ZipRecruiter

Log In

1

Inpatient Coding Resolution Specialist Jobs (NOW HIRING)

Trice Healthcare

Coding Payment Resolution Spec

Cheyenne, WY · On-site

$18 - $23/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... or inpatient claims, or other coding reasons and processing charge corrections based on medical ...

New

Trice Healthcare

Coding Payment Resolution Spec

Columbia, SC · On-site

$15.25 - $19.50/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... or inpatient claims, or other coding reasons and processing charge corrections based on medical ...

New

Trice Healthcare

Coding Payment Resolution Spec

Boston, MA · On-site

$20.25 - $26/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... or inpatient claims, or other coding reasons and processing charge corrections based on medical ...

New

Trice Healthcare

Coding Payment Resolution Spec

Clackamas, OR · On-site

$19.75 - $25.25/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... or inpatient claims, or other coding reasons and processing charge corrections based on medical ...

New

Trice Healthcare

Coding Payment Resolution Spec

Elkhart, IN · On-site

$18 - $23.25/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... or inpatient claims, or other coding reasons and processing charge corrections based on medical ...

New

Trice Healthcare

Coding Payment Resolution Spec

Merrimack, NH · On-site

$19.25 - $24.50/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... or inpatient claims, or other coding reasons and processing charge corrections based on medical ...

New

Trice Healthcare

Coding Payment Resolution Spec

Passaic, NJ · On-site

$19.50 - $24.75/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... or inpatient claims, or other coding reasons and processing charge corrections based on medical ...

New

Trice Healthcare

Coding Payment Resolution Spec

Rex, GA · On-site

$17.25 - $22.25/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... or inpatient claims, or other coding reasons and processing charge corrections based on medical ...

New

Trice Healthcare

Coding Payment Resolution Spec

Kings Mills, OH · On-site

$17.50 - $22.50/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... or inpatient claims, or other coding reasons and processing charge corrections based on medical ...

New

Trice Healthcare

Coding Payment Resolution Spec

Littleton, CO · On-site

$18.75 - $24/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... or inpatient claims, or other coding reasons and processing charge corrections based on medical ...

New

Trice Healthcare

Coding Payment Resolution Spec

Pensacola, FL · On-site

$17.75 - $22.75/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... or inpatient claims, or other coding reasons and processing charge corrections based on medical ...

New

Trice Healthcare

Coding Payment Resolution Spec

Richmond, VA · On-site

$18.50 - $23.75/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... or inpatient claims, or other coding reasons and processing charge corrections based on medical ...

New

Baptist Health

Inpatient Coding Specialist

The Inpatient Coding Specialist shall be responsible for the assignment of diagnoses and procedure codes for the billing process and the statistical database. This individual is also responsible to ...

Baptist Health

Inpatient Coding Specialist

The Inpatient Coding Specialist shall be responsible for the assignment of diagnoses and procedure codes for the billing process and the statistical database. This individual is also responsible to ...

Baptist Health

Inpatient Coding Specialist

The Inpatient Coding Specialist shall be responsible for the assignment of diagnoses and procedure codes for the billing process and the statistical database. This individual is also responsible to ...

next page

Showing results 1-20

All JobsInpatient Coding Resolution Specialist Jobs

Inpatient Coding Resolution Specialist information

See salary details

$16

$27

$38

How much do inpatient coding resolution specialist jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for inpatient coding resolution specialist in the United States is $27.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.12 and $32.69 per hour, depending on experience, location, and employer.

What are some common challenges faced by Inpatient Coding Resolution Specialists, and how are they typically addressed?

Inpatient Coding Resolution Specialists often encounter challenges such as interpreting complex medical records, keeping up with frequent coding updates, and resolving discrepancies between clinical documentation and coding guidelines. To address these, specialists regularly collaborate with physicians and clinical staff to clarify documentation, participate in ongoing training to stay current with coding standards (like ICD-10 and DRG classifications), and utilize coding software to ensure accuracy. Effective communication and strong attention to detail are essential for successfully navigating these challenges within a hospital or healthcare system setting.

