28 inpatient complex coder jobs found

Medical Coding Specialist Major Responsibilities: Independently perform complex, specialty-specific professional fee coding (CPT/HCPCS and ICD-10-CM) for physician services rendered in both office and hospital settings, ensuring expert application of modifiers and E/M guidelines, or; Perform entry-level facility coding for simple outpatient encounters (e.g., diagnostic imaging, labs) and basic inpatient services (e.g., uncomplicated admissions, short stays) using ICD-10-CM and ICD-10-PCS, where applicable Ensure all coding adheres strictly to official guidelines (e.g., provided by AAPC or AHIMA), federal regulations (CMS), and organizational compliance standards Identify the need for formal clinical queries for documentation clarification when necessary for professional or facility records Maintain high accuracy and productivity standards appropriate to the complexity of the assigned workload May provide informal guidance to new coding staff on professional coding nuances...

Major Responsibilities: Accurately assign all codes (ICD-10-CM/PCS, CPT, HCPCS) for highly complex professional fee encounters (highest complexity level) or moderate to high complexity facility encounters Serve as the authoritative internal expert for professional coding guidelines or a knowledgeable resource for facility guidelines. Provide expert guidance, training, onboarding assistance, and mentorship to Coder I/II staff to enhance team performance and accuracy Provide informal code review guidance as directed by leadership, focusing purely on the accuracy of code assignment and documentation translation for complex cases....

Job Title: Medical Coder Coordinator Location: Remote (100%) Duration: 6-Month Contract to Hire Schedule: Monday – Friday | 9:00 AM – 5:30 PM EST Pay Rate: $21.42/Hour Position Overview: We are seeking a detail-oriented and highly motivated Medical Coder Coordinator to join our team in a fully remote capacity. This role focuses on retrospective payment reimbursement reviews and requires strong inpatient coding experience, extensive CPT coding knowledge, modifier expertise, and the ability to interpret complex reimbursement documentation. The ideal candidate will thrive in a fast-paced, deadline-driven environment while maintaining exceptional accuracy and compliance standards. Key Responsibilities: Perform retrospective payment reimbursement reviews and coding audits. Review and interpret Explanations of Benefits (EOBs), including: Recoupments Corrections Claim adjustments Apply CPT, ICD-10-CM, and HCPCS coding guidelines accurately. Analyze CPT modifiers and evaluate their impact...

*Location:* *Remote (WI/IL preferred).* Candidates must reside in the U.S. *Schedule:* Full-time, remote | Flexible hours after training *Work Setup:* Private, dedicated workspace with a door required *About the Role* We're seeking a detail-oriented and experienced *Inpatient Coder (Coder Inpatient II)* to join our Health Information Management team. In this remote role, you will accurately assign *ICD diagnosis/procedure codes* and *MS-DRGs* for inpatient hospital services at an academic, Level I Trauma environment. You'll code across complex specialties (e.g., Neurology, Oncology, Urology, Transplant, OB/Newborn, Orthopedics, Cardiology, Critical Care), collaborate with providers via compliant queries, and partner closely with CDI to ensure documentation supports the most appropriate DRG assignment. This is an advanced, independent role where accuracy, communication, and sound judgment are essential. *What You'll Do* * *Code inpatient charts* across medical/surgical...

We’ve increased the wage range for this role as part of our ongoing commitment to competitive compensation and meaningful recognition of our employees’s skills and impact. Position eligible for $2,000 sign on bonus Discover. Achieve. Succeed. #BeHere This job is REMOTE. FTE: 1.000000 Standard Hours: 40.00 Shift: Shift 1 Shift Details: Flexible business hours. Holidays: Not required. Weekends: As needed. Job Summary The Inpatient Coder is responsible for reviewing and accurately coding inpatient medical records within a complex academic medical center environment, where cases often include high‑acuity, multidisciplinary, trauma, surgical, and research‑driven encounters. This role requires advanced proficiency in ICD‑10‑CM, ICD‑10‑PCS, and MS‑DRG/APR‑DRG assignment, along with a thorough understanding of official coding guidelines, documentation standards, and regulatory requirements to ensure accurate reimbursement and data integrity. The Inpatient Coder works...

