drg coder

The 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...

Your job is more than a jobThe Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and...

DRG Coder, Registered NurseRemote | Full-Time | Healthcare | Clinical Documentation & CodingAbout the RoleWe are seeking an experienced DRG Coder / Clinical Auditor (RN) to conduct comprehensive DRG quality and validation audits of inpatient medical records. This role is critical in ensuring accurate DRG assignment, strong clinical documentation...

DRG Coder, Registered Nurse Remote | Full-Time | Healthcare | Clinical Documentation & Coding About the Role We are seeking an experienced DRG Coder / Clinical Auditor (RN) to conduct comprehensive DRG quality and validation audits of inpatient medical records. This role is critical in ensuring accurate DRG assignment, strong clinical...

DRG Coder, Registered Nurse 📍 Remote | Full-Time | 🏥 Healthcare | Clinical Documentation

DRG Coder, Registered Nurse 📍 Remote | Full-Time | 🏥 Healthcare | Clinical Documentation

Equal Employment OpportunityUTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such...

Company DescriptionDelivering Digital Outcomes. Driving Real Impact.Sutherland is the preferred digital transformation partner for iconic brands worldwide, unlocking new value for their business, people, and customers.Job DescriptionIn this role, we will look to you to analyze and interpret complex records in order to identify and accurately bill for Trauma...

Northwell Health is seeking an experienced inpatient coder/auditor to manage appeals and denials with commercial payers and third-party reviewers.You will review denial trends, identify coding gaps, and develop case-specific rationales while maintaining inpatient denial data and DRG literature updates.Bachelor's degree and professional coding certifications...

UnitedHealth Group seeks an experienced Senior Inpatient Medical Coder/Acute Edits and Denials Claims Analyst to work remotely from anywhere in the U.S. You will correct inpatient coding for MS-DRG/APR-DRG, handle three-day rule edits, denials, and related tasks ensuring accurate documentation and coding.Responsibilities include querying physicians, working...

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...

Job TitleOptum 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...

Join Our Team at OptumOptum 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...

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Nurse Coder DRG Auditor III based in United States. This role serves as a subject matter expert in clinical coding, claims auditing, and payment integrity. You will independently audit inpatient and outpatient claims using coding...

UnitedHealth Group's Optum unit is seeking a Medical Coding professional for a virtual position to enhance care outcomes by accurate inpatient coding. You will assign ICD-10-CM/PCS codes for hospital stays and evaluate DRG impact per guidelines. The role requires AHIMA/AAPC certification, 3+ years inpatient coding, and DRG/ICD-10-PCS proficiency, with a...

Northwell Health is seeking an experienced inpatient coder/auditor with 3–5 years of coding or auditing experience to manage appeals/denials and support denial reviews for commercial payers and third party review organizations.Responsibilities include monitoring denial trends, identifying coding issues, and preparing written rationales; the role requires...

A leading healthcare provider in Chicago seeks an experienced coder to analyze health records and assign accurate diagnostic codes for patient care. The ideal candidate will possess a strong knowledge of medical coding standards and demonstrated experience in both outpatient and inpatient settings. This role is crucial for maintaining high-quality care...

RN, DRG Coder / Clinical Auditor Must be a Registered Nurse with experience Remote | Full-Time | Healthcare | Clinical Documentation & Coding About the Role We’re seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records and documentation. This role ensures accurate coding and clinical support for...

RN, DRG Coder / Clinical Auditor Must be a Registered Nurse with experience Remote | Full-Time | Healthcare | Clinical Documentation & Coding About the Role We’re seeking a detail-oriented DRG Coder/Clinical Auditor to perform DRG validation reviews of medical records and documentation. This role ensures accurate coding and clinical support for...

Optum360, a member of UnitedHealth Group, is seeking an experienced inpatient DRG coder to apply ICD-10-CM/PCS coding, DRG assignment, and chart abstraction within established guidelines. This full-time role offers telecommuting from anywhere in the U.S. The position requires AHIMA or AAPC certification, 3+ years inpatient DRG coding in acute care, and...