38 inpatient complex coder jobs found

Inpatient Coding SpecialistUnder direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems.The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.1. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.a. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.b....

Auditing Team LeadUnder direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assists Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists.The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and scheduling. Manages time and attendance approvals.a....

University of Maryland Medical System seeks a clinical coding auditor to ensure accurate ICD-10-CM/PCS and CPT-4 coding across inpatient and outpatient encounters. The role involves auditing complex cases, advising CDI staff, and providing training to new employees. Responsibilities include monitoring coder productivity, reporting accuracy, and collaborating with hospital departments to resolve coding issues while adhering to AHIMA standards and system policies. #J-18808-Ljbffr

Clinical Coding AuditorAccurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems.Principal Responsibilities and TasksThe following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of...

University of Maryland Medical System seeks an experienced inpatient coder to accurately code hospital accounts for reimbursement, research and compliance. You will analyze complex trauma and rehab cases, collaborate with CDI and senior coders, and ensure timely, compliant coding across departments. Qualifications include a minimum of three years ICD-10-CM/ICD-10-PCS coding, abtracting experience at a Level 1 Trauma/ Rehab hospital, and one of CCS/RHIT/RHIA/CIC credentials. #J-18808-Ljbffr

About the Company At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we’re supporting data-driven decisions, modernizing systems or safeguarding critical programs. Description We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD‑9‑CM/ICD‑10‑CM coding guidelines and consistently demonstrates high accuracy and productivity. Responsibilities Perform diagnosis coding of inpatient, outpatient, and physician office medical...

Inpatient Coding Specialist Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. a. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA...

Position:  Medical Reviewer, Certified Coder Location:  Remote *This role is a temporary position and that employment is expected to be for a limited duration (approx. 3-6 months) About J29 J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee-centered healthcare management consulting company. Our team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinical expertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.    J29 was founded to be an employee-centric company that prioritizes the well-being and value of its employees. Our mission is to empower our employees to do great things for the...

Job Requirements General SummaryUnder direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assist Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists. Principal Responsibilities and Tasks 1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and scheduling. Manages time and attendance approvals.a. Monitor auditors assigned work on a daily basis in order to facilitate completion of all audits on a timely basis.b. Maintains appropriate coverage for associated workload.c. Monitors auditing...

Job Requirements Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc.utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as...

Description About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently demonstrates high accuracy and productivity. Responsibilities: Perform diagnosis coding of inpatient, outpatient, and physician office...

*]:pointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(-scroll-root-safe-area-inset-bottom,0px)+var(-thread-response-height))] scroll-mt-[calc(var(-header-height)+min(200px,max(70px,20svh)))]" dir="auto 100% REMOTE OPPORTUNITY Eligible Remote States: District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Key Responsibilities: • Following established coding conventions and guidelines, review, code, and abstract medical records for inpatient services. • Review medical records to identify physician-documented diagnoses and procedures. • Assign accurate ICD-10-CM and ICD-10-PCS codes to documented diagnoses and procedures. • Group assigned codes to determine appropriate Diagnosis-Related Groups (DRGs), including CMS-DRGs and/or APR-DRGs. • Ensure coding and documentation are accurate and compliant with established standards and guidelines. Requirements: • Formal working knowledge equivalent to an associate degree (two years of college) in a...

Outpatient Medical Coder (100% Remote) Sign-On Bonus: Eligible for a $10,000 sign-on bonus. Remote Work Eligibility: Applicants must reside in one of the following locations: District of Columbia, Maryland, Pennsylvania, Virginia, or West Virginia We are seeking an experienced Outpatient Medical Coder to join our team in a fully remote capacity. The successful candidate will be responsible for accurately reviewing, coding, and abstracting outpatient medical records in accordance with established coding guidelines and regulatory standards. This position supports accurate reimbursement, quality reporting, and compliance through timely and precise medical coding. Key Responsibilities: Review outpatient medical records to identify documented diagnoses and procedures. Assign accurate ICD-10-CM/PCS and CPT codes in accordance with established coding guidelines. Code and abstract a diverse range of outpatient encounters, including emergency department (ER), infusion, and other...

nTech Workforce has an immediate 22913 Certified Medical Coder Terms of Employment W2 Contract, 5 Months Location: Remote Overview The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; retrieves information from medical records, ensuring adherence with established methods and procedures. Responsibilities Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Serves as backup to other administrative functions as assigned. Meets job standards for achieving contract deliverables. Assists with other job-...

