38 on site him validator jobs found

ADP, Inc. is hiring a HIM Validator (Coder) for the Jericho, NY office. This full-time role requires expertise in ICD-10-CM guidelines and DRG validation to ensure accurate coding assignments. You will work on-site with healthcare professionals, applying your RHIA/RHIT/CCS credentials and ICD-10 certification. A Bachelor's degree in health information management or health administration is preferred and one year of hospital coding experience is required. #J-18808-Ljbffr

IPRO is seeking a HIM Validator (Coder) to ensure DRG assignments align with ICD-10-CM guidelines and AHA Coding Clinic regulations. This on-site role in Jericho, NY requires strong collaboration with physicians and hospital staff to maintain high coding accuracy and compliance. The ideal candidate holds RHIA/RHIT/CCS certification with inpatient coding experience, plus ICD-10 certification. Bachelor’s degree is preferred. #J-18808-Ljbffr

HIM Validator (Coder) In the HIM Validator (Coder) role, you will utilize your knowledge and expertise of the review program and coding guidelines to ensure that the assignment of coding/DRG is appropriate and consistent with ICD-10-CM Official Guidelines for Coding and Reporting and AHA Coding Clinic regulations. This position requires working on-site at the Jericho, NY office. Qualifications: Strong interpersonal skills with the ability to relate effectively to physicians, senior medical, nursing and administrative personnel. Excellent communication skills (both written and verbal). Technical knowledge of coding and DRG validation. Ability to work independently with minimal supervision. Education & Experience: Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required. Bachelor’s degree in healthcare administration or health information management...

Your job is more than a job Additional Job Description The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (i.e. family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). The Coding Senior may be assigned any of the coding functions of a Coding Specialist I. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers....

Job ID: R1147112Team: Professional GroupLocation: Columbia, South Carolina, United StatesEmployment type: full timePosted: 2026-09-18Employment Status: Full TimeFacility: CorporateLocations: Greenville, United StatesInspire health. Serve with compassion. Be the difference.Job SummaryResponsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Reviews and responds to inpatient denials as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as...

Mary Free Bed Summary We have the great privilege of helping patients and families re-build their lives. It’s extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients “Ask for Mary,” they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership to clinicians and care providers. Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The growing Mary Free Bed Network provides...

Job DescriptionJob DescriptionJOB SUMMARY:The Clinic Professional Coder is responsible for the accurate review, assignment, and validation of diagnosis, procedure, and professional fee codes to support compliant billing and reimbursement processes. This position reviews provider documentation, assigns appropriate ICD-10-CM, CPT, HCPCS, and Evaluation and Management (E/M) codes, and ensures all services rendered are accurately captured and billed. The coder serves as a resource to providers and staff regarding coding guidelines, documentation requirements, reimbursement regulations, and charge capture opportunities.JOB RELATIONSHIPS:Reports directly to the HIM DirectorWorks closely with HIM personnel, Revenue Cycle and Business Office staff, fellow coding team members, and external billing vendorsRESPONSIBILITIES AND ESSENTIAL DUTIES:Review clinical documentation to accurately assign: ICD-10-CM diagnosis codesAppropriate E&M levelsCPT procedure codesHCPCS Level II codesVaccines,...

Additional Job Description The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.) or applying the appropriate ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (i.e. family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). The Coding Senior may be assigned any of the coding functions of a Coding Specialist I. Your job is more than a job Additional Job Description The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient...

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance. Responsibilities Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews coding edits. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Research electronic medical record for any additional diagnoses documented to meet medical necessity. Codes various OP service lines for all MHS specialties that include encounters with high complexity of surgical procedures and...

Revenue Cycle Coder III-Inpatient CodingInspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly...

Job Description Job Description The PB Coder is responsible for reviewing, analyzing, and accurately coding Neurointerventional Radiology and Interventional Radiology procedures. This role requires advanced expertise in vascular anatomy, component coding, and specialized interventional radiology techniques across multiple vascular territories, including the head and neck, visceral (abdominal and pelvic), and peripheral (extremity) systems. The PB Coder performs initial charge review and coding validation for complex interventional procedures within the Radiology and Neurosurgery specialties. Responsibilities include translating intricate diagnostic and therapeutic interventional procedures into the appropriate assignment of CPT, ICD-10-CM, HCPCS, and modifier for accurate reporting of physician professional services to third-party payers. This role ensures coding accuracy, completeness, and compliance with established coding guidelines, regulatory requirements, payer-specific...

Revenue Cycle Coder III-Inpatient Coding Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly...

Clinic Professional Coder The Clinic Professional Coder is responsible for the accurate review, assignment, and validation of diagnosis, procedure, and professional fee codes to support compliant billing and reimbursement processes. This position reviews provider documentation, assigns appropriate ICD-10-CM, CPT, HCPCS, and Evaluation and Management (E/M) codes, and ensures all services rendered are accurately captured and billed. The coder serves as a resource to providers and staff regarding coding guidelines, documentation requirements, reimbursement regulations, and charge capture opportunities. Reports directly to the HIM Director Works closely with HIM personnel, Revenue Cycle and Business Office staff, fellow coding team members, and external billing vendors Review clinical documentation to accurately assign: ICD-10-CM diagnosis codes Appropriate E&M levels CPT procedure codes HCPCS Level II codes Vaccines, immunizations, allergy injections, and other...

