconsin, Colorado, South Carolina, North Carolina, or Texas.MISSION, VALUES and SERVICE GOALS MISSION:We deliver outstanding care, inspire health, and connect with heart.VALUES:Trust.Respect.Integrity.Compassion.SERVICE GOALS:Personally connect.Keep everyone informed.Be on their team.Reviews and analyzes discharged patient medical records to ensure all applicable patient data is available for coding and...

Company: Allegheny Health Network Job Description: GENERAL OVERVIEW: This role involves comprehensive medical record reviews to extract vital medical and demographic data, accurately interpret and apply diagnoses and procedures using ICD coding systems, and contribute to reducing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES: Thoroughly review and interpret medical records, physician treatment plans, outcomes, and other relevant information to assign appropriate ICD codes for diagnoses and procedures. (65%) Abstract necessary data elements to fulfill statistical requests from the hospital, health system, and medical staff, ensuring all coded and abstracted information is accurately input into the designated system. (15%) Manage medical information efficiently and support cash flow by monitoring and addressing the unbilled coding report. (10%) Stay updated on ICD guidelines by participating in training, reviewing coding clinics,...

Anticipated End Date: 2026-02-06 Position Title: DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) Job Description: Be Part of an Extraordinary Team 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. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) 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. 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...

SPECIALTY SCOPE FOR THIS CODER II POSITION TO INCLUDE BUT NOT LIMITED TO: Upper Extremity: - Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair - Elbows: Cubital tunnel release, Bursectomy, Arthroplasty - Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) - Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: - Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy - Pelvis: Fracture repairs - Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs - Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs,...

ResponsibilitiesThe Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement.Assign and sequence ICD-10-CM / CPT codes by applying regulatory coding guidelines.Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books.Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record.Queries physicians for diagnoses or missing / ambiguous information for accurate coding.Apply organizational documentation policies and procedures in conjunction with official coding guidelines.Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement.Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and / or clinic records in a consistent, accurate and timely manner.Ensures the final diagnosis...

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 have high school education.Must have CCS...

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...

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 responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, community is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered and we couldnt do it without you. Make a Difference Responsibilities The Certified Coding Auditor aims to enhance documentation, specificity, and coding precision to ensure continuity of care and clean claims for appropriate reimbursement. Your responsibilities will be: Reviewing coding accuracy The...

Allegheny Health Network Job Posting 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...

OrthoIndy Northwest Clinic Coder The Clinic Coder is responsible for reviewing medical record documentation, posting charges consisting of CPT codes, ICD-10 diagnosis codes, and appropriate modifiers. Essential Duties: Posts clinic charges. Reviews medical record documentation for accuracy to support billing. Informs manager of compliance problems or issues. Communicates with Physician and staff when query needed on patient charges. Requirements: High School Diploma or GED required, specialty training beyond high school preferred 1-2 years of related experience required, 2-4 years of experience preferred Certified Professional Coder certification or Certified Coding Specialist Physician-based certification required OrthoIndy is an Equal Opportunity Employer

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...

Facility : OrthoIndy Lafayette, IN Department: Coding Shift Details : Full Time, Mon-Fri 8-5pm At OrthoIndy everything we do is about creating a caring, connected and committed workforce that directly improves the quality of life for our employees and customers. Be part of something great! General Statement of Duties : The Clinic Coder is responsible for reviewing medical record documentation, posting charges consisting of CPT codes, ICD-10 diagnosis codes, and appropriate modifiers. Essential Duties: Posts clinic charges. Reviews medical record documentation for accuracy to support billing. Informs manager of compliance problems or issues. Communicates with Physician and staff when query needed on patient charges. Requirements: High School Diploma or GED required, specialty training beyond high school preferred 1-2 years of related experience required, 2-4 years of experience preferred Certified Professional Coder certification or...

Job Description About the Role: We invite you to be part of our forward-thinking healthcare information management team as a Senior Inpatient Medical Coding Specialist. This critical role will enable you to bridge the gap between clinical data and cutting-edge technology, directly contributing to the evolution of AI-driven solutions for medical coding and billing. Your extensive knowledge will play a vital role in shaping our product development strategies. Requirements and Qualifications: At least 3 years of in-depth experience in inpatient medical coding within a hospital environment. Proven expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. Thorough understanding of the evidence requirements necessary for precise coding. Hands-on experience with grouper software for MS-DRG and APR-DRG assignment. Strong communication skills for effective collaboration...

Facility : OrthoIndy South, Greenwood, IN Department: Coding Shift Details : Full Time, Mon-Fri 8-5pm At OrthoIndy everything we do is about creating a caring, connected and committed workforce that directly improves the quality of life for our employees and customers. Be part of something great! General Statement of Duties : The Clinic Coder is responsible for reviewing medical record documentation, posting charges consisting of CPT codes, ICD-10 diagnosis codes, and appropriate modifiers. Essential Duties: Posts clinic charges. Reviews medical record documentation for accuracy to support billing. Informs manager of compliance problems or issues. Communicates with Physician and staff when query needed on patient charges. Requirements: High School Diploma or GED required, specialty training beyond high school preferred 1-2 years of related experience required, 2-4 years of experience preferred Certified Professional Coder certification or...

JOB SUMMARY AND SPECIFICATIONS JOB SUMMARY Under the supervision of the manager or designee, codes hospital records for the purpose of reimbursement and compliance with federal regulations according to diagnosis (es), operation(s), and procedure(s) using ICD-10-CM and CPT systems; analyzes and reviews records for completeness; and coordinates the follow-up on deficient/delinquent hospital discharge records. MINIMUM QUALIFICATIONS Professional & Technical Skills Minimum 2 years coding experience is preferred, medical experience preferred. Strong organizational skills, office procedures, communication skills, and attention to detail are required. Extensive use of the hospital information system is required. Medical terminology and ability to type 40 wpm. Education High School Diploma or GED License(s) or Certification(s) Certified Coding Specialists preferred. Other Skills or Requirements Ability to function under stressful...

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...

Facility : OrthoIndy Northwest, Indianapolis, IN Department: Coding Shift Details : Full Time, Mon-Fri 8-5pm At OrthoIndy everything we do is about creating a caring, connected and committed workforce that directly improves the quality of life for our employees and customers. Be part of something great! General Statement of Duties : The Clinic Coder is responsible for reviewing medical record documentation, posting charges consisting of CPT codes, ICD-10 diagnosis codes, and appropriate modifiers. Essential Duties: Posts clinic charges. Reviews medical record documentation for accuracy to support billing. Informs manager of compliance problems or issues. Communicates with Physician and staff when query needed on patient charges. Requirements: High School Diploma or GED required, specialty training beyond high school preferred 1-2 years of related experience required, 2-4 years of experience preferred Certified Professional Coder...

Allegheny Health Network Job Posting 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...