171 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...

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

UnitedHealth Group is seeking an experienced Inpatient DRG Coder to join the remote coding team. You will assign ICD-10-CM/PCS and DRG codes for facility services, adhering to official coding guidelines and client standards. Ideal candidates have 3+ years of inpatient DRG coding in acute care, AHIMA or AAPC certification, and strong proficiency with Excel and EMR systems. Remote work within the U.S. is available with potential overtime as needed. #J-18808-Ljbffr

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

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. 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 report to the Manager, Payment Integrity and collaborate with clinical reviewers and data analysts. The role requires RHIA/RHIT/CCS/CIC certification and 5+ years inpatient coding experience, with strong DRG knowledge and CDI/SOI concepts. Remote/hybrid work options are available within the Humana network. #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

Humana, Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and guideline compliance. You will report to the Manager, Payment Integrity. The role involves auditing inpatient records, applying ICD-10-CM/PCS guidelines, and collaborating with clinical reviewers to ensure accurate reimbursement and SOI/ROM assessments. #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 guidelines. You will report to the Manager, Payment Integrity. The role requires RHIA/RHIT/CCS/CIC certification, 5+ years inpatient coding experience, and DRG knowledge. 3M Coding software experience and leadership are preferred. This position offers home-office flexibility with a hybrid option. #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

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

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

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

Job Opportunity At Optum 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...

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...

Job Opportunity At Optum 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...

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

UnitedHealth Group's Optum is seeking a skilled medical coder to join our inpatient coding team. This role focuses on assigning ICD-10-CM/PCS codes for hospital services and determining DRG impact, while adhering to official guidelines and established coding practices. The ideal candidate holds AHIMA or AAPC certification, has 3+ years of acute inpatient coding experience, and delivers accurate, productive coding. Telecommuting from anywhere in the U.S. is supported. #J-18808-Ljbffr