Remote/In-Office Inpatient Coder – Appeals Specialist

AHIMA

United States

Remote

USD 34,000 - 51,000

Full time

3 days ago
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Benefits offered by this job

Competitive Compensation
Generous Paid Time Off
Excellent Medical, Dental, Vision and
401(K) with company match
SoFi Student Loan Refinancing Program
Career development opportunities

Job summary

Universal Health Services (UHS) is seeking an Inpatient Coder for its Appeals department in the Western Region CBO. The role focuses on DRG validation, drafting detailed appeal letters, and reviewing clinical documentation to support billed diagnoses.

This position can be remote or in-office, with compensation ranging from $24.80 to $37.20 per hour based on experience. Prior DRG experience and CCS certification are preferred.

Qualifications

  • CCS certification required; other certifications considered.
  • 1–3 years coding experience; 3–5 years preferred.
  • Strong MS Office skills (Excel, Word, Outlook).
  • Understanding of anatomy, physiology, pharmacology, microbiology, and medical terminology.

Responsibilities

  • Perform DRG validation reviews in response to third-party audits.
  • Review audit findings to understand diagnosis codes and rationale.
  • Analyze medical records to obtain supporting documentation.
  • Write appeal letters to third-party payers to prevent downgrades.
  • Assign DRG audits to nurse auditors as needed.
  • Assist appeals department with data analysis and documentation.
  • Support patient inquiries related to coding on bills.

Skills

Excel
Anatomy & Physiology
Medical Terminology
Communication

Education

CCS Certification
High School Diploma or Equivalent

Tools

Word
Outlook

Job description

Universal Health Services (UHS) is seeking an Inpatient Coder for its Appeals department in the Western Region CBO. The role focuses on DRG validation, drafting detailed appeal letters, and reviewing clinical documentation to support billed diagnoses.

This position can be remote or in-office, with compensation ranging from $24.80 to $37.20 per hour based on experience. Prior DRG experience and CCS certification are preferred.

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