441 inpatient senior coder jobs found

Job Summary The Senior Inpatient Coder is responsible for addressing appeals to insurance companies and coding highly complex medical records using the current International Classification of Diseases (ICD10 CM/PCS codes) and entering coded information into an automated grouper system. Technical guidance and acting in a lead role is expected. Does related work as required. Responsibilities Addresses appeals to insurance denials to facilitate expedient resolution and reimbursement. Interprets and applies American Hospital Association Official Coding guidelines to articulate and support principle and secondary diagnoses and selected procedures. Identifies and analyzes patterns in possible coding errors or other trends and reports to the coding leadership team. Participates in mandated medical record review processes. Using current ICD10 CM/PCS coding systems, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by the attending...

Senior Inpatient Coder - Remote 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 needed. Collaborates with other senior coders (and the other coding staff)...

Humana, Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. Key responsibilities include reviewing records for coding accuracy and DRG validation, identifying anomalies for audits, applying ICD-10-CM/PCS coding guidelines and DRG logic, and collaborating with clinical reviewers and data analysts to #J-18808-Ljbffr

Humana Inc. seeks a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and regulatory compliance. You will report to the Manager, Payment Integrity. The role requires RHIA/RHIT/CCS/CIC certifications and 5+ years inpatient coding experience, with DRG knowledge and CDI understanding. Hybrid work options and strong benefits are offered. #J-18808-Ljbffr

Humana Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity initiatives. You will review inpatient claims for coding accuracy, DRG assignment, and compliance with guidelines, reporting to the Manager, Payment Integrity. The role involves auditing, education, and collaboration with clinical reviewers and data analysts. Required RHIA/RHIT/CCS/CIC, 5+ years inpatient coding, and strong DRG knowledge. #J-18808-Ljbffr

Humana Inc. in Lincoln, NE is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims, applying ICD-10-CM/PCS guidelines, and DRG logic. You will report to the Manager, Payment Integrity and collaborate with clinical reviewers and data analysts. This role emphasizes accuracy, audits, and education to improve reimbursement while protecting PHI. #J-18808-Ljbffr

Humana Inc. seeks a Senior Medical Coding Professional, Inpatient, to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with guidelines. You will report to the Manager, Payment Integrity. You will apply ICD-10-CM/PCS coding guidelines, assess reimbursement impact, conduct retrospective audits, and collaborate with clinical reviewers and data analysts to drive accurate DRG coding and financial outcomes. #J-18808-Ljbffr

McLeod Health in Florence, SC seeks a Senior Inpatient Coder responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at our facilities, focusing on complex medical/surgical encounters. You will stay current with coding developments, query physicians when documentation is unclear, collaborate with Clinical Documentation Specialists, and maintain productivity with a 95% accuracy rate. #J-18808-Ljbffr

Humana Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims, validating DRG assignments, and ensuring adherence to official guidelines. You will report to the Manager, Payment Integrity. This role requires RHIA/RHIT/CCS/CIC certification and 5+ years of inpatient coding experience, with audit or validation background and strong DRG knowledge. CDI and SOI/ROM concepts are essential; 3M Coding software experience is a plus. #J-18808-Ljbffr

Humana Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy and DRG assignment. You will report to the Manager, Payment Integrity. The role involves auditing, DRG validation, and collaboration with clinical reviewers to ensure compliant reimbursement and severity assessment. This is a senior position with opportunity for impact in a large health care organization. #J-18808-Ljbffr

The University of Maryland Medical System is seeking a Senior Inpatient Coder (Remote) responsible for coding hospital inpatient accounts accurately for reimbursement and compliance. This role involves analyzing documentation, ensuring coding quality, and collaborating with clinical staff. Applicants must be high school graduates with significant ICD-10-CM coding experience, preferably with trauma rehabilitation. Certifications such as CCS or RHIT are necessary. Competitive compensation of $30.26 to $42.37 per hour will be offered. #J-18808-Ljbffr

A healthcare solutions provider is seeking a Senior Clinical Coder to serve as a subject matter expert in medical coding and DRG validation. This fully remote, full-time position requires extensive experience in coding accuracy, regulatory compliance, and reimbursement processes for both inpatient and outpatient services. The ideal candidate will thrive in a fast-paced environment and is skilled in utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems. Strong analytical abilities and effective communication skills are essential for success in this role. #J-18808-Ljbffr

