25 inpatient coding specialist jobs found

Coding Specialist I Your job is more than a job The Coding Specialist I will be responsible applying the appropriate ICD-10-CM/PCS and CPT (charging) diagnostic and procedural codes for outpatient and/or inpatient encounters, ancillary encounters ambulatory/ provider-based clinics. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APCs, CPT/HCPCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing...

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Job Description Summary: This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties: 60% Assigns appropriate admit, & principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO a indicators to all inpatient account diagnoses as required by official coding...

Job Title: Outpatient Medical Coder 3 Department: Health System Shared Services | MIM CDI and Coding Scope of Position Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process. Position Summary The position is responsible for coding medical records and other documents at the conclusion of the patient's visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of...

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 SUMMARY: The Coding Specialist III will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the needs of hospital data retrieval for billing and reimbursement. Coding Specialist III validate MSDRG and/or APC calculations in order to accurately capture the diagnoses/procedures documented in the clinical record. Coding Specialist III performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and...

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As an Interventional Radiology Coder, you will be dedicated to either hospital inpatient or hospital outpatient coding. In this role, you will code and abstract highly complex clinical information from high-acuity inpatient charts or outpatient surgery and observation charts for reimbursement, research and compliance with federal regulations and other agencies, utilizing established coding principles and protocols. This position will help expand our in-house outpatient surgery coding team, including the ability to code and charge for interventional radiology procedures. Inpatient: Identify, review, and assign...

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...

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). 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, abstracts clinical...

ICD-10 Coding Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues....

Job Type Full-time Description What We're Looking For Are you a proactive problem-solver who takes pride in delivering meaningful work that makes a lasting impact? We're looking for a driven and detail-oriented professional to join our team as a Billing Coder - FQHC / PPS Specialist. In this role, you'll play a vital part in ensuring financial stability, compliance, and continued mission impact , helping us move forward with purpose and precision. The ideal candidate values continuous learning, leads with a welcoming spirit, takes ownership of their work, and is passionate about supporting people and building stronger communities. We are seeking a highly experienced Billing Coder with deep FQHC expertise for our billing team-particularly in Prospective Payment System (PPS) and Medicare FQHC billing . Essential Job Duties: Serve as a subject-matter expert for PPS and FQHC billing workflows Ensure accurate, compliant coding and claim submission...

Medical Billing Specialist We are looking for a detail-oriented medical billing specialist to join our team in Boardman, Ohio. This contract to permanent position requires expertise in managing insurance claims, including Medicaid and CareSource, while ensuring accuracy and efficiency in billing processes. The ideal candidate will bring strong organizational skills, a customer-focused approach, and the ability to work collaboratively in a healthcare environment. Responsibilities: Prepare and submit medical claims accurately to insurance providers, including Medicaid and CareSource. Investigate and resolve unpaid or denied claims by communicating effectively with insurance companies. Review patient bills for completeness and correctness, obtaining additional information when necessary. Ensure compliance with healthcare regulations and maintain patient confidentiality at all times. Collaborate with healthcare professionals and insurance representatives to secure timely...

Incentives System Services | Miamisburg | Full-Time | First Shift Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. Preferred Qualifications Certified Coding Specialist (CCS) credential Responsibilities & Requirements Job Summary Responsible for coding and abstracting all outpatient patient records using ICD-10 and CPT/HCPCS coding rules, federal guideline and KHN guidelines. Supports hospital's accounts receivable goals through timely processing of records and physician record completion activities. Impacts delivery of quality patient care and enhanced clinical...

Position Summary MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. Position Summary: This job posting encompasses all available Physician coding roles, including Physician Coder I, Physician Coder II, and Physician Senior Coder positions. Applicants will be considered for the appropriate role based on current organizational needs, manager discretion, years of relevant experience, passing a coding assessment and how well they meet the qualifications outlined for each position. Accurately and efficiently accesses wide range specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. MUST LIVE IN APPROVED STATE TO BE CONSIDERED: AL, AZ, CO, GA, FL, ID, IL, MA< MI, NV, NM, NC, PA, SC, TX, VA, and WA. At Orlando Health, we are ordinary people with extraordinary...

