187 senior inpatient drg coder jobs found

To support healthcare operations, the full-time Senior Inpatient DRG Coder will identify appropriate coding assignments for facility services, maintain coding quality and productivity, and participate in educational events while working remotely from anywhere in the U.S. Key responsibilities: Identify appropriate assignment of ICD-10 CM, ICD-10-PCS, DRG, and abstraction for facility services while adhering to coding guidelines Maintain up-to-date coding knowledge and adhere to ethical standards established by AAPC and/or AHIMA Abstract additional data elements during the chart review process and query physicians when necessary Required qualifications: High School Diploma/GED Professional coder certification from AHIMA and/or AAPC (e.g., CCA, CCS, RHIA, RHIT, CPC-H/COC, CIC, CCS-P, CPC) 3+ years of experience with inpatient DRG coding in an acute care facility setting 3+ years of experience with ICD-10-CM, ICD-10-PCS, and DRG coding utilizing an encoder Intermediate...

UnitedHealth Group is seeking a skilled inpatient coder to assign ICD-10-CM/PCS and DRGs for facility services. You will abstract data, maintain coding quality, and adhere to AHIMA/AAPC ethics. Expect ongoing education, collaboration with the coding leadership, and opportunities for professional growth. The role requires 3+ years of inpatient DRG coding experience, AHIMA/AAPC credentials, and strong Excel/EMR proficiency. Telecommuting is available within the United States, with full-time hours. #J-18808-Ljbffr

Optum Frontier Therapies, part of UnitedHealth Group, seeks a skilled clinical coder to support inpatient DRG coding and ICD-10 coding tasks from a remote US location. You will follow official guidelines, maintain high accuracy, and collaborate with QM leadership to ensure compliant coding practices. The role requires AHIMA/AAPC credentials, 3+ years in inpatient DRG coding, and strong Excel/EMR proficiency. #J-18808-Ljbffr

Optum is recruiting an experienced inpatient DRG coder to support facility coding across a telecommuting model. You will assign ICD-10-CM/PCS, DRG, and abstraction per guidelines, while maintaining coding quality and productivity targets. Responsibilities include querying physicians, staying current with coding standards, and participating in department meetings. Candidates must hold AHIMA/AAPC credentials and have 3+ years inpatient DRG experience in acute care, with strong Excel and EMR #J-18808-Ljbffr

Optum, part of UnitedHealth Group, seeks a Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct CCIs, MUE edits, and medical necessity edits while applying ICD-10-PCS and DRG rules to inpatient records. You will query providers, analyze records, and support denial management with a focus on high-quality coding and compliant billing practices. #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

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

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

UK St.Claire seeks an experienced inpatient coder to ensure accurate ICD-10-CM/PCS coding and MS-DRG assignments. You will review complex clinical documents, query providers for clarity, and support audits to reduce denials. The role emphasizes accuracy, compliance, and timely hospital billing. Requires 3–5 years in inpatient coding, RHIA/RHIT/CCS/CPC credentials preferred, and a commitment to quality in a full-time, on-site position in Kentucky. #J-18808-Ljbffr

Job Title 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 facility...

Join Optum360Optum 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.Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities.Who are we? Optum360. We're a dynamic new...

Requisition number: 2309328 Job category: Medical & Clinical Operations 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. Healthcare isn't just changing. It's growing more complex every day. ICD - 10 Coding replaces ICD - 9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and Healthcare organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these...

Requisition number: 2375423 Job category: Medical & Clinical Operations 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...

100 LCMC Health is seeking a coding specialist responsible for applying complex ICD-10 and CPT codes for both inpatient and outpatient records. Candidates must hold a minimum two years of coding experience and relevant coding certification. The ideal candidate will have a strong understanding of medical terminology and coding regulations, and will effectively communicate with clinical staff to resolve documentation issues. This position offers variable work hours in Louisiana, Missouri. #J-18808-Ljbffr

Optum, part of UnitedHealth Group, is seeking a skilled Medical Coder to support inpatient hospital coding and DRG assignments from Eden Prairie, MN. This full-time role offers remote work within the U.S. and a comprehensive benefits package. You will assign ICD-10-CM/PCS codes, ensure accuracy per guidelines, provide feedback to providers, and maintain up-to-date coding knowledge. A RHIT/RHIA/CCS/CIC certification and 3+ years in acute care inpatient coding are required. #J-18808-Ljbffr

Caring. Connecting. Growing Together.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 your life's best work.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 facility...

Senior Inpatient CoderThe Senior Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the larger McLeod Health facilities representing more complex medical/surgical encounters.Responsibilities:Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available.Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure, and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment.Understands coding guidelines to accurately apply coding principles to encounters with longer lengths of stay, complex medical diagnoses and extensive surgical procedures....

Senior Inpatient Coder Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Clerical/Administrative Support Department: Health Info Mgmt-WMC Health Union: No Position: Full Time Hours: 80 Shift: Day Req #: 48059 Posted Date: Jun 12, 2026 Hiring Range: $39.66 - $49.86 Apply Now External Applicant link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/33072) Internal Applicant link Job Details: 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...

Riedman - Remote Full time REQ_232323 SUMMARY Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes for billing, internal and external reporting, research, and regulatory compliance. Demonstrate knowledge of reimbursement methodologies and apply these to assigned charts to optimize reimbursement and/or resolve regulatory edits. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors STATUS: Full-time LOCATION: Riedman- Remote SCHEDULE: Day shift ATTRIBUTES • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines, and keeps abreast of coding changes and interpretation of codes.• Complies with RRH & HIM department policies & procedures• Perform...

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

Senior Hospital CoderThe Senior Hospital Coder is responsible for performing detailed inpatient coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. This is a remote inpatient position.Essential Duties and ResponsibilitiesOptimize hospital reimbursement by auditing and monitoring...

22 New Scotland Avenue Albany, NY 12208 Full time 69819 Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $64,972.00 - $97,458.00 The Senior Hospital Coder is responsible for performing detailed inpatient coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly...

Req Number 194394 Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. Utilizes resources and reference materials (e.g., on-line sources, manuals) to identify appropriate codes and reference code applicability, rules and guidelines. Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of...

The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services. In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical professional who thrives in a fast-paced, remote environment and is passionate about accuracy, compliance, and continuous improvement in healthcare operations. Duties & Responsibilities Serve as a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding Perform DRG validation and retrospective medical claims reviews Analyze inpatient and outpatient claims for coding accuracy and reimbursement determinations Prepare clear, detailed determination letters and...