Direct Jobs in Valhalla, NY is looking for a Senior Inpatient Coder to manage medical records coding and appeals resolutions. The role requires a minimum of three years of inpatient coding experience and proficiency in ICD 10 CM/PCS coding systems. The ideal candidate will also need to possess a CCS certification and demonstrate effective communication skills. This position offers the opportunity to work in a dynamic healthcare environment while ensuring accurate coding compliance with industry standards. #J-18808-Ljbffr

Westchester Medical Center Health Network is seeking a Senior Inpatient Coder to manage complex medical records coding and address insurance appeals. You will play a crucial role in ensuring accuracy in coding and reimbursement. The ideal candidate will have a minimum of three years of inpatient coding experience, proficiency in ICD 10 CM/PCS, and require a current Certified Coding Specialist certification. This role involves a strong understanding of medical terminology and clear communication with staff. #J-18808-Ljbffr

UnitedHealth Group is seeking a Senior Inpatient Medical Coder for a remote role. The position requires strong organization, self-starting abilities, and proficiency with coding guidelines and tools. A 4-week virtual training is provided. The role emphasizes accurate ICD-10-CM/PCS coding, DRG impact, and adherence to AHIMA/AAPC standards, with expectations for ongoing coding knowledge, performance, and participation in department activities. #J-18808-Ljbffr

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes...

Overview Serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation issues. Reviews SMART accounts on a daily basis as assigned. Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Licensure Registered Health Information Technician Required Registered Health Information Administrator Required Certified...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high‑quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are...

UnitedHealth Group is looking for a Senior Inpatient Medical Coder to work remotely from anywhere in the U.S. The role requires providing coding services with keen attention to documentation standards. The ideal candidate will possess extensive experience in acute care inpatient coding, hold relevant certifications, and be fully organized in a remote environment. The position includes a comprehensive benefits package and offers a competitive hourly pay range of $23.41 to $41.83 based on experience. #J-18808-Ljbffr

Reviewing clinical documentation and assigning ICD-10-CM diagnosis and PCS procedure codes, the full-time Certified Senior Inpatient Coder will ensure proper reimbursement for complex inpatient accounts while working remotely. Key responsibilities: Evaluates health record documentation to ensure accurate ICD-10-CM diagnostic and PCS procedural coding Identifies documentation clarification opportunities and initiates coding queries with clinicians Maintains coding quality and productivity standards while assisting with the training of inpatient coders Required qualifications: Two (2) years of hospital inpatient/DRG coding experience Successful completion of a coding program covering ICD-10-CM/PCS, medical terminology, anatomy, and disease processes Current certification with AHIMA or AAPC as RHIA, RHIT, CPC, CCS, or CIC Passing score on the senior inpatient coding skills assessment

To support a growing healthcare team, the full-time Senior Inpatient Medical Coder will remotely assign ICD-10-CM and ICD-10-PCS codes for inpatient services, ensuring adherence to coding guidelines and maintaining coding quality and productivity. Key responsibilities Identify and assign appropriate ICD-10 codes for inpatient services while adhering to official coding guidelines Abstract additional data elements during the Chart Review process and provide documentation feedback to providers Maintain up-to-date coding knowledge and participate in departmental meetings and educational events Required qualifications High School Diploma/GED Professional coder certification from AHIMA and/or AAPC (e.g., RHIT, RHIA, CCS, CIC) 3+ years of experience in Acute Care Inpatient medical coding 3+ years of experience with DRG coding and complex procedures 3+ years of training and experience using ICD-10-PCS procedure coding

Optum is seeking a Senior Inpatient Facility Medical Coder to provide ICD-10-CM/PCS coding for inpatient hospital services in a remote role. Candidates should be experienced with DRG assignments, CC/MCC considerations, and AHIMA/AAPC credentials. Training is provided, and there is a $5,000 signing bonus for external applicants. Responsibilities include chart review, documentation feedback, adherence to coding guidelines, and collaboration with providers. #J-18808-Ljbffr

Improve the lives of others while Caring. Connecting. Growing together. Job Description - Senior Inpatient Facility Medical Coder (2304578) Senior Inpatient Facility Medical Coder - 2304578 Join Us at our Medical Coding Virtual Job Fair to learn more about this position! $5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We’re focused on improving the health of our members, enhancing our operational...

Xtensys is seeking a Senior Inpatient Coder to oversee compliance and quality in clinical coding. This remote position will involve conducting audits, mentoring staff, and analyzing coding trends to ensure accuracy and regulatory compliance. The ideal candidate will have over five years of medical coding experience and significant expertise in technical coding. Join a mission-driven team that values innovation and seeks to improve healthcare outcomes across the nation. #J-18808-Ljbffr