Inpatient DRG Coding Specialist

3 weeks ago


Miami, Florida, United States Insight Global Full time

We are seeking a detail-oriented and experienced Inpatient DRG Coding Specialist to join our Health Information Management team at Insight Global.

The ideal candidate will be responsible for accurately coding inpatient medical records using ICD-10-CM/PCS codes and ensuring compliance with all applicable guidelines and regulations.

This role is crucial in optimizing hospital reimbursement and supporting quality patient care.

Key Responsibilities:

  • Review and analyze inpatient medical records to assign appropriate ICD-10-CM/PCS codes.
  • Ensure accurate DRG assignment and compliance with coding guidelines and regulations.
  • Collaborate with healthcare providers to clarify diagnoses and procedures.
  • Conduct regular audits to ensure coding accuracy and compliance.
  • Stay updated with changes in coding standards, regulations, and best practices.
  • Participate in coding education and training sessions.
  • Maintain confidentiality and security of patient health information.

Requirements:

  • HS Diploma or equivalent
  • AHIMA Certified Coding Specialist
  • 2-3 years of relative experience
  • Certified Coding Specialist (CCS)
  • Extensive knowledge with ICD-10 (PCS) coding
  • Well-rounded inpatient coding knowledge base
  • RHIT OR CCS OR RHIA Certified
  • CDI Program Experience
  • Detailed understanding of encoder system
  • Experience with Inpatient Prospective Payment System (IPPS)
  • Competency in Word and Excel
  • Strong communication skills
  • Self-sufficient & accountable
  • Cerner experience


  • Miami, Florida, United States Insight Global Full time

    Job Title: Inpatient DRG Coding SpecialistWe are seeking a detail-oriented and experienced Inpatient DRG Coding Specialist to join our Health Information Management team at Insight Global.Job Summary:The ideal candidate will be responsible for accurately coding inpatient medical records using ICD-10-CM/PCS codes and ensuring compliance with all applicable...


  • Miami, Florida, United States University of Miami Full time

    Job SummaryWe are seeking highly skilled Inpatient Coders to join our team at the University of Miami. As a key member of our Health Information Management department, you will play a critical role in capturing accurate and detailed information for reimbursement, data collection, and research purposes.Key ResponsibilitiesAccurately capture encounter-specific...


  • Miami, Florida, United States ReqRoute Inc Full time

    Job Title: Certified Medical Coding SpecialistJob Summary: We are seeking a skilled Certified Medical Coding Specialist to join our team at ReqRoute Inc. As a Certified Medical Coding Specialist, you will be responsible for coding and abstracting patient encounters, researching and analyzing data needs for reimbursement, and ensuring that codes are sequenced...


  • Miami, Florida, United States University of Miami Full time

    Job SummaryWe are seeking highly skilled and detail-oriented Outpatient Coders to join our team at the University of Miami. As a key member of our Health Information Management department, you will be responsible for reviewing and assigning ICD-10-CM diagnosis codes and CPT procedure codes in accordance with national coding guidelines.Key...


  • Miami, Florida, United States ReqRoute Inc Full time

    Job SummaryWe are seeking a skilled Certified Medical Coder to join our team at ReqRoute Inc. As a Medical Coder, you will be responsible for accurately coding and abstracting patient encounters, researching and analyzing data needs for reimbursement, and ensuring that codes are sequenced according to government and insurance...


  • Miami, Florida, United States ReqRoute Inc Full time

    Job Title: Certified Medical CoderFully Remote Contract OpportunityJob SummaryWe are seeking a highly skilled Certified Medical Coder to join our team at ReqRoute Inc. As a Certified Medical Coder, you will be responsible for accurately coding and abstracting patient encounters, researching and analyzing data needs for reimbursement, and ensuring that codes...


  • Miami, Florida, United States ReqRoute Inc Full time

    Job SummaryWe are seeking a skilled Certified Medical Coder to join our team at ReqRoute Inc. As a key member of our team, you will be responsible for coding and abstracting patient encounters, researching and analyzing data needs for reimbursement, and ensuring that all medical records are filed and processed correctly.ResponsibilitiesAccount for coding and...


  • Miami, Florida, United States University of Miami Full time

    Job SummaryWe are seeking a highly skilled Clinical Documentation Specialist to join our team at the University of Miami. As a key member of our healthcare team, you will be responsible for ensuring the accuracy and completeness of patient medical records.Key ResponsibilitiesAssign and sequence ICD-10 codes to inpatient medical records in accordance with...


