Top 458 Clinical Coder Drg Jobs

Sr. Clinical Coder
Cook Systems —Phoenix, AZ
- Remote
- Microsoft Word
- Microsoft Excel
- Research
- Health insurance
- Dental insurance
11d
Certified Coder
Skagit Regional Health —Mount Vernon, WA
- $37.72 - $50.59 an hour
- Overtime
- Hybrid work
- Background check
- Anatomy knowledge
- Microsoft Excel
- Disability insurance
- Health insurance
Quick Apply
Remote Inpatient Coder
Spring Health —Remote
- $40 - $45 an hour
- Contract
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
Quick Apply
9d
Inpatient Coder - Clinical Data Analyst
UChicago Medicine —Chicago, IL
- Full-time
- Remote
- Mid-level
- Associate's degree
- Continuing education credits
DRG Coder - (Hybrid)
IBERIA MEDICAL CENTER —Remote
- Full-time
- Remote
- Anatomy knowledge
- Word processing
- Bachelor of Science
Same Day Surgery - Medical Coder- Remote- Level 1 Teaching Hospital
Valerion Health —Remote
- Full-time
- Remote
- Anatomy knowledge
- Surgery
- Mid-level
- Continuing education credits
Quick Apply
DRG Clinical Validation Nurse
MedReview —Remote
- $85,000 - $95,000 a year
- Full-time
- Remote
- Anatomy knowledge
- RN License
- Computer literacy
- Commuter assistance
- Health insurance
Quick Apply
Coder I Inpatient
Saint Luke's Health System —Remote
- Full-time
- Remote
- Surgery
- Entry level
- Health savings account
- Dental insurance
Inpatient Coding Specialist
Health Information Associates —Remote
- $38 - $40 an hour
- Remote
- Computer literacy
- Research
- Mid-level
Quick Apply
Full Time Facility Pediatric Same Day Surgery Medical Coder Remote
IKS Health —Remote
- $30 - $35 an hour
- Full-time
- Remote
- Background check
- Anatomy knowledge
- Microsoft Excel
- Disability insurance
- Health insurance
Quick Apply
Inpatient Coder (Remote)
University Medical Center of Southern Nevada —Las Vegas, NV
- $28.24 - $43.78 an hour
- Full-time
- Remote
- Anatomy knowledge
- Mid-level
- 3 years
- Dental insurance
- Vision insurance
HIM Coder III- Remote
Ann & Robert H. Lurie Children’s Hospital of Chicago —Streeterville, IL
- $31.50 - $51.50 an hour
- Full-time
- Remote
- Anatomy knowledge
- Research
- Typing
- 403(b) matching
- Paid parental leave
Senior Claims Auditor - DRG
Cohere Health —Remote
- $35 - $42 an hour
- Remote
- Nursing
- 6 years
- HIPAA
- Paid parental leave
- Health savings account
Quick Apply
Senior Inpatient Coder, Full Time
University of Maryland Medical System —Baltimore, MD
- $30.26 - $42.37 an hour
- Full-time
- High school diploma or GED
- Critical & Intensive Care
- Neurology
Senior Inpatient Coder, Full Time
University of Maryland Medical System —Baltimore, MD
- $30.26 - $42.37 an hour
- Full-time
- High school diploma or GED
- Critical & Intensive Care
- Neurology
DRG Clinical Validation Lead
Elevance Health —Indianapolis, IN
- $89,520 - $161,136 a year
- Full-time
- Nursing
- 7 years
- RN License
- Employee stock purchase plan
- Paid holidays
3d
Patient Safety DRG Clinical Validation Auditor
Elevance Health —Indianapolis, IN
- $86,560 - $129,840 a year
- Full-time
- RN License
- 5 years
- Continuous improvement
- Employee stock purchase plan
- Paid holidays
Patient Safety DRG Coding Auditor Principal
Elevance Health —Indianapolis, IN
- $116,128 - $210,864 a year
- Full-time
- Bachelor of Science
- Bachelor's degree
- Continuous improvement
- Employee stock purchase plan
- Paid holidays
Patient Safety DRG Clinical Validation Auditor
Elevance Health —Indianapolis, IN
- $86,560 - $129,840 a year
- Full-time
- RN License
- 5 years
- Continuous improvement
- Employee stock purchase plan
- Paid holidays
Certified Coder
Bayhealth —Dover, DE
- $23.32 - $34.97 an hour
- Full-time
- Hospital
- Mid-level
- Critical & Intensive Care
- 403(b) matching
- Paid holidays