Medical Billing Specialist The Medical Billing Specialist is responsible for the timely and accurate preparation of claims within their access for submission to Medicare, Medicaid and Third party carriers. Preparation of claims include, but are not limited to, researching, learning, maintaining and applying new and changing regulations as mandated by Federal and Third Party Payors to maximize reimbursement and ensure compliance. Providing education to other hospital personnel of regulations & requirements and the impact it has on reimbursement and billing. The Medical Billing Specialists are responsible for comprehensive follow-up with payers on timely reimbursements for accounts. The Medical Billing Specialist lives the Mission, Vision, Values and Philosophy of the department and Saint Francis Healthcare System. Constantly works with and maintains restricted or confidential information from many sources within the medical center. Any and all jobs as assigned by Assistant...

Medical Billing Specialist Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices. At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun! Medical Billing Specialist is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner. Responsibilities include: Working directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid. Verifying correct insurance filing information on behalf of the client and patient. Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems. Prepare, review,...

Medical Billing Specialist Admin Building Fulltime In Person (Monday - Friday 8:00 am - 4:30 pm) SUMMARY: POSITION PURPOSE With knowledge of the FQHC billing requirements, the Medical Billing Specialist will prepare, submit, and follow up on all patient statements and insurance claims to third party payers for all patients who receive care from both medical and dental providers. ESSENTIAL FUNCTIONS AND BASIC DUTIES: Reviews all claims before submission to insurance companies. Maintains file system for billed claim records and back up for audit purposes Verifies coverage and follows up on submitted claims. Requests corrected diagnosis for reimbursement purposes from providers. Responds knowledgeably to inquiries from patients, providers, insurance companies regarding covered charges, remittance advices, and billing questions Works with Medicaid, Medicare, and insurance companies for submission of claims, to verify coverage, to determine status of...

Join Our Team as a Medical Billing Specialist! Why Work With Us? At One Health Ohio, we believe in fostering a positive work environment that prioritizes our team and our patients. Enjoy competitive benefits and a supportive workplace where your contributions truly matter! Do you have prior billing experience in dental or medical settings? Are you looking for a role that blends your billing expertise with a clinical touch? If so, we could be the perfect next step in your career journey. Benefits Include: Affordable Health, Vision, Dental, and Life Insurance 401(K) with dollar-for-dollar matching (up to 4%) Generous Paid Time Off (PTO) Paid Holidays Essential Job Functions: Prepares and submits clean claims to various insurance companies either electronically or by paper. Answers questions from patients, clerical staff, and insurance companies. Identifies and resolves patient billing complaints. Prepares, reviews, and sends patient statements....

Job Title: Medical Biller Position Summary The Medical Biller is responsible for accurately reviewing, preparing, and submitting medical claims to insurance providers, with a strong focus on TRICARE and Medicare billing guidelines. This role ensures timely reimbursement by following up on outstanding claims, resolving denials, and maintaining detailed financial records. Proficiency with Bonafide or Brightree software is required. Key Responsibilities Prepare, review, and submit medical claims to TRICARE, Medicare, commercial payers, and secondary insurers. Verify patient insurance eligibility and benefits prior to claim submission. Ensure claims comply with payer-specific requirements and current billing regulations. Monitor claim status, follow up on unpaid or rejected claims, and correct or resubmit as needed. Review Explanation of Benefits (EOB) and Remittance Advice (RA) for accuracy. Post payments,...

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Health Information Management Shift/Schedule: Contingent (Works as needed), 100% Remote GENERAL SUMMARY Works under the supervision of the Health Information Reimbursement Manager. The primary job function of the Coder Level II is to assign correct ICD-10 and CPT codes to established diagnoses and procedures on all aspects of inpatient and outpatient records. Coding may be performed concurrently or post-discharge. Level II coder must have mastered 2 outpatient work types. Level II coders are required to assist in training new coders and may assist in quality coding checks. Adds or deletes charges for optimal reimbursement as well as compliance by following coding and governmental guidelines. Coder level II's must have a minimum of 1 year acute coding experience to be eligible for level II status as well as meet the above requirements....

