356 coder i inpatient day jobs found

Overview The Opportunity: Review medical record documentation of lower acuity inpatients to assign appropriate ICD-10-CM, ICD-10-PCS, and DRG codes for billing, internal and external reporting, research, and regulatory compliance. Ability to determine first listed diagnosis, secondary diagnoses, and surgical procedures. Analyze documentation and abstract pertinent data. Must maintain minimum quality and productivity standards. Responsibilities Code procedures and diagnoses for inpatient accounts Assign present on admission indicators to diagnoses Query clinical providers when appropriate Abstract pertinent data Meet quality standards Meet productivity standards Communicate with CDI team Telecommute The Shifts 40 hours per week 8:00 AM to 5:00 PM core hours Why Saint Luke’s? Evening and Weekend Shift Differential Saint Luke’s offers competitive salaries and benefits packages to all eligible employees, click here to find out more. We believe in creating a collaborative...

Summary This position is in the Health Information Management (HIM) section of the Health Administration Service at the Fargo Health Care System. The Medical Records Technician (Coder) is responsible for abstracting medical record data and assigning codes using current clinical classification systems appropriate for the type of care provided. Responsibilities Total Rewards of a Allied Health Professional This position requires the incumbent to physically report for work to the Fargo ND VAMC. Major duties include, but are not limited to, the following: Assigns codes to documented patient care encounters (inpatient and outpatient); encounters are routine and less complex or for only one specialty or subspecialty. Has basic knowledge of medical terminology, anatomy & physiology, diseases, treatments, diagnostic tests, and medications to ensure proper code selection. Selects and assigns codes from the current version of one or more coding systems depending on regular/recurring...

Coder I, Professional This is a full time day shift position for SSM Health Cancer Care located at 1104 John Nolen Dr. in Madison, WI. The schedule is 8:00 a.m. to 4:30 p.m. Monday through Friday for a total of 40 hours per week. Ideal applicants will be ROCC certified (Radiation Oncology Certified Coder), have knowledge of ICD10 and CPT. Experience with pre-authorization and reviewing documentation to confirm it supports the coding is also helpful. Job Summary: Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures. Job Responsibilities and Requirements: Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow-up steps. Identifies all billable services. Reviews all applicable data sources, including but not limited to, electronic health record, inpatient admit, discharge and...

Summary The Medical Records Technician (Coder) Auditor is located in the Health Information Management (HIM) section of Medical Administration Service at the VA Maryland Health Care System. A Medical Records Technician must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), the Healthcare Common Procedure Coding System (HCPCS) and be skilled in classifying medical data from patient health records. Responsibilities Total Rewards of a Allied Health Professional Duties: Applies 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. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural...

Summary This position is located in the Health Information Management (HIM) section at the Edward Hines Jr. VA Hospital. MRTs (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. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. Responsibilities Applies 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. Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT),...

Remote If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire an experienced Lead Coding Specialist for our Medical Coding Department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Lead Coding Specialist, you will: • Conduct reviews to validate I-10-CM diagnosis codes and PCS procedure codes for inpatient bill hold related to PSI, PPC & other reimbursement conventions to be resolved prior to final coded data. • Manages daily DNFB and DNFC reports and work queues for un-coded or outstanding records. • Under the direction of the coding manager, the coding specialist lead should be proficient in communicating with the coding team. • Oversees coding corrections, abstracts elements for HSCRC submissions, and ensures coding compliance with coding standards. • Liaison between coding and other departments,...

divh2Avera Coding Specialist III/h2pLocation: Avera Downtown Building-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: $28.00 - $41.75/ppPosition Highlights/ppYou Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter./ph3A Brief Overview/h3pResponsible for the timely and accurate assignment of diagnostic and procedural codes for most types of inpatient charts for a across multiple facilities within Avera Health with a focus on the more complex and high-dollar cases. Accurate abstracting, along with other reporting and editing functions to meet quality and production goals for the position, with occasional guidance from other professional staff. Provide mentorship and training to Coder I, II, and IIIs along with helping others with denials management./ph3What You Will Do/h3pReview all aspects of a patients clinical documentation in...

Job Description - HIM Coder 2 (250004L8) Job Description HIM Coder 2 - ( 250004L8 ) Description JOB SUMMARY Under the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will; 1. Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. 2. Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper. 3. Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter. 4. Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and/or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record. 5. Be knowledgeable in...

Job Description Inova Systems Operations is looking for a dedicated Medical Records Coder 4 for Inpatient. This role will be full-time day shift with a negotiable schedule. This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their...

