This detailed clinical judgment includes determination of inpatient hospital stays as medically ... coding, over billing, etc. * Communicates timely, accurate information either verbally or in ...
This detailed clinical judgment includes determination of inpatient hospital stays as medically ... coding, over billing, etc. * Communicates timely, accurate information either verbally or in ...
This detailed clinical judgment includes determination of inpatient hospital stays as medically ... coding, over billing, etc. * Communicates timely, accurate information either verbally or in ...
This detailed clinical judgment includes determination of inpatient hospital stays as medically ... coding, over billing, etc. * Communicates timely, accurate information either verbally or in ...
HI- IP REHAB SPEECH THERAPIST (09/21)
Hilo, HI ยท On-site
$36.50 - $49.75/hr
Equipment utilized in the unit/dept. Meditech computerize documentation inpatient and paper and ... Dress Code: Scrubs or per HMC dress code P&P Training in EMR documentation provided and orientation ...
HI- IP REHAB SPEECH THERAPIST (09/21)
Hilo, HI ยท On-site
$36.50 - $49.75/hr
Equipment utilized in the unit/dept. Meditech computerize documentation inpatient and paper and ... Dress Code: Scrubs or per HMC dress code P&P Training in EMR documentation provided and orientation ...
HI- IP REHAB SPEECH THERAPIST (09/21)
Hilo, HI ยท On-site
$40.50 - $55.25/hr
Equipment utilized in the unit/dept. Meditech computerize documentation inpatient and paper and ... Dress Code: Scrubs or per HMC dress code P&P Training in EMR documentation provided and orientation ...
HI- IP REHAB SPEECH THERAPIST (09/21)
Hilo, HI ยท On-site
$40.50 - $55.25/hr
Equipment utilized in the unit/dept. Meditech computerize documentation inpatient and paper and ... Dress Code: Scrubs or per HMC dress code P&P Training in EMR documentation provided and orientation ...
HI - Physical Therapist
Waimea, HI ยท On-site
$1.5K - $1.9K/wk
Inpatient (25%) acute, ICU, SNF, and outpatient (75%) settings._ PT in rural Kauai requires ... education (Code of conducts, etc.), and I.T. orientation. The second day will be focused on ...
HI - Physical Therapist
Waimea, HI ยท On-site
$1.5K - $1.9K/wk
Inpatient (25%) acute, ICU, SNF, and outpatient (75%) settings._ PT in rural Kauai requires ... education (Code of conducts, etc.), and I.T. orientation. The second day will be focused on ...
RN Flex Pool Days- 13 Week Contract
Hilo, HI ยท On-site
Experience with Meditech or similar inpatient EMR strongly preferred.โ * Demonstrated ability to float between units, manage full patient assignments, and adapt to varying workflows. Dress code and ...
Quick apply
RN Flex Pool Days- 13 Week Contract
Hilo, HI ยท On-site
Experience with Meditech or similar inpatient EMR strongly preferred.โ * Demonstrated ability to float between units, manage full patient assignments, and adapt to varying workflows. Dress code and ...
Rehab - OT
Hilo, HI ยท On-site
$45 - $51.50/hr
... inpatient, and plan and implement an ongoing therapeutic physical therapy program as prescribed by ... Client Details Address 1190 Waianuenue Ave City Hilo State HI Zip Code 96720
Rehab - OT
Hilo, HI ยท On-site
$45 - $51.50/hr
... inpatient, and plan and implement an ongoing therapeutic physical therapy program as prescribed by ... Client Details Address 1190 Waianuenue Ave City Hilo State HI Zip Code 96720
This detailed clinical judgment includes determination of inpatient hospital stays as medically ... coding, over billing, etc. * Communicates timely, accurate information either verbally or in ...
This detailed clinical judgment includes determination of inpatient hospital stays as medically ... coding, over billing, etc. * Communicates timely, accurate information either verbally or in ...
PT - Physical Therapist
Waimea, HI ยท On-site
$2.5K/wk
Medical
Dental
Vision
Life
Retirement
Experience in inpatient (acute, ICU, SNF) and outpatient physical therapy settings is preferred ... Client Details Address 4643 Waimea Canyon Dr City Waimea State HI Zip Code 96796 Job Board ...
PT - Physical Therapist
Waimea, HI ยท On-site
$2.5K/wk
Medical
Dental
Vision
Life
Retirement
Experience in inpatient (acute, ICU, SNF) and outpatient physical therapy settings is preferred ... Client Details Address 4643 Waimea Canyon Dr City Waimea State HI Zip Code 96796 Job Board ...
This detailed clinical judgment includes determination of inpatient hospital stays as medically ... coding, over billing, etc. * Communicates timely, accurate information either verbally or in ...
This detailed clinical judgment includes determination of inpatient hospital stays as medically ... coding, over billing, etc. * Communicates timely, accurate information either verbally or in ...
PT - Physical Therapist
Hilo, HI ยท On-site
$1.6K - $2.1K/wk
Medical
Dental
Vision
Life
Retirement
Physical Therapist - Acute Inpatient Rehab We are seeking a dedicated Physical Therapist with ... Client Details City Hilo State HI Zip Code 96720
PT - Physical Therapist
Hilo, HI ยท On-site
$1.6K - $2.1K/wk
Medical
Dental
Vision
Life
Retirement
Physical Therapist - Acute Inpatient Rehab We are seeking a dedicated Physical Therapist with ... Client Details City Hilo State HI Zip Code 96720
This detailed clinical judgment includes determination of inpatient hospital stays as medically ... coding, over billing, etc. * Communicates timely, accurate information either verbally or in ...
This detailed clinical judgment includes determination of inpatient hospital stays as medically ... coding, over billing, etc. * Communicates timely, accurate information either verbally or in ...
This detailed clinical judgment includes determination of inpatient hospital stays as medically ... up-coding, over billing, etc. Communicates timely, accurate information either verbally or in ...
This detailed clinical judgment includes determination of inpatient hospital stays as medically ... up-coding, over billing, etc. Communicates timely, accurate information either verbally or in ...
Pain & Palliative Care Physician
Honolulu, HI ยท On-site
$346K/yr
The program offers both inpatient and outpatient services, focusing on improving quality of life ... Complete all clinical documentation, coding, and charge capture accurately and timely in compliance ...
Pain & Palliative Care Physician
Honolulu, HI ยท On-site
$346K/yr
The program offers both inpatient and outpatient services, focusing on improving quality of life ... Complete all clinical documentation, coding, and charge capture accurately and timely in compliance ...
Pain & Palliative Care Physician
Honolulu, HI ยท On-site
$346K/yr
The program offers both inpatient and outpatient services, focusing on improving quality of life ... Complete all clinical documentation, coding, and charge capture accurately and timely in compliance ...
Pain & Palliative Care Physician
Honolulu, HI ยท On-site
$346K/yr
The program offers both inpatient and outpatient services, focusing on improving quality of life ... Complete all clinical documentation, coding, and charge capture accurately and timely in compliance ...
The program offers both inpatient and outpatient services, focusing on improving quality of life ... Complete all clinical documentation, coding, and charge capture accurately and timely in compliance ...
The program offers both inpatient and outpatient services, focusing on improving quality of life ... Complete all clinical documentation, coding, and charge capture accurately and timely in compliance ...
Pain & Palliative Care Physician
Honolulu, HI ยท On-site
$346K/yr
The program offers both inpatient and outpatient services, focusing on improving quality of life ... Complete all clinical documentation, coding, and charge capture accurately and timely in compliance ...
Pain & Palliative Care Physician
Honolulu, HI ยท On-site
$346K/yr
The program offers both inpatient and outpatient services, focusing on improving quality of life ... Complete all clinical documentation, coding, and charge capture accurately and timely in compliance ...
The program offers both inpatient and outpatient services, focusing on improving quality of life ... Complete all clinical documentation, coding, and charge capture accurately and timely in compliance ...
Quick apply
The program offers both inpatient and outpatient services, focusing on improving quality of life ... Complete all clinical documentation, coding, and charge capture accurately and timely in compliance ...
Pain & Palliative Care Physician
Honolulu, HI ยท On-site
$346K/yr
The program offers both inpatient and outpatient services, focusing on improving quality of life ... Complete all clinical documentation, coding, and charge capture accurately and timely in compliance ...
Pain & Palliative Care Physician
Honolulu, HI ยท On-site
$346K/yr
The program offers both inpatient and outpatient services, focusing on improving quality of life ... Complete all clinical documentation, coding, and charge capture accurately and timely in compliance ...
HI- IP REHAB SPEECH THERAPIST (09/21)
Hilo, HI ยท On-site
$40.50 - $55.25/hr
Meditech computerize documentation inpatient and paper and pencil outpatient doc.Required skills ... Dress Code:Scrubs or per HMC dress code P&PTraining in EMR documentation provided and orientation ...
