249 senior drg coder jobs found

Senior DRG Coder - RCO Coding (Remote) Galveston, Texas, United States New Business, Managerial & Finance UTMB Health Requisition # 2603788 EDUCATION & EXPERIENCE: Minimum Qualifications: Three years of related experience. Preferred Qualifications: Experience with communicating, training, and educating providers in proficiency. Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, medical terminology and medical abbreviations. REQUIRED LICENSES, REGISTRATIONS, OR CERTIFICATIONS: One of the following: CCS – Certified Coding Specialist (AHIMA) or RHIA – Registered Health Information Administrator (AHIMA) or RHIT – Registered Health Information Technician (AHIMA) JOB SUMMARY: To provide the advanced skills necessary for proper coding of all pertinent diagnoses and procedures and to provide optimal DRG assignment after thorough review of medical record and analysis of DRG options. ESSENTIAL JOB FUNCTIONS: Selects records from EPIC WQ...

UTMB Health is looking for a Senior DRG Coder to work remotely in Galveston, Texas. This full-time position involves coding diagnoses and procedures accurately, ensuring optimal DRG assignments, and maintaining coding compliance. The ideal candidate should have at least three years of experience and hold relevant certifications like CCS or RHIA. Strong communication skills and proficiency in inpatient coding are essential. The work environment is standard office-based with occasional travel. #J-18808-Ljbffr

Astrana Health Management is seeking a Senior DRG Coder to review inpatient medical records and assign diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS. The role is critical to ensuring coding accuracy and compliance within hospital reimbursement frameworks. Candidates should possess an associate’s degree, at least five years of inpatient coding experience, and relevant certifications. The position offers a competitive hourly wage and requires remote work capabilities with occasional in-person meetings. #J-18808-Ljbffr

Astrana Health, Inc. is seeking a Senior DRG Coder to ensure coding accuracy and compliance. You will review inpatient medical records, assign appropriate codes, and collaborate with various teams for accurate reimbursement. This role requires at least 5 years of inpatient coding experience with a strong background in ICD-10-CM and ICD-10-PCS methodologies. The position is remote but requires occasional in-person meetings. #J-18808-Ljbffr

The University of Texas Medical Branch seeks a Coding Specialist to provide advanced skills in coding diagnoses and procedures. This position involves reviewing medical records, assigning appropriate codes, and ensuring compliance with regulations. A successful candidate will have three years of experience in coding, strong communication skills, and CCS certification. The role is full-time, remote, and offers opportunities for continued education and professional development. #J-18808-Ljbffr

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. 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

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 is seeking a Senior Coder in Raleigh, North Carolina, providing expertise in accurate coding and DRG assignment. The role includes abstracting medical records and timely coding for reimbursement purposes. The ideal candidate will possess certifications as a Registered Health Information Technician, Certified Professional Coder, and a degree in Health Information Management. Join us to deliver quality healthcare services and support the community's health. #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. 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. 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

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

Prime Healthcare, headquartered in Ontario, CA, seeks an Inpatient Coder Auditor to verify inpatient documentation and assign ICD-10/PCS, CPT, and HCPCS codes accurately. The senior role leads DRG validation and supports CDS and medical staff to enhance clinical documentation. Candidates should have CCS and at least 1 year of acute care experience, with encoder software proficiency. Full-time, day shift, with competitive compensation and benefits. #J-18808-Ljbffr

TEEMA Solutions Group is seeking a Senior Clinical Coder for a fully remote opportunity focused on inpatient facility coding and DRG validation. You will support clinical operations teams in complex medical claims reviews and ensure coding accuracy. The ideal candidate has over 5 years of clinical coding experience and a CCS certification. This role offers long-term potential for permanent employment. #J-18808-Ljbffr

DRG Coder The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and procedure codes Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation Conduct coding validation and auditing to ensure compliance with payer and regulatory...

DRG Coder The Senior DRG Coder is responsible for reviewing inpatient medical records and accurately assigning diagnosis and procedure codes using ICD-10-CM and ICD-10-PCS to determine the appropriate Diagnosis-Related Group (DRG) assignment. This role ensures coding accuracy, reimbursement integrity, and compliance with federal and state regulations, payer guidelines, and internal policies. In an Independent Practice Association (IPA) and Management Services Organization (MSO) environment, the Senior DRG Coder partners with utilization management, care management, finance, and provider network teams to support accurate payment, risk adjustment, quality reporting, and medical expense analysis. What You'll Do Review inpatient hospital records and assign accurate diagnosis and procedure codes Determine the appropriate MS-DRG or APR-DRG assignment based on coding and clinical documentation Conduct coding validation and auditing to ensure compliance with payer and...

$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 effectiveness and reinforcing our reputation for high - quality health services. AsSenior Inpatient Facility Medical Coderyou will provide codingservices directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Medical Coding Position 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. This position is full-time (40 hours/week) Monday-Friday, normal business hours. It may be necessary, given the business need, to work occasional overtime. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for...

A healthcare organization is seeking a Senior Inpatient Medical Coder for a remote position in Portland, Oregon. This role requires expertise in ICD-10 coding and experience with acute care settings. You will be responsible for coding inpatient services accurately and providing valuable feedback to healthcare providers. The position offers comprehensive benefits, including a sign-on bonus for external applicants and flexible telecommuting options. #J-18808-Ljbffr

The Wisconsin Psychiatric Association Inc is seeking a Senior Inpatient Medical Coder. This remote role requires candidates to provide coding services directly to healthcare providers while upholding high documentation standards. Ideal candidates will have a professional coding certification and at least 3 years of inpatient medical coding experience. The position also offers a $5,000 sign-on bonus, paid time off, and various health insurance options, making it an attractive opportunity for qualified applicants. #J-18808-Ljbffr

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 and collaborate with clinical reviewers and data analysts to drive accuracy and reimbursement outcomes. Key responsibilities include reviewing records for coding accuracy and DRG validation, identifying anomalies for audit targeting, #J-18808-Ljbffr

Cape Fear Valley Health in Fayetteville, NC, Health Information Management seeks a skilled Medical Records Coder to accurately code diagnoses and procedures and to abstract clinical data for reimbursement and statistics. The role requires RHIA/RHIT/CCS or equivalent credentials, 5 years of hospital coding experience, and strong knowledge of UHDDS and ICD-CM coding principles. This full-time position is based in a busy hospital setting. #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