NewStaff Accountant | AIA Billing Specialist JobotStaff Accountant | AIA Billing SpecialistJessup, MD$60,000–$65,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This position offers hands-on exposure to multiple areas of accounting, including accounts receivable, accounts payable, collections, account reconciliations, invoicing, vendor management, and AIA billing.
Coding Compliance Auditor Priority One Staffing ServicesCoding Compliance AuditorBaltimore, MDAudits complex cases utilizing the ICD-10-cm & ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM & POA Assignments. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation & any outpatient visit for appropriate reimbursement.
Coding Quality Review Specialist -Inpatient MedStar HealthCoding Quality Review Specialist -InpatientMD$31.28–$56.39 / hourResponsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.
Coding Quality Review Specialist -Inpatient (CCS Required) MedStar HealthCoding Quality Review Specialist -Inpatient (CCS Required)Maryland$31.28–$56.39 / hourFull timeResponsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.
Coding Quality Review Specialist -Inpatient MedStar Health Research InstituteCoding Quality Review Specialist -InpatientMD$31.28–$56.39 / hourResponsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.
2 years coding and abstracting experience - Level 1 trauma hospital Priority One Staffing Services2 years coding and abstracting experience - Level 1 trauma hospitalEudowood, MDRemoteMinimum 2 years experience ICD-10-CM, ICD-10-PCS, CPT 4 . Serves in an advisory role and educator to Coding Specialists.
Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorMD$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Coding Support RadNet IncCoding SupportMD$18–$20 / hourWhen you join RadNet as our Coding Support, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes. Ideal Candidate will possess: Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors.
Coding Compliance Auditor, Outpatient University of Maryland Baltimore Washington Medical CenterCoding Compliance Auditor, OutpatientBaltimore, MD$36.61–$45.71 / hourStrong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems.
CODING COMPLIANCE AUDITOR, Inpatient University of Maryland Baltimore Washington Medical CenterCODING COMPLIANCE AUDITOR, InpatientBaltimore, MD$36.61–$45.71 / hourStrong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems.
Coding Support RadNetCoding SupportMaryland$18–$20 / hourFull timeWhen you join RadNet as our Coding Support , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21 st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience.
Coding Specialist III Johns Hopkins HospitalCoding Specialist IIIBaltimore, MDWe are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. (Internal Candidates only - when a sub specialty coding certification or second AAPC certification is not available in clinical specialization, additional years of experience may be considered in lieu of second certification at the discretion of department management.).
Coding Compliance Auditor, Inpatient University of Maryland Baltimore Washington Medical CenterCoding Compliance Auditor, InpatientBaltimore, MD$33.36–$46.70 / hourStrong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Assist coding specialists in writing appropriate coding queries, works collaboratively with CDI, understand Potentially Preventable Complications (PPC's)/Maryland Hospital Acquired Conditions (MHAC's), Prevention Quality Indicators (PQI's) and their impact and other indicators as needed.
NewCoding Compliance Auditor Team Lead- Educator University of Maryland Medical SystemCoding Compliance Auditor Team Lead- EducatorBaltimore, MD$36.83–$55.29 / hourKnowledge, Skills and AbilitiesStrong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Assists coding specialists in writing appropriate coding queries, works collaboratively with CDI, understands Potentially Preventable Complications (PPC's)/Maryland Hospital Acquired Conditions (MHAC's), Prevention Quality Indicators (PQI's) and their impact and other indicators as needed.
Risk Adjustment Coding Specialist II - Maryland Astrana Health IncRisk Adjustment Coding Specialist II - MarylandMaryland, MDIn this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.
Medical Billing/Coding and Coordinator Faculty Practice Position Control Number MB-26-700-01 U M FDSP Associates PAMedical Billing/Coding and Coordinator Faculty Practice Position Control Number MB-26-700-01Baltimore, MD$27 / hourA medical billing coordinator will ensure the appropriate appointments are made for the specialty providers, verifying insurance and making sure the appropriate referrals are attached to the visits, handle pre-authorizations for physical therapy, prescriptions and radiology requests (MRI & CBCT), and ensure all pre-operative results are received prior to surgery dates. Key responsibilities include managing electronic records, verifying insurance, following up on denied claims, and maintaining patient data confidentiality while collaborating with both patients and insurance providers.
HCC Coding Validation Specialists HealthCare Resolution Services IncHCC Coding Validation SpecialistsColumbia, MDRemoteAs an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding of patient records to optimize reimbursement from government programs such as the Centers for Medicare and Medicaid Services (CMS). Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal reimbursement while maintaining regulatory compliance within a fast-paced healthcare environment!
Coding Specialist II, OB/GYN University of Maryland Baltimore Washington Medical CenterCoding Specialist II, OB/GYNMD$24.89–$34.84 / hourPartnering with the University of Maryland School of Medicine, University of Maryland School of Nursing, and University of Maryland, Baltimore, who educate the states future healthcare professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban, and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the Systems anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties.
Physician Billing Manager - Coding Greater Baltimore Medical CenterPhysician Billing Manager - CodingTowson, MD$61,955.01–$105,323.51 / yearMonitors all open charge reports to ensure all charges are being closed/captured and keeps practice managers informed of providers that are not closing/signing notes. Under direct supervision, assumes responsibility for all aspects of staffing, organization and prioritization of work, auditing, production and quality tracking, and communication to the assigned team.
Coding Specialist (Multi -Specialty) Omm IT SolutionsCoding Specialist (Multi -Specialty)Linthicum Heights, Linthicum HeightsThe following statements describe the general nature and level of work performed and are not intended to be exhaustive: Reviews and analyzes physician documentation, operative reports, and hospital encounter records to accurately assign CPT and ICD-10-CM codes for professional services. Codes medical records for multi-specialty physician practices, with a strong focus on Orthopedic professional fee services, including hospital-based Evaluation & Management (E/M) services.
Manager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditHanover, MD$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
Medical Coding - Team Lead Harris Computer SystemsMedical Coding - Team LeadOklahoma, PARemoteAn Emergency Medicine Coding Team Lead manages a team of medical coders, ensuring accurate, compliant coding (ICD-10, CPT) of medical records, acting as a liaison for complex issues, conducting audits, providing training/mentorship, monitoring performance, and collaborating with providers for documentation clarity, driving quality and efficiency while staying updated on regulations. Process Improvement: Identify trends in denials or errors, implement process improvements, and stay current with coding changes.
Medical Coding Specialist Johns Hopkins Medical Management CorporationMedical Coding SpecialistMiddle river, MDRemote$26–$30 / hourCore Coding Focus: This role involves professional fee coding in a physician-based environment and includes work with CPT coding, ICD-10-CM diagnosis coding, HCPCS coding as applicable, Evaluation & Management (E/M) leveling, and physician documentation review to support accurate, compliant coding and appropriate reimbursement. Note: This is a single position that may be listed under different titles to reflect common industry search terms, including Medical Coding Specialist, Physician Coding Specialist, Clinical Coding Specialist, Medical Coder, or Coding Specialist.
Coding Educator Johns Hopkins HospitalCoding EducatorBaltimore, MDRemoteJob Functions: Develops and delivers coding education and training programs for coding staff based on identified learning needs, audit findings, and operational priorities to support accurate coding and optimal revenue cycle performance. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Manager Of DRG Coding & Clinical Validation Audit Elevance HealthManager Of DRG Coding & Clinical Validation AuditHanover, MD$115,020–$207,216 / yearPreferred Skills, Capabilities and Experiences: Preferred experience includes a minimum of 5-7 years of inpatient coding or DRG auditing experience, including 2-3 years in a leadership or supervisory capacity. The Managers of DRG Coding & Clinical Validation leads a high-performing team responsible for auditing inpatient medical records to ensure the accuracy and compliance of Diagnosis-Related Group (DRG) assignments.
CODING SPECIALIST II Mercy Medical Center IncCODING SPECIALIST IIBaltimore, MDAssociate's Degree in Health Information Management or related field from an accredited two-year college or technical school, or Bachelor's Degree from a four-year college or university in Health Information Management or in a related field or have a Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Certified Coding Specialist - Physician-based (CCS-P), Certified Professional Coder - Hospital Outpatient (CPC-H) or Certified Professional Coder (CPC) designation. The Coding Specialist II identifies, reviews, interprets, codes, and abstracts clinical information from inpatient, observation, and in our surgical records for the purpose of reimbursement, research and compliance with federal and state regulations and other agencies utilizing established coding principles and protocols.
Coding Specialist - Patient Accounting Greater Baltimore Medical CenterCoding Specialist - Patient AccountingMDn\n Creates and submits clean claims for billing by reviewing and correcting claim errors in accordance with established policies and procedures\n \n\n Stays up to date on payer billing requirements, as well as CMS, CPT, and AMA regulations\n \n\n Reviews and works open encounter, encounter missing charges, and inpatient note reconciliation reports\n \n\n Communicates with patients when there are questions related to their billing and coding\n \n\n Functions as the practice liaison with the Billing Office and assists in educating the practice staff about efficient and compliant billing and registration practices\n \n\n Works with AR staff to resolve/appeal denials\n \n\n Works closely with Providers, offering assistance and education regarding correct CPT and ICD 10 coding as well as documentation requirements\n \n\n Manages time effectively and reviews a minimum of 12 charges sessions an hour\n \n\n Maintains coding certification through continuing education courses\n \n\n \nPhysical Requirements\n\n Ability to concentrate and pay close attention to detail\n \n\n Ability to sit for long periods of time\n \n\n \nWorking Conditions\n\n Normal office work environment\n \n\n \nConditions of Employment\n \nN/A\n \nAll roles must demonstrate GBMC Values\n \nGBMC Values\n \nValue Description\n \nRespect\n \nI will treat everyone with courtesy. Under direct supervision, performs all collection functions on account balances within assigned financial classes\n \nEducation\n \nSpecialized training in coding/abstracting procedures, anatomy and physiology and medical terminology obtained through seminars and college courses\n \nExperience\n \nOne year of direct billing or collections experience required in a healthcare or insurance environment.
Manager, Physician Coding Operations Johns Hopkins HospitalManager, Physician Coding OperationsBaltimore, MDWe are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Oversees operational workflows and work assignments, monitoring productivity, work queue performance, and operational metrics to ensure timely completion of coding-related activities.
Clinical Coding Specialist Johns Hopkins Medical Management CorporationClinical Coding SpecialistMiddle river, MDRemote$26–$30 / hourCore Coding Focus: This role involves professional fee coding in a physician-based environment and includes work with CPT coding, ICD-10-CM diagnosis coding, HCPCS coding as applicable, Evaluation & Management (E/M) leveling, and physician documentation review to support accurate, compliant coding and appropriate reimbursement. Note: This is a single position that may be listed under different titles to reflect common industry search terms, including Medical Coding Specialist, Physician Coding Specialist, Clinical Coding Specialist, Medical Coder, or Coding Specialist.
Pediatric Coding Specialist Johns Hopkins Medical Management CorporationPediatric Coding SpecialistMiddle river, MarylandRemote$26–$30 / hourCore Coding Focus: This role involves professional fee coding in a physician-based environment and includes work with CPT coding, ICD-10-CM diagnosis coding, HCPCS coding as applicable, Evaluation & Management (E/M) leveling, and physician documentation review to support accurate, compliant coding and appropriate reimbursement. Note: This is a single position that may be listed under different titles to reflect common industry search terms, including Medical Coding Specialist, Physician Coding Specialist, Clinical Coding Specialist, Medical Coder, or Coding Specialist.
CDI Coding Liaison Mercy Medical CenterCDI Coding LiaisonBaltimore, MarylandFull timeUtilizes extensive coding knowledge to ensure accuracy of final coded data and collaborates with the CDI team to ensure the coding reflects the most current health record documentation, clinical treatment, decisions, diagnoses, and interventions. Mercy Medical Center is honored to be recognized by Newsweek as one of America's Most Trustworthy Companies for three consecutive years (2023–2025) and as one of America's Greatest Workplaces for Women in 2025.
Risk Adjustment Coding Specialist (Hybrid) Blue Cross and Blue Shield AssociationRisk Adjustment Coding Specialist (Hybrid)Baltimore, MD$51,984–$95,304 / yearPURPOSE: The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS-Risk Adjustment Data Validation (RADV) audit and any other chart coding functions, by performing moderately complex medical record review and coding, ensuring compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines. QUALIFICATIONS: Education Level: Associate degree in Health Information Technology, Business or related field OR in lieu of a Associate degree, an additional 2 years of relevant work experience is required in addition to the required work experience.
NewCoding Auditor AscensionCoding AuditorHalethorpe, Maryland$34.49–$46.64 / hourFull timeProtect Compliance Health: Collaborate in the management of our enterprise auditing and monitoring program, proactively addressing high-risk compliance areas to ensure our organization remains resilient, ethical, and fully aligned with regulatory requirements. How you'll make an impact in this role: Champion Coding Integrity: Safeguard the precision of our revenue cycle by performing rigorous, ongoing audits, ensuring every claim is backed by robust, accurate, and compliant clinical documentation.
NewSenior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystBaltimore, MDRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
NewLead Coding Compliance Auditor University of Maryland Medical SystemLead Coding Compliance AuditorBaltimore, MDSuccessful candidates will possess relevant certifications and have experience in both inpatient and ambulatory coding.#J-18808-Ljbffr. This position requires extensive experience with ICD-10 coding, strong analytical skills, and the ability to work under pressure.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerMD$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
STEM & Coding Teaching Opportunities Concorde EducationSTEM & Coding Teaching OpportunitiesBaltimore, Maryland$50–$100 / hourPreferred qualifications include: • At least 60 college credits, where required by the applicable assignment or site; • Experience with coding, programming, computer science, or related technology subjects; • Experience teaching, tutoring, coaching, mentoring, or leading activities with school-age students; • Strong communication, organization, and classroom facilitation skills; • Availability to provide services for the accepted assignment schedule and communicate schedule issues as soon as reasonably practicable; and. Payment for completed services is generally made by direct deposit on the fifteenth day of the month following the month in which services were completed, unless otherwise stated in the accepted assignment terms or required by applicable law.