Outpatient CoderLocation Baltimore, MDFacility SINAI CORPORATEDepartment HLTH INFORMATION MNGSchedule - Shift - Hours PRN - As Needed - 8:00am-4:30pmJob Category PROFESSIONALReq # 87195$21.06-$39.12 Experience basedSummaryWho We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests.SIGN-ON BONUS ELIGIBLE $10,000Eligible remote states: District of Columbia, Maryland, Pennsylvania, Virginia, West...

100% REMOTE, WITH QUARTERLY ONSITE MEETINGS. CANDIDATES MUST RESIDE IN MD, DC, PA, VA OR WVA.About the Role:Coordinates the daily billing activities of assigned areas. Works independently to maintain consistent workflow of all billing activities. Works collaboratively with the Professional Billing Office, physicians and third party payers. Provides and performs coding functions to optimize revenue enhancement.KEY RESPONSIBILITIES:Coordinates and monitors daily revenue cycle activities to optimize reimbursement opportunities.Verifies benefit coverage to determine patient financial liability.Works proactively and collaboratively to investigate and resolve patient billing issues.Provides documentation requested by third party payers to enhance reimbursement opportunities.May perform patient registration and appointment scheduling into the system and update information as applicable.Optimizes facility and professional charge entry and subsequent collections for all services...

Eligible Remote States: District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Key Responsibilities: Following established coding conventions and guidelines, review, code, and abstract medical records for inpatient services. Review medical records to identify physician-documented diagnoses and procedures. Assign accurate ICD-10-CM and ICD-10-PCS codes to documented diagnoses and procedures. Group assigned codes to determine appropriate Diagnosis-Related Groups (DRGs), including CMS-DRGs and/or APR-DRGs. Ensure coding and documentation are accurate and compliant with established standards and guidelines. Requirements: Formal working knowledge equivalent to an associate degree (two years of college) in a specialized field. Knowledge of medical coding principles, conventions, and guidelines. Ability to accurately review medical records and assign appropriate diagnosis and procedure codes. Pay Range: $22.22 to $39.12 per hour Base pay is determined by a...

Eligible Remote States District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Key Responsibilities Review, code, and abstract inpatient medical records in accordance with established coding guidelines and conventions. Assign accurate ICD-10-CM and ICD-10-PCS diagnosis and procedure codes. Determine and assign Diagnosis-Related Groups (DRGs), including CMS-DRGs and APR-DRGs. Review physician documentation to accurately identify and capture diagnoses and procedures for coding. Maintain coding accuracy and ensure compliance with organizational and regulatory standards. Qualifications Associate degree or equivalent education in a specialized field required. One (1) to three (3) years of inpatient coding experience. One of the following certifications is required: Certified Coding Specialist (CCS) Certified Coding Associate (CCA) with five (5) or more years of coding experience Registered Health Information Technician (RHIT) Registered Health Information Administrator...

Outpatient Medical Coder (100% Remote) Sign-On Bonus: Eligible for a $10,000 sign-on bonus. Remote Work Eligibility: Applicants must reside in one of the following locations: District of Columbia, Maryland, Pennsylvania, Virginia, or West Virginia We are seeking an experienced Outpatient Medical Coder to join our team in a fully remote capacity. The successful candidate will be responsible for accurately reviewing, coding, and abstracting outpatient medical records in accordance with established coding guidelines and regulatory standards. This position supports accurate reimbursement, quality reporting, and compliance through timely and precise medical coding. Key Responsibilities: • Review outpatient medical records to identify documented diagnoses and procedures. • Assign accurate ICD-10-CM/PCS and CPT codes in accordance with established coding guidelines. • Code and abstract a diverse range of outpatient encounters, including emergency department (ER), infusion,...

100% REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE - UP TO $10,000 Eligible Remote States: District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Key Responsibilities: • Review, code, and abstract inpatient medical records in accordance with established coding guidelines and conventions. • Assign accurate ICD-10-CM and ICD-10-PCS diagnosis and procedure codes. • Determine and assign Diagnosis-Related Groups (DRGs), including CMS-DRGs and APR-DRGs. • Review physician documentation to accurately identify and capture diagnoses and procedures for coding. • Maintain coding accuracy and ensure compliance with organizational and regulatory standards. Qualifications: • Associate degree or equivalent education in a specialized field required. • One (1) to three (3) years of inpatient coding experience. • One of the following certifications is required: • Certified Coding Specialist (CCS) • Certified Coding Associate (CCA) with five (5) or more years of...

Medical Reviewer, RN CoderThis role is a temporary position and that employment is expected to be for a limited duration (approx. 3-6 months)J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since company inception in 2017 as an employee-centered healthcare management consulting company. Our team of 260 employees focuses on providing processing, review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinical expertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.J29 was founded to be an employee-centric company that prioritizes the well-being and value of its employees. Our mission is to empower our employees to do great things for the benefit of those that need it most. The J29 mission supports not only...

Position Summary We are seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist to review, analyze, and write compelling appeals for coding and DRG-related denials. This position requires a strong understanding of inpatient coding guidelines, MS-DRG assignment, clinical documentation, payer policies, and reimbursement principles. Key Responsibilities Review inpatient coding and DRG denial cases to identify the reason for denial and determine the appropriate appeal strategy. Analyze medical records, coding, clinical documentation, and payer denial rationale. Write detailed, persuasive appeals addressing coding, sequencing, diagnosis/procedure assignment, and DRG-related denials. Apply ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting and other applicable coding standards. Evaluate MS-DRG assignments and identify discrepancies between the documented clinical circumstances and the payer's determination. Research and reference applicable coding...

Outpatient Medical Coder (100% Remote)Sign-On Bonus: Eligible for a $10,000 Sign-On BonusRemote Work Eligibility: Applicants must reside in one of the following locations: District of Columbia, Maryland, Pennsylvania, Virginia, West VirginiaWe are seeking an experienced Outpatient Medical Coder to join our team in a fully remote capacity. The successful candidate will be responsible for accurately reviewing, coding, and abstracting outpatient medical records in accordance with established coding guidelines and regulatory standards. This position supports accurate reimbursement, quality reporting, and compliance through timely and precise medical coding.Key ResponsibilitiesReview outpatient medical records to identify documented diagnoses and procedures.Assign accurate ICD-10-CM/PCS and CPT codes in accordance with established coding guidelines.Code and abstract a diverse range of outpatient encounters, including emergency department (ER), infusion, and other outpatient...

Summary Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of ER records with facility E&M levels. Meets departmental accuracy and production standards. Experience Required: 1-3 years Education Preferred: Associate's Degree Education Note: Health Information Management, Health Information Technology or any related field. Licensures & Certifications Required: CCS, CPC, RHIA or RHIT Credential Note: CCS, CCS-P, COC, CPC, RHIT, or RHIA required Pay Range: $23.22 to $34.83 Based On Experience Benefits Medical, dental, and vision coverage starting the first of the month after hire, plus wellness programs and mental health support 403(b) retirement plan with employer match, pension, and life and disability insurance Tuition reimbursement toward advanced degrees and specialty certifications Generous paid time off, fitness discounts, and free on-site parking About LifeBridge Health LifeBridge Health is a dynamic,...