Froedtert Health is looking for a remote Inpatient Coder responsible for accurately coding inpatient medical records in a complex academic environment. The ideal candidate will have at least 3 years of experience in inpatient coding and hold a relevant certification. This role emphasizes attention to detail and effective communication and offers competitive pay between $25.82 - $44.16 per hour, along with a sign-on bonus and comprehensive benefits. #J-18808-Ljbffr

A healthcare organization is seeking a Coder Inpatient III to manage coding for complex inpatient cases in a remote setting. The ideal candidate will have at least 3 years of coding experience, exceptional skills in anatomy and physiology, and be familiar with various software tools. Responsibilities include accurate coding assignments and performing audits. This position offers a competitive pay range and various employment benefits. #J-18808-Ljbffr

CODER INPATIENT III – Froedtert Health Location: Menomonee Falls, WI – Woodland Prime 400 facility (Remote) Sign-On Bonus: Eligible for a $2,000 sign‑on bonus. Job Summary This is a remote, high‑level coding position functioning under general supervision. The Coder III accurately assigns ICD diagnosis and procedure codes, MS‑DRGs, and APR‑DRGs for inpatient hospital services at Froedtert Health, which includes an academic Level I Trauma Center. The role focuses on highly complex trauma and acutely ill patients, including mortality, extended length of stay, and high‑dollar cases. A key responsibility is performing chart audits for levels I and II coders, applying official and departmental coding rules, regulations, and guidelines, and meeting or exceeding productivity and quality standards. Coding staff communicate directly with care providers to clarify information needed for complete and accurate coding and partner with clinical documentation improvement specialists....

Medical Coding Specialist The Medical Coding Specialist is responsible for reviewing electronic encounter documents to ensure that the codes provided by the practitioners are accurate per coding protocols and comply with all established guidelines. The Medical Coding Specialist is responsible for assigning applicable codes to the medical records to ensure accuracy and completeness. The incumbent assists in providing coding education and required documentation criteria to practitioners and their staff and participates in job-related research projects. This position is responsible for reviewing insurance claims to determine possible coding errors and researching coding guidelines to support any insurance claim denials based on coding guidelines. As assigned, the incumbent may assist the Medical Coding Manager in various administrative tasks. The Medical Coding Specialist works under the general supervision and guidance of the Revenue Cycle and Insurance Operations Manager. The...

Cytokineticsis a specialty cardiovascular biopharmaceutical company, building on its over 25 years of pioneering scientific innovations in muscle biology, and advancing a pipeline of potential new medicines for patients suffering from diseases of cardiac muscle dysfunction. At Cytokinetics, each team member plays an integral part in advancing our mission to improve the lives of patients. We are seeking tenacious, compassionate, and collaborative individuals who are driven to make a positive impact. Reporting to the Field Director, Medical Sciences, the Senior (Sr.) Medical Scientist / Associate Director Medical Scientist, is a scientific professional who serves as a key field-based scientific resource for healthcare providers, patients, investigators, and internal colleagues. This role will come with high visibility in our company with critical cross‑functional relationships across Medical Affairs, Clinical Development / Operations, and Commercial. This role will focus on key...

Coder - Health Information Management - Full-time The Coder is responsible for applying the appropriate diagnostic and procedural codes to assigned patient care encounters in the clinic setting or related areas for data retrieval, analysis, and reimbursement purposes. Reviews clinical documentation from assigned encounters to extract data and apply appropriate diagnostic and procedural codes in compliance with regulatory requirements, industry-validated coding principles (ICD-10-CM Official Guidelines for Coding and Reporting and Current Procedure Terminology (CPT) Rules and Regulations) and DCMC policies and procedures. Reviews patient health records/encounters and gathers information to support the accurate assignment of ICD-10-CM and CPT codes as well as applicable modifiers. Assigns accurate and complete codes for diagnoses, treatment, and procedures or as needed for assigned patient care encounters. Education Required : High school diploma or equivalent....

Description Milwaukee Area Technical College (MATC) is Wisconsin's largest and most diverse technical college, offering 170+ high-quality programs that connect students to a career in as little as one to two years. The college also offers a less expensive path to a four-year degree. MATC is transforming lives, industry and our community by preparing students today for the careers of tomorrow. Together, we are meeting the needs of the community we share and are focused on students with the greatest needs. We are seeking passionate individuals to join our team who shares the same passion in serving this purpose. Learn more about MATC at www.matc.edu. Two (2) part-time vacancies. Up to 19 hours per week, hours vary based on departmental needs. Successful candidates must reside in the State of Wisconsin. Under supervision of the Dean or designee, to teach classroom, online and applied courses in the Medical Coding Specialist Technical Diploma Program. Related duties include...

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you're interested in joining a health care system that is changing the face of care and well-being in our community, we...

