5173 inpatient medical record coder jobs found

Position Summary At Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Duties of a Coder may include the following, but are not limited to: Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance. Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services. Follows all HIPAA regulations and upholds a higher standard around privacy requirements. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting. Demonstrates proficiency...

Experienced Inpatient Medical Record CoderAt Stony Brook Medicine, the Coder will be responsible for selecting and assigning accurate codes from the current version of coding systems including ICD-10 CM, ICD-10 PCS, CPT and HCPCS codes. Duties of a Coder may include the following, but are not limited to:Demonstrates proficiency with Microsoft Office Applications, Citrix and Adobe Reader in using required computer systems with minimal assistance.Reviews the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.Utilizes coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.Follows all HIPAA regulations and upholds a higher standard around privacy requirements.Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in a remote setting.Demonstrates proficiency with...

Cedars-Sinai is seeking an Hospital Inpatient Coder to assign ICD-10-CM and ICD-10-PCS codes from medical records. You will determine principal diagnosis, comorbidities, and DRG sequencing while adhering to guidelines and coding standards. Responsibilities include abstracting data, using EPIC and Solventum systems, and collaborating with CDI teams to ensure complete coding profiles and accurate statistics. #J-18808-Ljbffr

Job Description Job Description Position Summary: Medical Record Coder is responsible for timely review and completion of all discharged patient records in order to identify an appropriate selection of ICD-10-CM/CPT codes that will accurately reflect the patients stay while in the facility. Coder is further responsible for insuring that all data elements required for federal and state reporting are collected; coded data will facilitate the billing process with regards to coding and assignment of APC/MS DRG.   Position Qualifications: EDUCATION: High school diploma or College degree equivalent plus certification preferred. TRAINING: Orientation and training under supervision of Director and Coding Manager until competency is observed. ABILITIES AND SKILLS: Requires eye hand coordination with good manual dexterity. EXPERIENCE: 2-3 years coding experience in an acute care facility. Must be able to look at computer CRT most of the day and must be computer...

Position Summary: Medical Record Coder is responsible for timely review and completion of all discharged patient records in order to identify an appropriate selection of ICD-10-CM/CPT codes that will accurately reflect the patients stay while in the facility. Coder is further responsible for insuring that all data elements required for federal and state reporting are collected; coded data will facilitate the billing process with regards to coding and assignment of APC/MS DRG. Position Qualifications: EDUCATION: High school diploma or College degree equivalent plus certification preferred. TRAINING: Orientation and training under supervision of Director and Coding Manager until competency is observed. ABILITIES AND SKILLS: Requires eye hand coordination with good manual dexterity. EXPERIENCE: 2-3 years coding experience in an acute care facility. Must be able to look at computer CRT most of the day and must be computer knowledgeable. Must have excellent...

Position Summary: Medical Record Coder is responsible for timely review and completion of all discharged patient records in order to identify an appropriate selection of ICD-10-CM/CPT codes that will accurately reflect the patients stay while in the facility. Coder is further responsible for insuring that all data elements required for federal and state reporting are collected; coded data will facilitate the billing process with regards to coding and assignment of APC/MS DRG. Position Qualifications: EDUCATION: High school diploma or College degree equivalent plus certification preferred. TRAINING: Orientation and training under supervision of Director and Coding Manager until competency is observed. ABILITIES AND SKILLS: Requires eye hand coordination with good manual dexterity. EXPERIENCE: 2-3 years coding experience in an acute care facility. Must be able to look at computer CRT most of the day and must be computer knowledgeable. Must have excellent command of the English...

Cedars-Sinai is seeking an Hospital Inpatient Coder to assign ICD-10-CM/PCS codes for inpatient stays, review documentation, and determine DRG sequencing. The role supports CDI collaboration and uses EPIC and related systems for coding accuracy. You will abstract data for reporting, ensure timely coding, and contribute to documentation improvement initiatives across the Cedars-Sinai Health System. #J-18808-Ljbffr

Cedars-Sinai is seeking an Hospital Inpatient Coder to assign ICD-10-CM/PCS codes for inpatient stays, review documentation, and determine DRG sequencing. The role supports CDI collaboration and uses EPIC and related systems for coding accuracy. You will abstract data for reporting, ensure timely coding, and contribute to documentation improvement initiatives across the Cedars-Sinai Health System. #J-18808-Ljbffr

Cedars-Sinai is hiring an Hospital Inpatient Coder in Colorado Springs to assign ICD-10-CM and ICD-10-PCS codes by reviewing documentation and determining DRG sequencing. You will work with EPIC systems and the CDI team to ensure complete and accurate coding profiles. The role requires a minimum of 3 years of coding in a healthcare setting and professional coding certifications at hire. Competitive benefits including health/dental insurance and a 403(b) are offered. #J-18808-Ljbffr

Cedars-Sinai in Los Angeles is seeking a Hospital Inpatient Coder to assign ICD-10-CM/PCS codes by reviewing documentation and determining the principal diagnosis and sequencing for DRGs. You will work within the CDI team to ensure accurate and complete coding. Proficiency with MS-DRG/APR-DRG, SDOSH, and health information systems like EPIC CS-Link is expected, along with attention to regulatory guidelines and timely data abstraction. #J-18808-Ljbffr

The U.S. Department of Veterans Affairs is hiring a Medical Records Technician (Coder-Inpatient) to support inpatient coding and health information management. The position encompasses applying ICD-CM/PCS coding conventions, abstracting health record data, and ensuring documentation supports accurate MS-DRG assignments. Candidates may qualify at GS-5 through GS-8 with relevant experience or education, and must meet the basic requirements, including U.S. citizenship and English proficiency. #J-18808-Ljbffr

Summary MRTs 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 alphanumeric codes for each diagnosis and procedure. Learn more about this agency Duties Help ** *THIS IS AN ON SITE POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Duties of the Medical Records Technician (Coder) In/Outpatient include, but not limited to: Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare...