Infrastructure as Code Engineer BRMiInfrastructure as Code EngineerMaryland$125,000–$150,000 / yearOverview: The successful candidate will bring dedicated Infrastructure as Code (IaC) expertise to the Enterprise Server team by building and maintaining automation for provisioning and configuration across the server environment. Develop GitOps-oriented workflows using pull requests, code review, automated validation, CI/CD pipelines, approval gates, and controlled deployment practices.
Systems Engineer - Infrastructure as Code, Ansible, Terraform GTT, LLCSystems Engineer - Infrastructure as Code, Ansible, TerraformOwings Mills, MDStrong proficiency in AWS services such as EKS, EC2, IAM, including ABAC, S3, Lambda, and VPC, with working knowledge of networking components such as VPCs, Transit Gateways, firewalls, load balancers, and similar network appliances. The candidate will be working in managing Kubernetes environments (EKS) , developing and implementing tools in Python to manage and support automation of the API Management Systems (Apigee, AWS API Gateway) and Confluent Kafka within the AWS cloud environment.
General Practice Care - Medical Director - Baltimore , {State_Code UsvtaGeneral Practice Care - Medical Director - Baltimore , {State_CodeBaltimore, MarylandAn exceptional veterinary hospital, with a dedicated team, is seeking an experienced Medical Director to provide leadership, oversee medical operations, and ensure superior patient and client care to members of its community. This hospital is open to considering experienced veterinarians who are prepared to take on a senior leadership role, overseeing medical operations and working collaboratively with the practice manager.
Sr. Manager, Code Compliance T. Rowe Price Group IncSr. Manager, Code ComplianceOwings Mills, MD$110,000–$188,000 / yearCode Compliance is a dynamic and evolving function, operating at the intersection of regulatory requirements, business strategy, and technology enablement, with a focus on proactively identifying and mitigating employee conflicts of interest across a complex global organization. In this role, you will partner closely with stakeholders across Compliance, Legal, Technology, HR, and the business to design and implement enhanced monitoring frameworks, workflows, reporting, and analytics that strengthen oversight and improve operational efficiency.
Plumbing Trade Code Inspection & Enforcement Officer Baltimore County MarylandPlumbing Trade Code Inspection & Enforcement OfficerTowson, MD$55,613–$63,517 / yearLongevity Increases - In accordance with the specific pay schedule, a full-time merit or classified employee may receive a longevity increase, equivalent to one step, upon completion of a certain number of years of classified service with the County. Membership in Baltimore County Employees Federal Credit Union offers a full range of savings programs, loans, checking, direct deposit, payroll deduction, savings bonds, and other financial services.
Associate Analyst, Code Compliance T. Rowe Price Group IncAssociate Analyst, Code ComplianceOwings Mills, MD$59,000–$94,500 / yearAs the Associate Analyst, Code Compliance, you will support employee conduct oversight focused on proactively identifying and mitigating employee conflicts of interest and violations of TRP policy (ex: personal trading, outside activities, gifts and business entertainment, and political contributions). Code Compliance operates at the intersection of regulatory requirements, business strategy, and technology enablement, with a focus on proactively identifying and mitigating employee conflicts of interest across a complex global organization.
NewMedical Billing Assistant - Entry Level VitalsearchgroupMedical Billing Assistant - Entry LevelBaltimore, MarylandThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
Medical Billing Manager - Maryland Medicaid Revive Bhs LlcMedical Billing Manager - Maryland MedicaidGlen Burnie, MDFull timeAs a Medical Billing Manager, you will be working closely with the Medical Billing Specialists and our Clients to answer questions related to billing, overseeing the claims submission and authorization process, and gathering all necessary documentation and information from Clients. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable managing a team and reviewing large amounts of data daily.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorMD$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)MD$82,232–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
NewDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Hanover, MD$82,232–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Field Reimbursement Manager - Mid-Atlantic HeartFlowField Reimbursement Manager - Mid-AtlanticBaltimore, MDRemote$90,000–$120,000 / yearHeartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). The flagship product-an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis-provides a color-coded, 3D model of a patient's coronary arteries indicating the impact blockages have on blood flow to the heart.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistMD$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.