Overview The Certified Coder is responsible for ensuring that charges are assessed and entered in compliance with applicable coding regulations, standards, policies and guidelines as established by CMS and the various third party payers. This requires a thorough understanding of CCI edits and payer rules regarding medical necessity and bundling of services. The Coder is also responsible for assisting with provider inquiries regarding documentation standards as well as providing pertinent feedback to providers regarding the quality of clinical documentation. Coders may work remotely from home, which requires appropriate internet connectivity and physical space to complete work while maintaining HIPAA standards. Qualifications Education required: High School graduate or GED. Education preferred: Formal coder training strongly preferred. License, certification and/or registration: Certified Professional Coder or similar certifications (CCA, CPC, CCS, etc...). Experience:...

Current Madison College employees must apply to the internal career site by logging into Workday Job Posting Date: January 29, 2025 Application Deadline: Salary Information: Salary depends upon workload. Department: School of Health Science_OTA, MA, MC, OptTech, TM&Rad_PT Faculty Job Description: Madison College is recruiting a pool of highly motivated and qualified candidates to teach part time courses for the Medical Coding Specialist program. Applications will be accepted on a continuous basis for the 2025-2026 academic school year. If you possess the aspiration to help others succeed, this is an opportunity for you to positively impact the community and lives of our students. Madison College is a first-choice institution that offers exceptional educational opportunities to our students providing high-demand skills for professional and academic growth. Madison College's dedication to promoting equity, inclusion and diversity is reflected in our...

Major Responsibilities: Assumes responsibility for the day-to-day operations of the department including providing work direction, expertise, and guidance to the staff. Oversees the clinical laboratory testing, evaluation of results, and the proficiency of testing. Actively participates in projects to meet strategic initiatives including implementation and development of quantitative outcomes. Monitors budget compliance. Analyzes laboratory fiscal needs, and departmental performance and takes action to address variances. Collaborates and implements performance improvement processes to optimize teammate engagement, and physician and patient satisfaction. Ensures quality, regulatory, accreditation, compliance and competency standards are met. Ensures compliance with current policies, procedures, and standardization and/or consolidation decisions. Coordinates orientation, training, and competency testing of staff and/or students....

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Department: 60154 WI ACL Laboratories - AMC Manitowoc County Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: General business hours Monday thru Friday. Leader will be expected to flex hours to meet teammate and department needs. Pay Range $41.10 - $61.65 Major Responsibilities: Assumes responsibility for the day-to-day operations of the department including providing work direction, expertise, and guidance to the staff. Oversees the clinical laboratory testing, evaluation of results, and the proficiency of testing. Actively participates in projects to meet strategic initiatives including implementation and development of quantitative outcomes. Monitors budget compliance. Analyzes laboratory fiscal needs, and departmental performance and takes action to address variances. Collaborates and implements performance improvement processes to optimize teammate engagement, and physician...

Summary: For further information and how to apply, contact directly:Application material may also be emailed to:HRmanager@badriver-nsn.govHRassistant@Badriver-nsn.govDarcie.powless@badriverhwc.com Summary: The Certified Medical Coder reviews, analyzes and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Job Announcement Flyer: Certified-Medical-Coder-03.17.25.pdf [pdf - 187.46 KB] Duties: Essential Duties and Responsibilities include the following.• Assigns and sequences ICD-10-CM/CPT/HCPCS codes to diagnoses and procedures for documented information. Assures the final diagnoses and procedures as stated by the physician are valid and complete. Abstracts all...

Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER The Medical Coding Specialist is responsible for reviewing electronic encounter documents to ensure that the codes provided by the practitioners are accurate per coding protocols and comply with all established guidelines. The Medical Coding Specialist is responsible for assigning applicable codes to the medical records to ensure accuracy and completeness. The incumbent assists in providing coding education and required documentation criteria to practitioners and their staff and participates in job-related research projects. This position is responsible for reviewing insurance claims to determine possible coding errors and researching coding guidelines to support any insurance claim denials based on coding guidelines. As assigned, the incumbent may assist the Medical Coding Manager in various administrative tasks. The Medical Coding Specialist works under the general supervision and guidance of the Revenue Cycle...

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...

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS : Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA) SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely...

What does a Certified Professional Coder really do?Think of yourself as someone who will provide world-class service to our customers or clients in an accurate, efficient, and respectful manner on every call as measured by different performance metrics, so not everyone can qualify for this role.We make sure we get the best of the best, after all, we are a ridiculously good company so we make sure our employees are top-notch. So come on, now we need your full concentration because it’s time to imagine what it’s like being a Certified Professional Coder.As a Certified Professional Coder you will....Audit charts to ensure accurate ICD-10 CM and CPT code assignment as well as documentation integrity to prevent claim denials.Use critical and logical thinking skills in chart-auditing based on the guidance set forth by the client.Uphold netiquette and professionalism in any interaction with the TaskUs team, other vendors and the client.Job Summary:The CPC will be responsible for reviewing...

Coder Analyst Specialist, Clinical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts...