Source Job

US

  • Codes and abstracts Outpatient records for data retrieval, analysis, reimbursement and research.
  • Enters diagnostic and procedure codes into a designated coding and abstracting system utilizing the 3M encoder.
  • Meets quality and productivity coding standards and demonstrates the ability to navigate an EMR.

ICD-10 HCPCS EMR

20 jobs similar to Hospital Surgery/Observation Coder

Jobs ranked by similarity.

US

  • Codes and abstracts Outpatient records for data retrieval, analysis, reimbursement and research.
  • Codes and enters diagnostic and procedure codes into the designated coding and abstracting system.
  • Meets quality and productivity coding standards and demonstrates the ability to navigate an EMR.

CommonSpirit Health has over 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services. They are committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen both inside our hospitals and out in the community.

US

  • Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types.
  • Reviews the medical record thoroughly, utilizing all available documentation to code appropriate diagnoses and procedures
  • Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to report appropriate diagnoses and/or procedures.

Northwestern Medicine is committed to a patient-first approach, setting them apart as a leader in healthcare. They pride themselves on providing competitive benefits, from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, aiming to care for their employees.

US

  • Examines medical records to determine diagnoses, procedures, and complications.
  • Accurately sequences diagnoses & procedures, maintaining 95% accuracy.
  • Assigns ICD-10 and CPT Codes and performs charge reconciliation.

Cooper University Health Care is committed to providing extraordinary health care. They are continuously discovering clinical innovations. Cooper offers career growth through professional development and is the employer of choice in South Jersey.

US 5w PTO

  • Abstract information from patient medical records to assign correct codes and charges to outpatient surgical records, and/or observation cases.
  • Assign correct CPT, ICD-10-CM; HCPCS or ICD-10-PCS and DRGs for facility and/or professional charges, which would involve complex procedure and diagnostic coding within highly specialized coding areas.
  • Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).

OHSU is Oregon's only public academic health center. As Portland's largest employer, they offer learning and advancement opportunities in a system of hospitals and clinics across Oregon and Southwest Washington.

US

  • Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts
  • Abstracts key data elements required for billing
  • Interacts with providers for clarification of documentation/education

UChicago Medicine has been at the forefront of medicine since 1899 and provides superior healthcare with compassion, always mindful that each patient is a person, an individual. To accomplish this, they need employees with passion, talent and commitment… with patients and with each other.

US

  • Ensuring the accuracy, integrity, and quality of coding practices within the HIM department.
  • Conducting thorough reviews of clinical documentation, coding, and billing processes to ensure compliance.
  • Educating and training coding staff on best practices and updates in coding guidelines.

Cooper University Health Care is committed to providing extraordinary health care. They focus on clinical innovations and access to facilities, equipment, technologies and research protocols, and offer competitive rates, compensation programs, benefits, and career growth.

US

  • Performs the final reconciliation on clinic or provider visits.
  • Reviews, abstracts, and codes multiple or sub specialty services and complex or unusual cases, and assigns appropriate coding classifications.
  • Interacts with coding staff, business office, providers, hospital staff, clinic managers, and other clinical personnel on billing related issues.

University of Utah Health is a patient-focused organization that enhances the health and well-being of people through patient care, research, and education. They are a Level 1 Trauma Center and are nationally ranked and recognized for their academic research and quality standards.

US

  • Assign and sequence all ICD-10; CPT 4; Healthcare Common Procedure Coding (HCPC) and modifier codes for services rendered accurately and completely.
  • Maintain coding quality of 95% or higher while meeting established productivity requirements based on encounter type.
  • Identify trends in documentation deficiencies and communicates areas of improvement opportunities to leadership and/or providers.

Shriners Children’s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact.

$41,200–$61,360/yr
US

  • Translate health care services and procedures into standardized codes on outpatient accounts.
  • Work with Epic work quests to maintain timeliness of coding, billing, and accounts receivable.
  • Communicate with providers, coders and clinical documentation specialists as needed for comprehensive patient record documentation.

ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges.

US

  • Perform coding audits on outpatient records from a home office.
  • Identify coding trends and formulate recommendations.
  • Communicate effectively, both verbally and in writing.

UASI is an award-winning company where you can work with top HIM experts. They offer a dynamic work environment and career growth.

US

  • Organizes and prioritizes assigned work to ensure completion within the assigned time frame.
  • Reviews charts and medical records, assigning ICD and CPT code combinations to each data element.
  • Audits for documentation opportunities and queries clinical staff to fill in any gaps.

Riverside Health System's mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team, offering care at all stages of life, in hundreds of locations.

US

  • Advanced knowledge of coding guidelines.
  • Responds to coding related questions.
  • Assists in reviewing and responding to denials.

Northeast Georgia Health System (NGHS) is a non-profit organization dedicated to improving community health through various initiatives. With a team of caregivers serving over 1 million people across the region, NGHS consists of five hospitals and numerous outpatient facilities.

US

  • Codes complex inpatient acute care discharges using ICD-10-CM and ICD-10-PCS codes.
  • Reviews provider notes and clinical documentation to assign accurate codes.
  • Collaborates with CDI on discharges, regulatory guidelines, and coding conventions.

Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. They deliver modern, patient-first care supported by innovation with state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care first.

US

  • Accurately translate patients’ medical records into standardized codes for diagnoses and treatments.
  • Ensure compliance with legal, regulatory, and organizational standards.
  • Ensure claims are processed correctly and on time with efficient management of records.

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. As an affiliate of Dignity Health, they work hand-in-hand with physicians and providers throughout California to provide comprehensive health care services.

US

  • Review documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes
  • Resolve edits in WQs (charge review, claim edit, and follow up) and review denials for possible corrected claims or appeals
  • Work with clinic supervisors and/or providers to resolve coding issues and questions, following applicable payer rules and guidelines

CommonSpirit Health has more than 700 care sites across the U.S. from clinics and hospitals to home-based care and virtual care services. They are committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.

US

  • Responsible for coding procedures and entering charges to comply with regulations and internal policies.
  • Coordinate with Practice Coordinator and Revenue Integrity to assure all necessary documentation is present.
  • Participate in audits to evaluate if all selected codes are accurate and develop methodologies to improved coding issues.

Northside Hospital is an award-winning and state-of-the-art hospital that is continually growing. They are expanding the quality and reach of their care to patients and communities which creates more opportunity for healthcare professionals in Atlanta and beyond.

US

  • Responsible for managing and overseeing activities for multiple value streams within the revenue cycle.
  • Provide ongoing input in the strategic planning of business requirements and corporate objectives for the Revenue Cycle.
  • Ensure compliance with all federal, state, and local statutes and regulations, as well as all third-party payer policies.

Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state - CHI Franciscan and Virginia Mason. As one integrated health system, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region.

US

  • Review clinical documentation and assign accurate ICD-10-CM, HCPCS, and CPT codes to encounters
  • Ensure compliance with CMS, payer, and risk adjustment coding guidelines
  • Collaborate with clinicians and billing staff to clarify documentation or coding discrepancies

Main Street Health is the nation's largest provider of value-based care exclusively serving rural America. They partner with rural primary care doctors and reinforce the importance of trust and relationship-driven care in rural communities.

US

  • Train all new coders on department policies, procedures and correct coding principles
  • Analyze coder's workload and make recommendations to assigned supervisor to ensure all work is completed by the specified timeframes
  • Research and provide guidance to coders and other DHMF/CSH staff on coding-related questions or concerns

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. As an affiliate of Dignity Health, they work hand-in-hand with physicians and providers throughout California to provide comprehensive health care services. They strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships.

$75,000–$105,000/yr
US Unlimited PTO 12w maternity

  • Review and analyze medical records to ensure coding accuracy in a timely fashion
  • Identify opportunities for improvement in coding models
  • Understand and apply coding guidelines to assign appropriate codes to diagnoses and procedures as supported by clinical documentation

SmarterDx builds clinical AI that is transforming how hospitals translate care into payment. Founded by physicians in 2020, their platform connects clinical context with revenue intelligence, helping health systems recover millions in missed revenue, improve quality scores, and appeal every denial.