NewCoding Auditor TEKsystemsCoding AuditorBaltimore, MD$66,000–$92,000 / yearResponsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. Professional Development and Tuition Remission UMMS supports career growth and education through tuition remission programs, allowing employees to take classes at University System of Maryland institutions tuition-free University of Maryland, Baltimore University of Maryland, Baltimore.
DRG Coder, Registered Nurse Pivotal Placement ServicesDRG Coder, Registered NurseWashington, DC$90,000–$104,841 / yearHeadquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm specializing in healthcare talent—from frontline staff to executive leadership—in both clinical and non-clinical roles. We are seeking an experienced DRG Coder / Clinical Auditor (RN) to conduct comprehensive DRG quality and validation audits of inpatient medical records.
NewSurgical Scheduler TalentBurst, Inc.Surgical SchedulerFairfax, VAThis role receives scheduling requests from various sources, including providers, call centers, and clinics, and schedules the procedure following established guidelines and leadership directions. Please visit our website www.talentburst.com or come meet us at our offices in Natick, MA, Miami, FL, Christiansburg, VA, Vineland, NJ, Houston, TX & downtown San Francisco, CA.
NewInsurance Follow Up Representative Insight GlobalInsurance Follow Up RepresentativeWhite Marsh, MDThe role focuses on resolving technical denials (underpayment or partial payment issues, authorization issues, COB issues, coding issues, misinterpretation of contract issues, etc.). This team handles all technical denials (underpayment or partial payment issues, authorization issues, COB issues, coding issues, misinterpretation of contract issues, etc.).
Senior Data Scientist (Machine Learning & Geospatial Analytics) – TS/SCI Required LeidosSenior Data Scientist (Machine Learning & Geospatial Analytics) – TS/SCI RequiredWoodbridge, VA$92,300–$166,850The analyst will work closely with Intelligence Community (IC) partners, geographic names experts, and multi-INT analysts to ensure imagery-derived assessments are geospatially precise, linguistically accurate, and operationally relevant. Bachelor’s degree and 12+ years of relevant experience, or Master’s degree and 10+ years of relevant experience in Data Science, Computer Science, Analytics, or related field.
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 (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.
2 years coding and abstracting experience - Level 1 trauma hospital Priority One Staffing Services2 years coding and abstracting experience - Level 1 trauma hospitalOwings Mills, MDRemoteMinimum 2 years experience ICD-10-CM, ICD-10-PCS, CPT 4 . Serves in an advisory role and educator to Coding Specialists.
VP HIM, Coding & CDI- Johns Hopkins Health System Johns Hopkins HospitalVP HIM, Coding & CDI- Johns Hopkins Health SystemBaltimore, MDReporting to the Chief Financial Officer, Cheryl Sadro, and serving on the Executive Operations and Enterprise Finance Leadership Team, this executive will be responsible for integrating HIM, Coding, and CDI into a unified organization while helping prepare the health system for evolving reimbursement models, AI-enabled documentation, and future growth. Work collaboratively with functions such as Medical Executive Boards, Regulatory Finance, Revenue Cycle Management, Supply Chain, contracting, payer relations, and accounting to set expectations, coordinate activities, and drive continuous improvement.
Healthcare Quality Measurement Consultant, Data Analytics And Coding - Remote UnitedHealth Group Inc.Healthcare Quality Measurement Consultant, Data Analytics And Coding - RemoteReston, VARemote$91,700–$163,700 / yearPrimary Responsibilities: Evaluate evidence on effectiveness for clinical measures derived from administrative or claims data, health records, electronic health records, other data sources in compliance with Centers for Medicare & Medicaid Services (CMS), the Agency for Healthcare Research and Quality, and the National Quality Forum (NQF) requirements. Optum Serve Consulting/The Lewin Group (OSC/Lewin), a premier national health care and human services consulting and policy analysis firm, brings 50 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors.
DRG Coding Auditor - Ms-Drg And Apr-Drg Elevance HealthDRG Coding Auditor - Ms-Drg And Apr-DrgHanover, MD$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Certified Medical Billing & Coding Specialist CLINICA FAMILIAR DE ARLINGTONCertified Medical Billing & Coding SpecialistFalls Church, VAFull timeThe ideal candidate is detail-oriented, organized, and experienced with insurance claims, coding accuracy, and revenue cycle workflows. We are seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice.
Certified Medical Billing /Coding Specialist Moore OBGYNCertified Medical Billing /Coding SpecialistForestville, MDFull timeThe ideal candidate will have strong OB/GYN coding knowledge, payer compliance expertise, and the ability to manage accounts receivable efficiently. Moore OB/GYN is seeking an experienced and detail-oriented Certified Medical Billing & Coding Specialist to join our growing team.
Medical Coding & Reimbursement Specialist GuidehouseMedical Coding & Reimbursement SpecialistTysons Corner, Virginia$113,000–$188,000 / yearYou will apply knowledge of CPT, HCPCS, ICD-10, modifiers, revenue codes, claims adjudication, and reimbursement methodologies to support consistent decision-making, improve operational understanding, and ensure healthcare services are accurately represented within program processes and supporting frameworks. Strong knowledge of CPT, HCPCS, ICD-10-CM, ICD-10-PCS, revenue codes, modifiers, Medicare reimbursement methodologies, claims adjudication, provider billing workflows, NCCI edits, and fee schedules.
Coding Auditor (Hybrid), Day Shift, Revenue Integrity Shady Grove Adventist HospitalCoding Auditor (Hybrid), Day Shift, Revenue IntegrityGaithersburg, MD$26.91–$39.03 / hourProvide support to the Director, Manager, and Coordinators in their efforts to collaborate with AHC entities, physicians, physician practices, CMOs, CDI, and other stakeholders in understanding the impact of coding on care quality, documentation, and reimbursement. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).
Medical Coding Auditor Professional Performance Development Group, IncMedical Coding AuditorBethesda, Maryland$35.21–$40.14As a proud Department of Defense Partner Employer and participant in the Military Spouse Employment Partnership (MSEP), PPDG remains committed to supporting our Nation’s Finest through meaningful careers that make a lasting impact. About Company: Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities.
Supervisor Coding (Hybrid) - Pediatrics Central Administration Washington University in St LouisSupervisor Coding (Hybrid) - Pediatrics Central AdministrationWashingtonCertified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC). Position has direct responsibility for departmental coding; provides direct supervision to coders; approves time, coordinates vacation/leave requests; provides coaching and audits performance; assists divisions in the process of charge capture, compliance, and adherence to billing practices and policies under the direction of the Manager, Coding and Compliance, and the Director of Revenue Cycle and Financial Analysis.
NewCoding Auditor (Hybrid), Day Shift, Revenue Integrity Adventist HealthCareCoding Auditor (Hybrid), Day Shift, Revenue IntegrityGaithersburg, MD$26.91–$39.03 / hourProvide support to the Director, Manager, and Coordinators in their efforts to collaborate with AHC entities, physicians, physician practices, CMOs, CDI, and other stakeholders in understanding the impact of coding on care quality, documentation, and reimbursement. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).
NewCoding Specialist I Outpatient - MedStar Ambulatory Surgery Centers MedStar HealthCoding Specialist I Outpatient - MedStar Ambulatory Surgery CentersColumbia, Maryland$23.65–$42.03 / hourFull timeCodes and abstracts Ambulatory Surgery Center (ASC) services using CPT, ICD-10-CM, HCPCS and other applicable patient classification schemes. About this Job: MedStar Ambulatory Services is currently seeking a Certified Professional Coder (CPC) with 1–2 years of coding experience to join our 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.