29 inpatient coder specialist jobs found

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. 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 abstracting by: Checking the diagnosis and procedure to ensure accurate coding and sequencing as specified by established coding principles and guidelines, following AHA, AHIMA, and CMS coding guidelines for outpatient and inpatient records....

Coder II - Inpatient Remote Position Hours: M-F, Flexible hours after training period. Sign-on Bonus Job Description: The Coder II - Inpatient is responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes for inpatient encounters in accordance with official coding guidelines, hospital policies, and regulatory requirements. This role ensures the integrity of the patient medical record, supports appropriate reimbursement, and contributes to compliance, quality reporting, and data integrity for Powers Health hospitals. Reviews and evaluates inpatient medical records via the EMR to determine appropriate diagnosis and procedures to be coded based on industry standards, federal regulations and hospital guidelines. Accurately assigns the appropriate code set to the diagnosis and procedures documented in the EMR via the encoder and in compliance with accuracy and productivity requirements. Completes queries where necessary and works closely with the...

Job Description Job Description Harrison County Hospital is seeking a Certified Medical Coder (CCS).This position is full-time, Monday through Friday 8a-4:30p, 40 hours per week.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 excellent ICD-10-CM, CPT, and CCS coding skills.Must have detailed knowledge of medical terminology and anatomy/physiology.Desire one year coding work experience in the hospital or physician setting.Desire a...

Harrison County Hospital is seeking a Certified Medical Coder (CCS). This position is full-time, Monday through Friday 8a-4:30p, 40 hours per week. 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 excellent ICD-10-CM, CPT, and CCS coding skills. Must have detailed knowledge of medical terminology and anatomy/physiology. Desire one year coding work experience in the hospital or physician...

Job DescriptionJob DescriptionHarrison 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...

Riverview Main Campus 395 Westfield Rd Noblesville, IN 46060, USA Review, code, data entry and interpret with accuracy and complete patient data for medical office, outpatient, inpatient, handwritten chart entries, practitioner orders and other related documentation to ensure accurate information is being submitted for billing. Obtain accurate and complete patient data through the review of the medical record, discharge summary, history and physical, consultation, progress notes, and laboratory, radiology, operative and pathology reports. Maintains competence in and up-to-date knowledge of healthcare compliance requirements, practices, trends, coding rules and standards in areas of responsibility. Maintains professional affiliations and credentials as appropriate. Consistently supports the compliance and principles of responsibility by maintaining confidentiality, protecting the assets for the organization, acting with integrity, reporting observed fraud and abuse and complies...

Summary Job Description: Baptist Health is looking for an Inpatient Coder to join our team! This is a remote work position that requires residency in KY or IN Function in a fully accountable role with respect to ensuring the overall quality of inpatient coding withcontinuous quality improvement when indicated. The coder ensures that accurate and complete coding isperformed so it can be used for measuring and reporting physician and hospital outcomes. The codermaintains an extensive up to date knowledge of clinical coding and has an extensive knowledge of thedocumentation requirements and guidelines in accordance with Coding Clinic and AHA Official CodingGuidelines as they pertain to diagnosis and procedural coding. Qualifications: Associate degree. In lieu of associate degree, Certified Coding Specialist credential with two years of inpatient coding experience. Would consider a new AHIMA credential eligible graduate. Microsoft Office experience, EHR...

Location: This role enables associates to work virtually full-time, except for 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 if candidates reside within a commuting distance from an office. 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 accommodation is granted as required by law. Patient Safety DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of...

Registered Nurse - Diagnosis Related Group Coding Auditor Principal – Carelon Payment Integrity Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. 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 rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical records and attending physician’s statements provided by acute care hospitals on paid DRG,...

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...

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 certification.Must...

Coder I Specialist Professional - Office Visits E&M The Coder I Specialist Professional - Office Visits E&M reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on professional and office visits. This position abstracts key data elements necessary for billing and data analysis. Who We Are With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. What You Can Expect Accurately reviews and codes patient records in the following clinical areas: hospitalist rounds and office visits (with repetitive or non-invasive procedures). Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD...

Description The Hospice & Palliative Care Medical Billing Specialist is responsible for the accurate and timely management of billing, reimbursement, and collections for all hospice and palliative care patients. As a newly established role, this individual will help shape workflows and processes through active feedback and collaboration. This role also ensures compliance with Accreditation Commission for Health Care (ACHC) standards, CMS hospice regulations, and all applicable federal and state requirements. Reviews and verifies patient eligibility for hospice and palliative care services, including certification of terminal illness and benefit period requirements. Confirms and documents patient insurance coverage, including Medicare Hospice Benefit, Medicaid, and commercial payers. Processes, verifies, and submits hospice claims (Medicare Part A, Medicaid, and commercial) in accordance with hospice billing requirements, including election dates, revocations,...

