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Community First Medical Center
Overview
The Clinical Documentation Specialist ensures the quality and completeness of patient medical records through concurrent review and collaboration with physicians and care teams. They facilitate documentation improvements to accurately reflect patient severity, risk of mortality, and intensity of service.
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Compensation
$70,000 - $85,000 / YEAR
Posted
2 days ago
Ascension
Facilitate the quality and accuracy of medical record documentation by performing admission reviews and assigning working Diagnosis Related Groups. Collaborate with physicians and healthcare providers to ensure severity of illness and services are accurately reflected prior to patient discharge.
$79,512 - $110,835 / YEAR
Southeast Health
This role involves inpatient coding, requiring demonstrated knowledge of diagnosis-related group (DRG) regulations. The analyst must maintain high accuracy in coding practices as evidenced by testing or proven performance.
Salary not listed
Essentia Health
The Senior Inpatient Coder reviews clinical documentation to assign accurate ICD-10-CM and PCS codes to ensure proper reimbursement for complex inpatient accounts. They also collaborate with clinicians and the Clinical Documentation Integrity team to resolve documentation queries and prevent coding denials.
$25 - $37 / HOUR
3 days ago
Jackson Health
The Senior Imaging Specialist ensures the accuracy, completeness, and regulatory compliance of clinical documentation and scanned medical records. They conduct quality reviews, identify documentation gaps, and collaborate with stakeholders to maintain high-quality data standards.
1000 Wellstar Health System, Inc.
The Facility Surgical Coder 2 is responsible for accurately assigning ICD-10-CM, CPT-4, and HCPCS codes to surgical and observation medical records. They also abstract demographic data, resolve coding edits, and provide mentorship to new coding staff.
4 days ago
Lexington Medical Center
Assigns appropriate ICD and CPT codes to medical records for accurate reimbursement and statistical documentation. Collaborates with physicians and hospital staff to ensure coding quality and compliance with regulatory guidelines.
6 days ago
Silver Cross Hospital
The coder will accurately code and sequence inpatient medical records to meet reimbursement and statistical requirements. They will also collaborate with clinical documentation specialists to ensure physician documentation is clear and specific.
$26 - $39 / HOUR
8 days ago
Apply diagnostic and procedural codes to patient health records and create APC/DRG assignments for claim processing. Conduct chart audits and query physicians to ensure documentation accuracy and regulatory compliance.
9 days ago
UF Health
This role serves as an enterprise-level denial management coding analyst focused on reducing denials, improving reimbursement, and maintaining high coding standards across the organization. Responsibilities include leading projects to enhance coding effectiveness and appeal turnaround times while educating departments on compliant practices.
12 days ago
Gainwell Technologies LLC
The Clinical DRG Auditor performs clinical and coding validation reviews of medical records to ensure the accuracy of DRG assignments and diagnosis coding. They also provide mentorship and training to team members while maintaining compliance with regulatory and official coding guidelines.
$85,000 - $95,000 / YEAR
13 days ago
Lurie Children's Hospital
The role is responsible for the timely and accurate coding and abstracting of Inpatient visits by following established coding guidelines and utilizing ICD-10 code sets. This involves thoroughly reviewing documentation, validating DRG assignments, ensuring accurate reporting of conditions, and communicating documentation issues for resolution.
$32 - $52 / HOUR
16 days ago
Duke Careers
The Medical Coder Specialist is responsible for primary diagnosis and procedural coding for designated major surgical specialty areas, capturing PQRS data, and reconciling surgical cases performed at the hospital. This role involves detailed physician surgical chart abstraction and acting as a liaison for documentation improvement and optimizing physician coding practices for compliance and revenue.
19 days ago
Cetechs
Provide administrative and records management support for military medical case management operations. Responsibilities include maintaining Soldier medical records, updating data in MEDCHART and MEDPROS, and ensuring compliance with Army regulations.
21 days ago
Mohawk Valley Health System
The coder is responsible for assigning accurate diagnosis and procedure codes to ensure timely billing and revenue cycle integrity. They also collaborate with providers to audit charges, resolve coding queries, and maintain compliance with coding policies.
$23 - $35 / HOUR
24 days ago
Memorial Hermann Health System
The role involves reviewing clinical documentation to extract data and assign accurate ICD-10-CM and CPT-4 codes for billing and regulatory compliance. The coder will also ensure documentation meets coding guidelines and supports organizational quality and efficiency standards.
25 days ago
The Medical Records Coder II is responsible for accurately coding complex medical records using ICD-10-CM and CPT-4 conventions, ensuring correct DRG/APC assignment for optimal reimbursement. This role also involves coordinating and reviewing the work of subordinate employees, assisting with training, and consulting with physicians on coding practices.
28 days ago
The Medical Records Coder II is responsible for accurately coding complex medical records using ICD-10-CM and CPT-4 conventions, ensuring specificity of diagnoses and procedures for optimal reimbursement. This role also involves coordinating and reviewing the work of subordinate employees and assisting with training programs.
$10,000 / YEAR
SSM Health
The coder is responsible for assigning accurate diagnostic and procedure codes for inpatient hospital accounts in accordance with official guidelines. They also coordinate with clinical documentation and quality teams to ensure validation of MSDRG and patient safety indicators.
The coder is responsible for assigning accurate diagnostic and procedure codes for outpatient hospital accounts based on clinical documentation. They also monitor work queues to ensure timely charging and generate queries for physician documentation clarification.