Coder III Responsible for the timely and accurate assignment of diagnostic and procedural codes for most types of inpatient charts for across multiple facilities within Avera Health with a focus on the more complex and high-dollar cases. Accurate abstracting, along with other reporting and editing functions to meet quality and production goals for the position, with occasional guidance from other professional staff. Provide mentorship and training to Coder I, II, and III's along with helping others with denials management. What You Will Do: Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM diagnosis and PCS procedure codes for assigned patient charts across Avera's facilities. Understand the basics of ICD-10-CM and PCS codes in depth, and be willing to update that knowledge through research or other educational opportunities. Coder III - In patient is distinguished by specific services lines which could include...

Position OverviewThe Inpatient Coder Level 3 is a senior-level position responsible for coding high-complexity inpatient records with accuracy and efficiency. This role requires expert-level knowledge of ICD-10-CM and ICD-10-PCS coding systems, MS-DRG and APR-DRG assignment, and comprehensive understanding of clinical documentation. The Level 3 coder ensures coding compliance, supports training and mentoring of junior staff, and contributes to audit and quality improvement efforts within the HIM department. Primary Department, Division, or Unit: Coding Support Services, UHS Revenue Cycle Operations Primary Work Shift: Day Compensation Range: $33.63 - $50.45 per hour, depending on experience You will be eligible for benefits if you are hired into a regular position with at least 24 scheduled weekly hours. Key Responsibilities Demonstrate proficient understanding of complex clinical scenarios, including comorbidities and complications. Analyze detailed...

Clinical Coder Position Work Shift: Day Shift Time Type: Full time Department: CC807200 PSO Professional Coding Summary: Monday to Friday, 8:00 a.m. to 5:00 p.m. Remote (Must reside in Arkansas, training will be onsite) The Clinical Coder is responsible for reviewing patient medical records and accurately assigning standardized codes using ICD and CPT/HCPCS classification systems. The primary goal is to ensure timely and accurate coding for billing, reimbursement, research, and statistical reporting purposes, while maintaining compliance with established coding guidelines and regulations. Required Education: No education requirements Required Work Experience: 3 years of relevant experience; HS Diploma or GED may substitute for 2 years of work experience Required Certifications: 1 certification from AAPC or AHIMA - American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) Description 1. Review patient medical records (e.g.,...

JOB SUMMARY The Coder II is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder II may code low acuity inpatients', one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. For professional fee coding , individuals in this job code will be proficient for inpatient and outpatient, for multi-specialties. The Coder II utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) The Coder II will abstract and enter required data. ESSENTIAL FUNCTIONS OF THE ROLE Analyzes and interprets documentation from...

Inpatient Coder Specialist - 131223 South Carolina:Charleston | Business and Administrative | Full Time Description BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details: Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. Sign on bonuses available! Responsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff...

Summary This position is located in the Health Information Management (HIM) section at the Durham VA Medical Center. MRTs (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. Duties Help Functions: Responsible for reviewing the overall quality and completeness of clinical documentation. Inpatient CDI focuses on the concurrent review of patient records with an emphasis on improving documentation while the patient is still in-house. 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. Reviews clinical documentation and provides education to clinical staff on...

Overview Why work for Nebraska Methodist Health System? At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued. Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in. Location: Methodist Corporate Office Address: 825 S 169th St. - Omaha, NE Work Schedule: Mon - Fri; regular business hours Job Description Responsible for reviewing all patient files for accuracy, and coding that information into the...

Salary : $61,838.23 - $92,128.38 Annually Location : Riverside Job Type: Regular Job Number: 26-13451-01 Department: RUHS-Medical Center Opening Date: 01/07/2026 Closing Date: 2/11/2026 12:00 AM Pacific ABOUT THE POSITION The County of Riverside - Riverside University Health System- Medical Records Department is seeking to fill multiple Certified Medical Records Coder positions. The incumbents will be responsible for performing advanced coding and abstracting of outpatient medical record entries according to the most current edition of International Classification of Diseases Clinical Modification System (ICD-CM) and Current Procedural Terminology (CPT); performs other related duties as required. The Certified Medical Records Coder - Outpatient classification performs coding and abstracting of a high volume of patient records in the Medical Records Department and reports to an appropriate supervisory or manager level position. The Certified Medical...