HEALTH INFORMATION MANAGEMENT SERVICES FULL-TIME / 8A-5P / 80 HOURS PER PAY Under the general direction of the Coding Supervisor of Health Information Management Services, this employee is responsible for the coding and abstracting of all Inpatient visits or Specialty Outpatient Surgery/Observation visits or both based on physician documentation in the Medical Record. He/she is responsible for collaborating with the Clinical Documentation Specialists to ensure appropriate documentation to validate accurate diagnostic and procedural information on each inpatient record. Accurate coding/abstracting and correct DRG or APC assignment is expected while adhering to the guidelines of the current coding classification systems and AHIMA's Standards for Ethical Coding. He/She is also responsible for following up on outstanding accounts for billing. All work is carried out in accordance with The Joint Commission on Accreditation of the Healthcare Organizations and Premier Health...

Incentives System Services | Miamisburg | Full-Time | First Shift Overview Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. Preferred Qualifications Certified Coding Specialist (CCS) credential Responsibilities & Requirements Job Summary • Responsible for coding and abstracting all outpatient patient records using ICD-10 and CPT/HCPCS coding rules, federal guideline and KHN guidelines. Supports hospital's accounts receivable goals through timely processing of records and physician record completion activities. • Impacts delivery of quality patient care and...

Job Details System Services | Miamisburg | Full-Time | First Shift Responsibilities & Requirements JOB SUMMARY • Responsible for coding and abstracting all outpatient patient records using ICD-10 and CPT/HCPCS codingrules, federal guideline and KHN guidelines. Supports hospital’s accounts receivable goals through timelyprocessing of records and physician record completion activities.• Impacts delivery of quality patient care and enhanced clinical decision making process.• Supports clinical outcomes measurement and assessment process for service lines.• Completes assigned duties and other related tasks.• The list is not inclusive, duties may be modified to fulfill departmental needs or goals. JOB REQUIREMENTS Minimum EducationAssociate degree or higher in Health Information Management - Preferred Required Licenses[Ohio, United States] Coder, Health InformationRHIT or RHIA certification and/or CCS certification.Member of AHIMA - preferredRHIT/RHIA eligible will also be...

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world. As a Professional Fee Coder III, you will be responsible for monitoring, reviewing, and accurately applying coding principles to clinical documentation received from ambulatory areas to support reimbursement, research, and regulatory compliance. In this role, you will assign appropriate diagnosis codes, CPT codes, and modifiers based on the medical record while ensuring adherence to federal coding guidelines. You will also identify and resolve billing discrepancies to ensure timely and accurate claim submission. This position supports Cleveland Clinic's mission and vision by helping submit clean claims for the services...

Anderson Hills Pediatrics' Expectations of all Employees: Adhere to all Anderson Hills Pediatrics' Policies and Procedures Conduct self in a manner that represents Anderson Hills Pediatrics' core values at all times Maintain a positive and respectful attitude with all work-related contacts Consistently reports to work prepared to perform the duties of the position Meets productivity standards and performs duties as workload necessitates Primary Function : Assists the Billing Manager with the claims submission and revenue cycle of the practice. Major Duties and Responsibilities : • Adherence to current HIPAA regulations and federal/state laws for patient protected health information (PHI) and/or medical records; adherence to all AHP policies/procedures as they pertain to patient PHI and the medical record; maintain strict confidentiality of all patient information • Update patient demographic information including insurance coverage; make changes/corrections as...

Scope of Position: The Supervisor of Outpatient Medical Coding is responsible for the timely and accurate coding of outpatient visits and managing timely and accurate auditing of coded medical records. This position is critical to the financial and legal standing of the hospital. If records are not coded in a timely fashion or if codes misrepresent the patient visit, payers may refuse or delay payment of hospital bills. The supervisor shall assist in planning, organizing, staffing, directing the outpatient coding area to ensure timely completion of medical record coding reviews and outstanding accounts not billed. The supervisor is responsible for monitoring the productivity and quality of the medical records coding specialists training, monitoring performance and ensures accurate and compliant coding and billing practices within the medical center. Position Summary: The position serves as the supervisor for Radiation Oncology medical records coding specialists. This team...