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Sr. Clinical Coder

Cook Systems -
Phoenix, AZ

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Job Details

11 days ago

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Vision insurance

Qualifications

Medical coding experience in outpatient clinics

Full Job Description

Launch Your Career with Cook Systems

Since 1990, Cook Systems—a certified veteran-owned IT consulting firm—has been helping businesses and professionals grow through innovation, integrity, and investment in people. We partner with Fortune 500 enterprises and high-growth companies alike to deliver agile technology solutions, AI-driven talent strategies, and our signature FastTrack program that develops the next generation of tech talent.

At Cook, you'll find a culture that values excellence, creativity, and accountability. We believe in opportunity backed by trust—and in building careers that last. Check out what our team members have to say on our Glassdoor page, and discover why Cook Systems is where meaningful careers take off!

Summary:

Under the direction of the DRG Supervisor or designee, the Medical Claims Coding Specialist conducts retrospective medical claims review for coding and pricing determinations, focusing on both outpatient and inpatient services. As a subject matter expert, this role provides coding-related information to various departments and functions as the designated recipient for factual network provider claim review requests.

Responsibilities:

Serve as the subject matter expert on ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding of medical claims.
Lead coding projects as directed by Clinical Operations management.
Provide training and mentoring for new and existing Clinical Coders.
Perform DRG Validation of medical claims coding using current coding guidelines and support software.
Conduct focused outpatient and/or inpatient claims reviews and summarize findings.
Identify and report potential fraudulent or quality issues.
Act as a resource for TriWest staff on coding queries.
Research TRICARE manuals to assist with the Referral and Authorization Decision Support tool process.
Monitor timeliness of retrospective claims reviews to ensure compliance with required timelines.
Prepare determination notices and other written correspondence.
Identify questionable review decisions and escalate to the appropriate Medical Director.
Provide accurate data entry in the medical management and claims system.
Review and document coding issues identified by the TRICARE Quality Monitoring Contractor.
Perform other duties as assigned, ensuring regular and reliable attendance.

Qualifications:

High School Diploma or GED.
Current certification as Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Registered Health Information Technician (RHIT).
U.S. Citizenship required.
Ability to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation.
Minimum 5 years of clinical coding experience for facility and/or professional accounts.
Minimum 3 years of claims processing experience for inpatient and/or outpatient accounts.
Documented experience in a fast-paced environment.
Preferred experience in the private medical industry, health insurance, or Managed Care field.
Familiarity with TRICARE and the military healthcare delivery system is preferred.
Advanced knowledge of ICD-10-CM, ICD-10 PCS, HCPCS, and CPT coding; proficiency with Word and Excel.
Strong problem-solving, organizational, and communication skills.
Ability to function in a multi-system Microsoft environment.

#Ll:Remote

Why Work with Us

At Cook Systems, we don't just offer jobs—we build futures. Our people are at the heart of everything we do, and we're committed to supporting you with benefits that deliver real security, flexibility, and growth from day one.

Your Health, Your Way: Choose from two comprehensive medical plans through Blue Cross Blue Shield, with dental and vision coverage included. With access to one of the nation's largest provider networks, you'll have quality care wherever life takes you.
Peace of Mind: Protect what matters most with life, critical illness, and accident insurance through Unum—because your family's security matters.
Flexibility for Life: Plan ahead and save with a Flexible Spending Account and Daycare FSA through Navia, helping you manage healthcare and dependent-care expenses your way.
Extra Protection When You Need It: Our Health Gap Insurance through Sun Life helps cover unexpected costs, so you're never caught off guard.
Your Future Starts Now: Build your future with our 401(k) plan through The Standard. You're eligible after just six months—because long-term success deserves a strong foundation.

At Cook Systems, you're not just an employee—you're part of a team that values ideas, celebrates results, and grows together. Here, your impact is visible, your contributions are valued, and your career has room to thrive. Ready to be part of something bigger? Let's build the future together at Cook Systems.

#IND1

Apply Now

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