Universal Health Services

Manages hospitals and behavioral health facilities

Inpatient Coder

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeLas Vegas, NV, USANo salary listed

About the Job

Requirements

A high school diploma or equivalent is required.
A professional coding certification is required; Certified Coding Specialist (CCS) is required, while Certified Coding Associate (CCA), Certified Coding Specialist–Physician-based (CCS-P), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), and Registered Health Information Administrator (RHIA) are preferred.
Inpatient Diagnosis Related Group (DRG) experience is required.
One to three years of coding experience is required.
Strong Microsoft Office skills, including Excel, Word, and Outlook, are required.
An understanding of anatomy, physiology, pharmacology, microbiology, and medical terminology is required.

Responsibilities

Perform Diagnosis Related Group (DRG) validation reviews in response to audits from third-party payers.
Review audit findings letters from third-party payers to understand audited diagnosis codes and the payer’s underlying clinical or coding rationale.
Analyze medical records to obtain clinical documentation supporting billed diagnosis codes.
Write detailed appeal letters to third-party payers based on clinical findings to prevent payment recoveries resulting from downgraded claims.
Decide whether to update DRGs or add to billed diagnosis codes based on clinical reviews.
Assign DRG audits to nurse auditors when the coding audit is based on clinical criteria.
Provide analysis and assistance to the appeals department as needed.
Assist customer service with patient complaints related to coding issues on medical bills.
Provide detailed charge and coding breakdowns to assist with medical claims that need to be split billed based on clinical scenarios.
Manage multiple spreadsheets, including DRG inventory and inventory returned from vendors.
Maintain educational guidebooks for multiple department workflows.
Assist with drafting and maintaining appeal letter templates.
Identify audit trends and provide feedback to management and UHS acute care facilities.
Adhere to all applicable laws, regulations, and guidelines.
Perform other duties as assigned.

Desired Qualifications

Three to five years of coding experience is preferred.
Familiarity with appeals and one to three years of healthcare business office experience are preferred.

Responsibilities

Universal Health Services (UHS) - Western Region Consolidated Business Office (WCBO)

The Western Region Consolidated Business Office delivers comprehensive insurance revenue services to our affiliated UHS facilities, encompassing billing, collections, cash posting, pre-access management, variance analysis, and customer service. Our dedication to associate satisfaction and growth is recognized by industry leaders, exemplifying our commitment to fostering a positive and inclusive workplace culture. Our associates can count on competitive salaries, top-tier medical, dental, and retirement benefits, career training, and support for continued professional development.

The Western Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals department. The primary responsibility of the DRG Coder is to analyze third party coding audits of paid claims, draft detailed appeal letters, evaluate clinical level of care and review denial trends. This can be a remote/in-office position.

Qualifications

Key Responsibilities include:

Perform DRG (Diagnosis Related Group) validation reviews in response to audits from third party payers.
Review audit findings letters from third party payers to obtain a clear understanding of audited diagnosis codes and underlying payer clinical / coding rationale.
Analyze medical records to obtain supporting clinical documentation for billed diagnosis codes.
Write detailed appeal letters based on clinical findings to third party payers to prevent downgrade payment recoveries.
Make decision to update DRGs or remote or add to billed diagnose codes based on clinical reviews
Assign DRG audits to nurse auditors when coding audit is based on clinical criteria.
Provide analysis and assistance as needed to the appeals department.
Assist customer service with patient complaints related to coding issues on their medical bills.
Provide a detailed charge/coding breakdown to assist with medical claims that need to be split billed based on various clinical scenarios.
Manage multiple spreadsheets including DRG inventory and inventory returned from vendors.
Maintain educational guidebooks for multiple department workflows.
Assist with drafting and maintaining appeal letter templates.
Identify audit trends and provide feedback to management and to UHS acute care facilities.
Adherence to all applicable laws, regulations and guidelines.

Position Requirements:

High school diploma or equivalent
Professional coding certification: CCS (Required), CCA, CCS-P, CPC, RHIT, RHIA preferred.
IP DRG experience
1-3 years coding experience, 3-5 years (preferred)
Strong Microsoft Office skills (Excel, Word, Outlook)
An understanding of anatomy, physiology, pharmacology, microbiology and medical terminology is required.
Familiarity with appeals and 1-3 years of healthcare business office experience preferred
Other duties as assigned.

Benefit & Rewards Highlights:

Challenging and rewarding work environment
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
401(K) with company match and discounted stock plan
SoFi Student Loan Refinancing Program
Career development opportunities within UHS and its 300+ Subsidiaries!
Pet Insurance
More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services:

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

About the Company

Universal Health Services

Manages hospitals and behavioral health facilities

Universal Health Services operates a network of acute care hospitals, behavioral health facilities, and ambulatory centers across the United States. It generates its services by acquiring and managing healthcare facilities, then integrating them under centralized operating practices to deliver patient care. The company’s offering is the management and provision of hospital and behavioral health services, with a focus on standardized clinical operations, economies of scale, and nationwide coverage. What sets UHS apart is its long history of growth through acquisitions, its size and scale in both acute and behavioral health markets, and its ability to integrate new facilities while maintaining consistent care quality. Its goal is to provide high-quality healthcare across a broad network, improve patient outcomes, and sustain long-term value for shareholders by expanding access and efficiency in hospital and behavioral health services.

Company size: 10,001+
Company stage: IPO
Headquarters: Upper Merion Township, Pennsylvania
Founded: 1978

Recently Posted Jobs

Explore more opportunities at Universal Health Services

See more jobs