Supervisory Medical Records Technician (Inpatient Coder) Department: Department of Veterans Affairs Location: Anywhere in the U.S. (remote job) This position is in the Health Information Management Section (HIMS) of the Health Administration Service Line at the Puget Sound 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. Key Responsibilities This position is currently has Return to Office (RTO) mid-term extension (NTE 8/31/2027). Remote work is currently authorized; however, candidates may be subject to return to office in the event policy changes or the exemption is not extended. Total Rewards of a Allied Health Professional MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings. These coding...

Job Title Journey Level Medical Records Technician (Coder-Inpatient) Job Description The journey level Medical Records Technician (Coder-Inpatient) position incumbent selects and assigns codes from current versions of ICD-10-CM, ICD-10-PCS, and/or Current Procedural Terminology (CPT) and Health Common Procedure Coding System (HCPCS) classification systems for inpatient facility and/or professional services. Major duties includes and responsibilities included but not limited to: Performance of a comprehensive review of documentation within the health record to assign ICD codes for diagnosis, complications/major complications, comorbid/major comorbid conditions, surgery, and procedures for accurate assignment of diagnosis related groups (DRG), and/or assigning CPT/HCPCS codes for inpatient professional services. Independently reviews and abstracts clinical data from the record for documentation of diagnosis and procedures to ensure it is adequate and appropriate to...

Summary This position is located in the Health Information Management (HIM) section at the Dayton 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. This position is MRT (Coder-Intpatient). Summary This position is located in the Health Information Management (HIM) section at the Dayton 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. This position is MRT (Coder-Intpatient). Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met....

Veterans Health Administration, within the Department of Veterans Affairs, seeks a Medical Records Technician (Coder-Outpatient and Inpatient) in the Southeast Louisiana Veterans Healthcare System. This role codes inpatient and outpatient encounters using ICD, CPT, and HCPCS, and may educate staff on coding and documentation. The position requires one year of creditable experience for GS-7 or experience for GS-8, with strong attention to coding guidelines and patient health record integrity. #J-18808-Ljbffr

Medical Records Technician (Coder-Outpatient and Inpatient) Department: Department of Veterans Affairs This position is located in the Health Information Management (HIM) section of the Business Office at the Orlando VA Healthcare System, Orlando, FL.. MRTs (inpatient/Outpatient 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, multispecialty clinics, and specialty centers. Key Responsibilities Duties and responsibilities include, but not limited to: Assigns codes to documented patient care encounters (inpatient facility and/or professional services) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests,...

Summary This position is in the Health Information Management (HIM) section at the Clement J. Zablocki VA Medical Center located in Milwaukee, Wisconsin. 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 This position is located in the Health Information Management (HIM) section at the Clement J. Zablocki VA Medical Center. 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. Major Duties Advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, and procedures. Selects and assigns codes from the current version of several coding systems to include current...

Department: Department of Veterans Affairs Location: Anywhere in the U.S. (remote job) This position is located in the Health Information Management (HIM) section at the Dayton 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. This position is MRT (Coder-Intpatient). Key Responsibilities Major duties include but are not limited to: Analyze and abstract patients' health records and assign alpha numeric codes for each diagnosis and procedure. Independently review and abstract clinical data from the record for documentation of diagnoses and procedures to ensure it is adequate and appropriate to support the assigned codes. Code all complicated and complex medical/specialty diseases processes, patient injuries, and all medical procedures in a wide range of inpatient settings and...

This position is eligible for remote work and is currently operating under an extension of the Return-to-Office (RTO) mandate. Please note that remote work eligibility is reviewed on an ongoing basis and does not imply a permanent remote work status until an exemption is approved. Employees in this role may be required to comply with future RTO requirements as determined by agency policy. Basic Requirements United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency: MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f). Experience and Education: Experience . One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of a health records. OR, Education . An associate's degree from an accredited college or...

Certified Medical Records Coder PositionThe County of Riverside - Riverside University Health System - Medical Records Department is seeking to fill a Certified Medical Records Coder position located in Riverside.Under general supervision, performs advanced coding and abstracting of inpatient medical record entries according to the most current edition of International Classification of Diseases - Clinical Modification System (ICD-CM), Procedure Coding System (PCS) and Current Procedural Terminology (CPT); performs other related duties as required.The Certified Medical Records Coder - Inpatient classification performs the most complex 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 Records Coder - Inpatient is distinguished from the Certified Medical Records Coder - Outpatient in that the latter does not require an extensive knowledge of complex...

This position is located in the Health Information Management (HIM) service line. Medical Record Technicians (MRT Coders) 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. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Experience and Education: Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology,...

Summary The VA Northeast Ohio Healthcare System is recruiting for a Medical Records Technician (Coder-Inpatient) position. The Medical Records Technician (Coder-Inpatient) is located in the Health Information Management Services (HIMs) section within Patient Care Administrative Service. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy English Language Proficiency MRTs (Coder) must be proficient in spoken and written English as required by 38 U.S.C. 7403(f) Education or Experience: (1) Experience One year of creditable experience that indicates knowledge of medical terminology - anatomy - physiology - pathophysiology - medical coding - and the structure and...

Summary This position is located in the Health Information Management (HIM) section at the Battle Creek VA Medical Center. The Medical Records Technician (Coder - Outpatient and Inpatient) is 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. Qualifications Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy Experience and Education Experience: One year of creditable experience that indicates knowledge of medical terminology - anatomy - physiology - pathophysiology - medical coding - and the structure and format of health records OR - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health...