Job ResponsibilitiesAbstracts pertinent information from patient records for provider services. Reviews the International Classification of Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT), or Healthcare Common Procedure Coding System (HCPCS) codes, including modifiers, assigned by providers. Works with providers to correct any codes or charges when errors are identified.Reviews medical records for diagnoses that meet medical necessity according to the CMS Local Coverage Determination (LCD) and/or National Coverage Determination (NDC) guidelines.Reviews and interprets provider notes using CPT and ICD coding books and/or software. Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Works with providers to correct any identified errors.Conducts chart audits for provider documentation and recognizes when it is necessary to obtain further clarification from providers when documentation is inadequate or...

OrthoIndy Clinic CoderThe Clinic Coder is responsible for reviewing medical record documentation, posting charges consisting of CPT codes, ICD-10 diagnosis codes, and appropriate modifiers.Essential duties include: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 preferred1-2 years of related experience required, 2-4 years of experience preferredCertified Professional Coder certification or Certified Coding Specialist Physician-based certification requiredOrthoIndy is an Equal Opportunity Employer

Job Description Job Description Job Summary The Coding Specialist reviews superbills and the corresponding medical record documentation and assigns appropriate CPT, HCPCS, modifiers, and ICD 10 codes and post charges in order to achieve maximum reimbursement in accordance with OSNI protocols and procedures along with CMS and private payer guidelines. The core responsibilities will include: daily charge posting after assignment of appropriate billing and diagnostic codes, review of first level rejected claims in practice management, use of hospital portals to obtain operative reports and patient demographics, scanning of completed work into SRS . Additional responsibilities include querying physicians and ancillary medical staff when medical record requires clarification, ensuring medical record is amended by provider when appropriate and participating in internal provider coding review sessions. Qualifications: High school diploma or an equivalent combination of...

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 couldn't do it without you. Make a Difference The HIM Certified Coder will be responsible for coding and abstracting for physician billing using software and coding books based on current work assignment. Exceptional Skills and Qualifications Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a strong attention to...

Job Description Job Description Bone & Joint Specialist, one of Indiana's leading providers in orthopedic care, is seeking a skilled and detail-oriented Medical Biller to join our in-house team. This role is essential to supporting our revenue cycle operations. The ideal candidate will have strong knowledge of medical billing practices, a commitment to accuracy and the ability to work efficiently in a fast-passed healthcare environment. This is an excellent opportunity to be part of a collaborative team dedicated to delivering high-quality patient care. PLEASE NOTE: This is an on-site position and not eligible for remote work. We are seeking serious qualified applicants who are ready to contribute and grow with our organization. Job Description On-site position (not eligible for remote) Prepares and submits medical claims to insurance companies. Determines appropriate charges based on services provided. Reviews patient accounts to ensure accuracy...

Orthoindy South Clinic Coder 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 Certified Coding Specialist Physician-based certification required OrthoIndy is an Equal...

OrthoIndy 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 include: 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

Job Description: 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...

The Professional Coder at Eskenazi Health provides timely and accurate clinical coding and abstraction of inpatient and outpatient services to support compliant reimbursement, research, and quality initiatives. The role covers professional and facility services including E&M, diagnostic and ancillary services. You will review documentation, ensure coding accuracy, assist with training, and collaborate with physicians and AR specialists. #J-18808-Ljbffr

Position Status:Shift:Variable Less than 12 hour shift (United States of America)Hours per week:0Job InformationExemption Status: Non-ExemptA Brief OverviewReviews medical record documentation for assigning accurate ICD-10-CM diagnosis, procedure and CPT codes and chart abstracting for hospital related services, including "dual" medical coding, also known as Single Path Coding, for various specialties.Education QualificationsHigh School Diploma / GED RequiredExperience Qualifications2 years Coding experience. PreferredSkills and AbilitiesKnowledge of medical terminology. (Required proficiency)Knowledge of coding and regulatory guidelines. (Required proficiency)Licenses and CertificationsRegistered Health Information Administrator (RHIA) - AHIMA Required orRegistered Health Information Technician (RHIT) - AHIMA Required orCertified Coding Specialist - CCS Required orCertified Professional Coder - AAPC CPC also accepted. RequiredCertified Coding Associate - AHIMA CCA also accepted....