17 outpatient complex coder jobs found

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,...

Overview HIM Manager/Coder - Full Time, On-site Join our world‑class team of driven, passionate healthcare professionals who are focused on service excellence and providing top quality care! Bloomington, Indiana is a cutting‑edge inpatient rehab hospital focused on helping patients throughout Southern Indiana reclaim their lives after serious injuries or illnesses. We provide highly individualized rehabilitation programs for a wide range of conditions, including stroke recovery, traumatic brain injury, spinal cord injury, complex orthopedic recovery, and more. Our team of caring professionals – from rehab physicians and nurses to physical, occupational, and speech therapists – works hand‑in‑hand with patients and their families to set goals and celebrate progress, fostering a motivating environment. We’re looking for professionals with a passion for coding, attention to detail, and excellent communication skills. Successful candidates will enjoy working both independently and...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

HIM Manager/Coder - Full Time, On-site Join our world-class team of driven, passionate healthcare professionals who are focused on service excellence and providing top quality care! Bloomington, Indiana is a cutting-edge inpatient rehab hospital focused on helping patients throughout Southern Indiana reclaim their lives after serious injuries or illnesses. We provide highly individualized rehabilitation programs for a wide range of conditions, including stroke recovery, traumatic brain injury, spinal cord injury, complex orthopedic recovery, and more. Our team of caring professionals – from rehab physicians and nurses to physical, occupational, and speech therapists – works hand-in-hand with patients and their families to set goals and celebrate progress, fostering a motivating environment. Bloomington Regional features the latest rehab technology and therapy techniques, as well as amenities like a therapeutic gym and outdoor mobility track, to enhance the rehabilitation...

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...

Lead Coder Outpatient Same Day Surgery The Lead Coder Outpatient Same Day Surgery is responsible for overseeing and performing high-level coding and abstracting of outpatient medical records in accordance with coding guidelines, payer regulations, and hospital policies. Provides guidance and training to the assigned coding unit and support to the Supervisor as it relates to daily workflow, data analysis, change implementation and education in a continuous effort to improve processes, ensure compliancy and meet financial initiatives. Position is Remote Sign on Bonus Required Skills & Qualifications: Minimum high school diploma required; college degree preferred in Health Information Technology. Active accreditation as a Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Minimum of 24 years of related coding experience required, preferably in Outpatient Same Day Surgery. Ability to...

Summary The Supervisory Medical Records Technician (Coder) position will work in the Health Information Management (HIM) section at the VA Northern Indiana Health Care System. Medical Records Technicians (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Learn more about this agency Duties Help Duties of the position include but are not limited to: You will apply comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. You will select and assign codes from the current version of several coding systems to include current versions of the International Classification of...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

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...

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. At Beacon Health System, our commitment to world-class healthcare starts with the people we bring into our organization. We are focused on attracting, developing, and retaining top talent who are aligned to our mission and ready to make a meaningful impact in the communities we serve. We believe that access to great talent should not be...

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...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Join CommunityThe Innovative Healthcare Collaborative of Indiana (IHCI) is a joint venture between Community Health Network and Deaconess Health system.Its goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system.Make a DifferenceReporting to the Clinical Documentation Integrity Manager this role performs patient chart reviews to ensure the appropriateness andcompleteness of diagnostic coding with evidence based on CMS HCC standards.The Risk Adjustment Coder is responsible for :Timely accurate and complete review of patient charts following patient encounters utilizing a variety of technical platforms to completeworkflowsValidating diagnosis codes representing patient conditions along with necessary MEAT documentationEnsuring coding is consistent with guidelines from regulatory entitiesConducting audits to meet compliance with ACA standardsCreating post-visit queries with follow upCollaborating with...

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...

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 and CPT 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-10 CM/CPT 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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Coder Ambulatory Certified Job Category: Non-Clinical Requisition Number: CODER003787 Posted: May 1, 2026 Full-Time On-site Noblesville, IN 46060, USA Job Details Description Job Responsibilities: 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...

Remote / Work from Home / Virtual / Hybrid Location Shadeland Station, Shadeland Ave, Indianapolis, IN 46256, United States Responsibilities Timely, accurate, and complete review of patient charts following patient encounters, utilizing a variety of technical platforms to complete workflows. Validating diagnosis codes representing patient conditions along with necessary MEAT documentation. Ensuring coding is consistent with guidelines from regulatory entities. Conducting audits to meet compliance with ACA standards. Creating post‑visit queries with follow up. Collaborating with CDI team members, particularly with clinical findings. Contributing to the provider education body of work, participating in pre‑encounter reviews as needed. Qualifications Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a positive attitude toward problem‑solving. Critical thinkers. High School diploma or GED is...