What is the difference between Inpatient Coding Resolution Specialist vs Medical Coder?

AspectInpatient Coding Resolution SpecialistMedical Coder
CertificationsAHIMA or AAPC credentials, coding certificationsSimilar certifications, often AHIMA or AAPC
Work EnvironmentHospitals, inpatient facilities, coding departmentsClinics, outpatient facilities, various healthcare settings
Job FocusResolving inpatient coding discrepancies, ensuring accurate DRG assignmentGeneral coding tasks across inpatient and outpatient records
Employer & Industry UsageHospitals, health systems, inpatient coding teamsMedical practices, outpatient clinics, coding companies

The Inpatient Coding Resolution Specialist primarily focuses on resolving inpatient coding issues, ensuring accurate DRG assignments, and working within hospital settings. In contrast, Medical Coders handle a broader range of coding tasks across inpatient and outpatient records. Both roles require similar certifications and often work in healthcare environments that demand precise coding skills, but their specific responsibilities and work settings differ.

What are Inpatient Coding Resolution Specialists?

Inpatient Coding Resolution Specialists are healthcare professionals who review, analyze, and resolve discrepancies or issues in medical coding for inpatient hospital stays. They ensure that diagnoses, procedures, and services are accurately coded according to regulatory and payer requirements, which helps maximize reimbursement and maintain compliance. These specialists often collaborate with physicians, clinical staff, and other coding professionals to clarify documentation and resolve coding denials or audits. Their expertise is crucial for the financial health of healthcare organizations and for maintaining accurate patient records.

What are the key skills and qualifications needed to thrive as an Inpatient Coding Resolution Specialist, and why are they important?

To excel as an Inpatient Coding Resolution Specialist, you need a solid understanding of medical terminology, ICD-10-CM/PCS coding systems, and healthcare reimbursement methodologies, often backed by a certification such as CCS or RHIA/RHIT. Familiarity with electronic health record (EHR) systems, coding software, and compliance tools is crucial for accurate data entry and audit processes. Strong analytical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These skills are vital to ensure coding accuracy, regulatory compliance, and optimal reimbursement for healthcare organizations.
More about Inpatient Coding Resolution Specialist jobs
What cities are hiring for Inpatient Coding Resolution Specialist jobs? Cities with the most Inpatient Coding Resolution Specialist job openings:
What states have the most Inpatient Coding Resolution Specialist jobs? States with the most job openings for Inpatient Coding Resolution Specialist jobs include:
What job categories do people searching Inpatient Coding Resolution Specialist jobs look for? The top searched job categories for Inpatient Coding Resolution Specialist jobs are:
Inpatient Coding Resolution Specialist jobs near you

Coding Payment Resolution Spec

Trice Healthcare

Cheyenne, WY • On-site

$18 - $23/hr

Other

Posted 12 hours ago

Job description

Coding Payment Resolution Specialist

Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and judgment within the Hospital and/or Medical Group revenue operations of a Patient Business Services center.

Serves as part of a team of coding payment resolution colleagues at a PBS location responsible for identifying and determining root causes of denials.

Responsible for leveraging coding knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as required by payers. In addition to promoting departmental awareness of coding best practices.

This position reports directly to the Supervisor Clinical/Coding Payment Resolution.

Essential Functions

  • Knows, understands, incorporates, and demonstrates the Client Mission, Vision, and Values in behaviors, practices, and decisions.
  • Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.
  • Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.
  • Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility.
  • Other duties as needed and assigned by the Supervisor Clinical / Coding Payment Resolution.
  • Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Client and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Minimum Qualifications

  • High school diploma or Associate degree in Accounting or Business Administration or related field, and a minimum of four (4) years' experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
  • Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding, as normally obtained through a coding certificate program and least one (1) year of physician/professional or hospital outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment.
  • Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
  • Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
  • Possesses detailed understanding of principles, methods, and techniques related to compliant healthcare billing/collections.
  • Possesses expertise in medical terminology, disease processes, patient health record content and the medical record coding process.
  • Must be comfortable operating in a collaborative, shared leadership environment.
  • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Client.

Apply