Clinic Professional CoderThe Clinic Professional Coder is responsible for the accurate review, assignment, and validation of diagnosis, procedure, and professional fee codes to support compliant billing and reimbursement processes. This position reviews provider documentation, assigns appropriate ICD-10-CM, CPT, HCPCS, and Evaluation and Management (E/M) codes, and ensures all services rendered are accurately captured and billed. The coder serves as a resource to providers and staff regarding coding guidelines, documentation requirements, reimbursement regulations, and charge capture opportunities.Reports directly to the HIM DirectorWorks closely with HIM personnel, Revenue Cycle and Business Office staff, fellow coding team members, and external billing vendorsReview clinical documentation to accurately assign:ICD-10-CM diagnosis codesAppropriate E&M levelsCPT procedure codesHCPCS Level II codesVaccines, immunizations, allergy injections, and other injectable codesCode and...

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks. Responsibilities: 1. Assigns International Classification of Diseases (ICD-10-CM) diagnosis codes in an accurate and productive manner. 2. Assigns all diagnosis codes to chronic conditions documented that may impact Hierarchal Condition Categories (HCCs) or expected mortality. 3. Assigns Healthcare Common Procedure Coding System (HCPCS) and Current Procedural Terminology (CPT) codes in an accurate and productive manner....

Description Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks. Responsibilities: Assigns International Classification of Diseases 10-CM diagnostic and ICD-10-PCS procedural codes accurately and productively, and other applicable codes such as MS-DRG on inpatient cases for all Health Care system cases excluding the academic medical center Groups codes and completed product into payment group. Assigns codes that affect Severity of Illness and Risk of Mortality and...

Revenue Cycle Coder Lead-Inpatient Coding Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. As our Lead Inpatient Coder, you will be a cornerstone of our medical coding department, providing essential leadership and strategic direction for our inpatient coding team. You will be instrumental in driving coding accuracy, ensuring regulatory compliance, and optimizing revenue cycle performance for complex medical cases, making a direct impact on our healthcare data integrity and financial health. Every day you will provide expert technical guidance, conduct comprehensive...

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina. Summary: Performs technical and administrative work reviewing, abstracting and assigning accepted medical CPT, HCPCS, and ICD-10 codes for professional services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures. Employees report to an administrative superior but independently handle assigned tasks. Responsibilities: 1. Assigns International Classification of Diseases 10-CM diagnostic and ICD-10-PCS procedural codes accurately and productively, and other applicable codes such as MS-DRG on inpatient cases for all Health Care system cases excluding the academic medical center 2. Groups codes and completed product into payment group. 3. Assigns codes that affect Severity of Illness and Risk of Mortality and Hierarchal Condition...

Senior Medical Coder Your job is more than a job. As a Senior Medical Coder, you determine the ICD-10-CM/PCS and CPT diagnostic and procedural codes like a top notch jazz musician choosing the appropriate MS-DRG and APR-DRG for patient records as you navigate across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, family medicine, internal medicine, surgery, interventional radiology, trauma, orthopedics, urology, gynecology, etc.). As a valuable senior member of our merry band of coders, you set a positive tone sharing your professional expertise while guarding patient information like a secret family recipe. You love being a go-to resource for all things coding. You put the extra in extraordinary. We love that about you. Your experiences, knowledge, special skills, team mentality, and your "little something extra" all add up to you. And we're excited to get to know you and find out...

Coding Specialist Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for leading coding teams, coder training, work que management, performing prebill and second-level coding reviews utilizing auditing software and documents findings to improve CC/MCC capture, Risk Variable capture, HAC/PSI, HCC and Quality Indicator validation. Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. Employ critical thinking skills to alert coding leadership to any trends identified in their reviews and to make suggestions for continual process improvement. Reviews and responds to inpatient denials as needed. Performs Inpatient coding by assigning ICD-CM and ICD-PCS codes as well as DRG assignment. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the...

Are you an experienced outpatient coder ready for something more? We’re looking for an OutpatientCDS/Coder to join our Valleywise Health CDI team. This is a unique hybrid role designed for an experienced outpatient coder who wants to expand their skills into Clinical Documentation Integrity while continuing to perform production coding . You’ll build on your coding expertise through clinical documentation review, compliant query generation, provider education, risk adjustment, and documentation improvementwhile still coding and staying connected to the work you know. Strong outpatient coding experience is the foundation. We’ll help you grow the CDI side. Valleywise Health is committed to providing high-quality, comprehensive benefits designed to help our employees and their families stay physically and financially fit. Known for the diversity of not only the community of patients we serve but also our workforce and the benefits we offer, such as: Medical,...

Administrative SupervisorAre you looking to make a difference by improving the health of our patients? Here you will find an innovative culture that is patient-focused and dedicated to making a difference. We are committed to helping the population we serve, and our communities, achieve optimum health and enjoy the best quality of life possible.The Administrative Supervisor provides consistent on-site administrative coverage for the hospital and is responsible for coordinating the operations of the hospital on his/her assigned shift. Is responsible for coordinating patient placement consistent with care needs and resources, staffing reallocations and patient flow, accepting all patients meeting our capacity criteria. Assists with direct and indirect care as needed. Functions as a consultant and educator for all inpatient staff including Nursing, ED, Bed Management, Laboratory, Radiology and Pharmacy. Supervises the shift Staffing Assistant, providing direction as needed. Functions...

Description The Certified Coder II is crucial to the Revenue Cycle at Oregon Oncology Specialists and supports our patients’ ability to pay for care. This mid-level coder position independently codes multiple provider charges over broader service lines and more complex work. They actively and independently resolve issues that impact claim quality and reimbursement. SCOPE: Independently demonstrates consistent and accurate application of coding principles, knowledge, quality assurance, and risk mitigation to multiple provider charges, over broad range of service lines; able to navigate complex specialty nuances. INDEPENDENCE: Works independently with spot- quality assurance reviews, and quarterly audits. PROBLEM SOLVING: Easily and independently resolves coding/documentation issues, documents rationale, and drives process improvements that reduce repeat errors. IMPACT OWNERSHIP: Produces accurate, compliant codes for multiple providers and service lines. Actively...

Job Summary Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related...