  • Miami Beach, Florida, United States Mount Sinai Medical Center of Florida Full time

    Job SummaryWe are seeking a skilled Medical Claims Specialist to join our team at Mount Sinai Medical Center of Florida. In this role, you will be responsible for billing all claims to assigned payers electronically or via hardcopy on a daily basis.Key ResponsibilitiesProcess and submit claims to all assigned payers in a timely and accurate manner.Work...


  • Miami, Florida, United States City of Sunny Isles Beach Florida Full time

    Job Summary:The City of Sunny Isles Beach Florida seeks a highly skilled Senior Code and Parking Enforcement Officer to join its team. As a senior level class in the support services department, this position is responsible for performing enforcement and investigation of City codes, regulations, and ordinances to ensure compliance regarding violations...


  • Miami, Florida, United States Houston Methodist Full time

    As a Senior Outpatient Coder at Houston Methodist, you will be responsible for accurately assigning diagnostic and procedure codes to day surgery and observation encounters while adhering to regulatory guidelines. This role requires strong coding classification systems knowledge, electronic medical record usage, and medical terminology proficiency....


  • Miami, Florida, United States ReqRoute Inc Full time

    We are seeking a skilled Medical Coder to join our team at ReqRoute Inc. As a Certified Medical Coder (AAPC) (CPC), you will work fully remotely and be responsible for coding and abstracting of patient encounters. Your research and analysis skills will be used to determine data needs for reimbursement, and you will ensure that codes are sequenced according...


  • Miami, Florida, United States Genuine Health Group LLC Full time

    Job SummaryGenuine Health Group LLC is seeking a highly skilled Medicare Risk Adjustment Coder to join our team. As a key member of our coding team, you will be responsible for coordinating and supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) risk adjustment coding to translate, input, extract...


  • Miami, Florida, United States Genuine Health Group Full time

    Job Summary:The Medicare Risk Adjustment Coder will be responsible for coordinating and supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) risk adjustment coding to translate, input, extract and validate medical record data.The focus will be on achieving year over year improvement on Risk...


  • Miami, Florida, United States Genuine Health Group Full time

    Job Summary:The Medicare Risk Adjustment Coder will be responsible for coordinating and supporting retrospective and concurrent chart reviews using knowledge of Hierarchical Condition Categories (HCC) risk adjustment coding to translate, input, extract and validate medical record data.Key Responsibilities:Review all available patient medical records,...


  • Miami, Florida, United States North Shore Medical Center Full time

    pWe are seeking a skilled bMedical Billing Specialist/b to join our team at North Shore Medical Center. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely submission of Medicaid claims./ppbKey Responsibilities:/b/pulliReview claims for missing modifiers, charges, and/or implants/liliValidate and make...


  • Miami, Florida, United States Mount Sinai Medical Center Full time

    Key Responsibilities:As a Hospital Billing Representative at Mount Sinai Medical Center, you will be responsible for billing all claims to assigned payers electronically or hardcopy on a daily basis. You will work corrections on all assigned payers in Epic, ensure timely DRG revisions, and review and work Fail Claims requirements daily. Additionally, you...


  • Miami, Florida, United States Molina Healthcare Full time

    Molina Healthcare Services (HCS) is seeking a skilled Care Review Clinician to join our team. As an Inpatient Review Clinician, you will work with members, providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum.The ideal candidate will have 3+ years of hospital acute care/medical...


  • Miami, Florida, United States Pacific Companies Full time

    ENT Inpatient ER Call Coverage OpportunityWe are seeking a highly skilled and experienced ENT physician to provide inpatient ER call coverage for our client in the Miami, FL area.Key Responsibilities:Provide high-quality patient care as an ENT specialist in the inpatient ER settingCollaborate with the healthcare team to ensure seamless patient careMeet the...


  • Miami, Florida, United States Mount Sinai Medical Center of Florida Full time

    Job Summary:Mount Sinai Medical Center of Florida is seeking a skilled Registered Nurse to join our Inpatient Behavioral Health team. As a key member of our team, you will provide high-quality patient care and contribute to the delivery of excellent healthcare services.Responsibilities: Adhere to and comply with all regulatory standards globally to...