HI- IP REHAB SPEECH THERAPIST (09/21)
Hilo, HI ยท On-site
$40.50 - $55.25/hr
Meditech computerize documentation inpatient and paper and pencil outpatient doc.Required skills ... Dress Code:Scrubs or per HMC dress code P&PTraining in EMR documentation provided and orientation ...
Inpatient Coding information
See Hawaii salary details
$16.48 - $18.19
10% of jobs
$18.19 - $19.89
0% of jobs
$19.89 - $21.59
6% of jobs
$22.05 is the 25th percentile. Wages below this are outliers.
$21.59 - $23.29
31% of jobs
The median wage is $23.56 / hr.
$23.29 - $25
14% of jobs
$25.79 is the 75th percentile. Wages above this are outliers.
$25 - $26.70
29% of jobs
$26.70 - $28.40
5% of jobs
$28.40 - $30.11
0% of jobs
$30.11 - $31.81
1% of jobs
$31.81 - $33.51
1% of jobs
$33.51 - $35.21
2% of jobs
$16
$24
$35
How much do inpatient coding jobs pay per hour?
What is inpatient coding?
What are the key skills and qualifications needed to thrive as an inpatient coder?
What are some common challenges faced by inpatient coders and how can these be managed effectively?
What is the difference between Inpatient Coding vs Outpatient Coding?
| Aspect | Inpatient Coding | Outpatient Coding |
|---|---|---|
| Credentials | AHIMA or AAPC certification, CPC or CCS | Similar certifications, CPC or CCS |
| Work Environment | Hospitals, inpatient facilities | Clinics, outpatient centers |
| Industry Usage | Used for hospital inpatient records | Used for outpatient visits and procedures |
Inpatient Coding and Outpatient Coding share similar credentials and are both essential in healthcare billing. Inpatient Coding focuses on hospital stays, requiring detailed coding of diagnoses and procedures during inpatient admissions. Outpatient Coding, on the other hand, covers outpatient visits and procedures, often with less complex documentation. Understanding these differences helps healthcare professionals choose the right specialization for their career and ensures accurate billing and reimbursement.
Does inpatient coding pay more?
How do you become an inpatient coder?

Other
Posted 18 days ago
Job description
- Applies appropriate medical necessity criteria from established medical policies and clinical practice guidelines to apply concurrent review determinations as described in the Medical Management UM work plan. This detailed clinical judgment includes determination of inpatient hospital stays as medically appropriate for the member's clinical condition or whether the stay requires referral to a Medical Director for potential denial. The Nurse Reviewer must follow each line of business requirements and each accrediting body's (CMS, NCQA, HSAG) requirements for each inpatient admission. Responsibilities include using effective relationship management, coordination of services, resource management, education, patient advocacy, and related interventions to:
- Promote improved quality of care and/or life
- Promote cost effective medical outcomes
- Prevent hospitalization when possible and appropriate
- Promote decreased lengths of hospital stays when appropriate
- Ensure the quality of care member is receiving during hospital stay is appropriate
- Ensure appropriate levels of care are received by patients
- Consult with Medical Directors on potential quality issues encountered during review of medical records in situations when the complexity of the member's medical, surgical and/or pharmaceutical management is unclear and may require further review or intervention and follow up with attending physicians, hospitalists or other facility staff
- Provide appropriate consultation and referral to Case Management or QUEST Integration program as appropriate
- Identify appropriate alternative and non-traditional resources and demonstrate creativity in managing each case to fully utilize all available inpatient and community resources.
- Identifies cost savings and accurately records all communications and interventions.
- Evaluates suspended claims against medical records to determine the medical necessity and appropriateness of medical services, identify irregularities such as over or under-utilization of services, potential up-coding, over billing, etc.
- Communicates timely, accurate information either verbally or in writing using clinical judgment, knowledge of medical/reimbursement policies and plan benefits to internal MM staff, other internal departments (Claims Administration, Customer Relations, etc.), providers, members and other authorized persons. For denied services, ensures the denial, benefit and appeal language are accurate and consistent with department procedures, accreditation and regulatory guidelines.
- Identifies and refers members with specific medical and/or behavioral health needs or complex case management and collaborates with case management staff as needed. Also identifies and refers quality of care issues and suspected fraud, waste or abuse to the appropriate departments.
- Performs all other miscellaneous responsibilities and duties as assigned or directed.
About HMSA
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Honolulu, HI, US
Year founded
1938