WHAT WILL I GET AT ELLIS MEDICINE? Comprehensive and affordable Health, Dental and Vision insurance that starts DAY ONE! Generous paid time off to support a work-life balance, including 6 paid holidays Tuition Reimbursement and professional development opportunities Retirement plan in the form of a 401(3b) with company match after longevity Flexible Spending Account and Dependent Care Account-allowing you to set aside pretax dollars to better care for your health and the health of your loved ones Free yearlong unlimited CDTA Navigator Pass, including Free CDTA bike share program Employee Wellness Program Employee Assistance Program Employer paid Life Insurance WHAT WILL I DO AS A MEDICAL CODER? Basic Function: The Medical Coder is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes, but is not limited to managing the charge entry and charge...

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: Full Time (40 hrs/wk), Remote GENERAL SUMMARY Works under the supervision of the Health Information Reimbursement Manager. The primary job function of the HIM Coder Level I are to assign correct, ICD-10 and CPT codes to established diagnoses and procedures to outpatient (emergency room, same-day surgery, interventional radiology, observation and/or Urgent Care Center) and/or limited inpatient records. In some instances, may audit OP and /or IP records for charging accuracy. May be asked to add or delete charges for optimal reimbursement as well as compliance following coding and governmental guidelines. The level one coder has mastered a maximum of 2 work types. Performs other duties as assigned. QUALIFICATIONS Education: High School Diploma or successful completion of an...

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...

This position supervises the coding section of the Medical Records department, performs day-to-day review, analysis and coding of patient records, monitors coding for quality control, codes diagnosis and operative procedures, reviews and analyzes the medical records of discharged patients, schedules work assignments, trains new employees and performs other duties as assigned. Location: This position allows for a hybrid (remote/in office) work environment for a State of Hawaii resident, with a requirement for an incumbent living outside of Hilo to work on-site on the Big Island at regular intervals throughout the year (approximately four times per year for visits of approximately one week each). Airfare and lodging will be paid for by the organization, in accordance with our policies. Required Qualifications : To qualify, you must meet all of the following requirements. Please note that unless specifically indicated, the required education and experiences may not be gained...

Coder I : This position performs day-to-day review, analysis and coding of patient records; codes diagnoses and operative procedures and reviews and analyzes the medical records of discharged patients. Performs other duties as assigned. Coder II : This position independently assigns ICD-10-CM and CPT-4 codes for diagnoses, procedures and other services; abstracts clinical data for reports and summaries. Performs other duties as assigned. Required Qualifications : To qualify, you must meet all of the following requirements. Please note that unless specifically indicated, the required education and experiences may not be gained concurrently. In addition, qualifying work experience is credited based on a 40-hour workweek. Education : High school diploma or equivalent. Received ICD-10 training, coursework, or classes, within the last 2 years. Except for the substitutions provided for elsewhere in these specifications, applicants must have had progressively responsible...

A client of Innova Solutions is immediately hiring for a HIM Coder Position type: Full-time,Contract Duration: 5+ Months Location: Remote (Looking for candidates based out in HI, CA, WA or OR) As a HIM Coder, you will: The HIM Hospital Coder I is responsible for reviewing medical records and accurately assigning diagnosis and procedure codes in accordance with recognized coding guidelines and organizational standards. Day to Day Responsibilities Review inpatient and outpatient medical records daily to identify and assign accurate diagnosis and procedure codes. Abstract clinical data and ensure coding is completed within required productivity and compliance timelines. Apply ICD-10-CM, CPT, and HCPCS Level II guidelines to ensure proper code selection and sequencing. Communicate with physicians and internal teams to clarify documentation, diagnoses, and procedures when needed. Monitor coding accuracy, resolve discrepancies (including DRG-related...

Position Overview The Inpatient Coder Level 3 is a senior-level position responsible for coding high-complexity inpatient records with accuracy and efficiency. This role requires expert-level knowledge of ICD-10-CM and ICD-10-PCS coding systems, MS-DRG and APR-DRG assignment, and comprehensive understanding of clinical documentation. The Level 3 coder ensures coding compliance, supports training and mentoring of junior staff, and contributes to audit and quality improvement efforts within the HIM department. Primary Department, Division, or Unit: Coding Support Services, UHS Revenue Cycle Operations Primary Work Shift: Day Compensation Range: $33.63 - $50.45 per hour, depending on experience You will be eligible for benefits if you are hired into a regular position with at least 24 scheduled weekly hours. Key Responsibilities Demonstrate proficient understanding of complex clinical scenarios, including comorbidities and complications. Analyze...