Coding Specialist III - Plastics/Podiatric Surgery MedStar HealthCoding Specialist III - Plastics/Podiatric SurgeryNot Specified, MD$28.76–$48.96 / hourHandles complex coding case review including but not limited to surgical coding (Orthopaedics Cardiac Neurosurgery Otolaryngology etc.) extraction, co-surgery scenarios, multi-visceral transplant cases, comorbidity evaluation. In addition to interacting with physicians on coding issues, ensures that physician encounter forms, the GE IDX billing system and processes are up to date and compliant regarding coding issues.
Medical Billing Specialist Virginia Pediatric GroupMedical Billing SpecialistFairfax, VA$25–$30 / hourFull timeVirginia Pediatric Group, a premier provider of family-centered pediatric care since 1982, is seeking a dedicated Certified Medical Billing and Coding Specialist to join our professional team. Based in our 4 Northern Virginia office(s), this is a fantastic opportunity for an experienced specialist with a passion for accuracy and patient support to contribute to a practice that has served Northern Virginia for over 40 years.
NewAttorney - FCA/Healthcare Fraud Enforcement JobotAttorney - FCA/Healthcare Fraud EnforcementWashington, DC$150,000–$400,000 / yearExperience representing hospitals, health systems, physician groups, Medicare Advantage organizations, managed care organizations, pharmacy benefit managers (PBMs), healthcare technology companies, or private equity-backed healthcare platforms. Demonstrated experience representing clients before the U.S. Department of Justice (DOJ), U.S. Attorney's Offices, Department of Health and Human Services Office of Inspector General (HHS-OIG), Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, and other federal or state enforcement authorities.
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.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteWashington DC, DCRemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
NewPhysician Hospitalist - Competitive Salary MedStar HealthPhysician Hospitalist - Competitive SalaryClinton, MD$306,840–$336,840 / yearProvides internal medicine care 24 hours per day 7 days per week in all areas of the hospital including but not limited to management of inpatient referrals from primary care physicians (PCP) and the Primary Care Center (PCC) Emergency Department (ED) admissions and consultations inpatient internal medicine care and inpatient medical consultation on other adult patients. Provides internal medicine care within the inpatient setting to include but not limited to history and physical exams consultative services daily rounding services and discharge planning.
Accounts Receivable Lead SarnovaAccounts Receivable LeadWashington DC, DCThe A/R Management Lead also serves as a subject matter expert, identifying process improvements to increase efficiency within the A/R Management team, and acting as a resource to help team members resolve issues. Since its founding in 1984, Digitech has refined its software platform to create a cloud-based billing and business intelligence solution that monitors and automates the entire EMS revenue lifecycle.
Billing Manager - Digitech SarnovaBilling Manager - DigitechWashington DC, DCAdditional responsibilities include identifying deficiencies within the group and escalating them to the Director, building positive relationships both internally and externally, maintaining Key Performance Indicators (KPIs), and delivering annual reviews with staff, along with corrective actions when necessary. The A/R Management Manager is responsible for directly managing the ARM team and ensuring that outstanding accounts, denials, and appeals are accurate and followed up on in a timely manner to maximize reimbursements.
NewAssistant Medical Director - Holy Cross Germantown Hospital VituityAssistant Medical Director - Holy Cross Germantown HospitalGermantown, MDStrong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Residents enjoy a variety of outdoor activities at local parks like Black Hill Regional Park and South Germantown Recreational Park, which features hiking trails, a splash park, and the expansive Maryland SoccerPlex.
Senior Software Developer LeidosSenior Software DeveloperGaithersburg, MD$107,900–$195,050If you received an email purporting to be from Leidos that asks for payment-related information or any other personal information (e.g., about you or your previous employer), and you are concerned about its legitimacy, please make us aware immediately by emailing us at LeidosCareersFraud@leidos.com . June 8, 2026 For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above.
SINAI HOSPITAL OUTPATIENT CODER LifeBridge HealthSINAI HOSPITAL OUTPATIENT CODERBaltimore, MDRemote$21.06–$39.12 / hourSupport: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. Reviews medical records to determine the providers diagnoses/procedures for outpatient records (ER, Infusion, other outpatient) and assigns ICD-10CM/PCS codes or CPT codes to those diagnoses/procedures.
Manager, Coding Compliance - Pediatrics Central Administration Washington University in St LouisManager, Coding Compliance - Pediatrics Central AdministrationWashingtonAccounting, Code Compliance, Coding Compliance, Compliance Management, Healthcare Auditing, Health Care Regulation, Health Insurance Portability & Accountability Act (HIPAA), ICD Coding, Medical Billing and Coding, Organizing, Supervisory Management, Trend Analysis, Trend Reporting Grade . This leader is responsible for overseeing a team reviewing complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance.
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.
NewCoding 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.
NewCoding 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 Compliance Audit & Education Specialist Privia Health Group, IncCoding Compliance Audit & Education SpecialistDC$70,000–$80,000 / yearThe Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.
New2 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.
Provider Coding Auditor & Educator (Remote) Anne Arundel DermatologyProvider Coding Auditor & Educator (Remote)Owings Mills, MarylandRemote$75,000–$85,000 / yearFull timeRegularly meets with physicians and ACPs to provide continuous education on billable services, medical record documentation, the correct use of CPT and ICD-10 codes, missed billing opportunities and erroneously reported services to minimize errors and loss of revenue. Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT coding guidelines to diagnoses and procedures in offices.
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 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.
NewAfter-School Coach: Robotics, Coding & Arts Payfuture TechnologiesAfter-School Coach: Robotics, Coding & ArtsRockville, MD$60–$80 / hourWe are an after school programs in the Northern Virginia, DC, Maryland area looking for instructors, teachers, and coaches to teach classes in our fall programs in schools throughout the area. Specifically, we are looking for instructors to teach at a year long program in Bethesda, Maryland(8617 Chateau Dr, Potomac, MD 20854)The classes run from 1:40 PM -3:10PM.
Risk Adjustment Coding Specialist II - Maryland Astrana Health IncRisk Adjustment Coding Specialist II - MarylandMDIn 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.
Principal Research Engineer, 3D Gaussian Splat Coding OfinnoPrincipal Research Engineer, 3D Gaussian Splat CodingReston, VirginiaAs a Principal Research Engineer in 3D Gaussian Splatting, you will: Define and drive high-impact 3DGS coding directions, setting technical priorities across multiple workstreams and aligning execution across the team. Lead end-to-end design and evaluation of coding approaches for 3DGS representations (e.g., representation design, parameterization, quantization, entropy/context modeling, progressive transmission, complexity reduction), including tool interactions and system-level tradeoffs.
Senior Staff Research Engineer, 3D Gaussian Splat Coding OfinnoSenior Staff Research Engineer, 3D Gaussian Splat CodingReston, VirginiaCollaborate cross-team to remove blockers, integrate tool interactions, and improve shared infrastructure (pipelines, scripts, datasets, configurations, regression tests). Design and evaluate novel coding tools for 3DGS representations (e.g., geometry/attribute representation, parameter quantization, entropy modeling, structure/cluster coding, streaming and progressive refinement).
NewMedical 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.
Medical Coding Specialist-New Jersey Avenue, Washington, D.C Unity Health Care IncMedical Coding Specialist-New Jersey Avenue, Washington, D.CDCAdvanced knowledge of medical codes involving selections of most accurate and description code using the extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes. Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
Certified Medical Billing /Coding Specialist Moore OBGYNCertified Medical Billing /Coding SpecialistForestville, MDThe 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.
NewRevenue Integrity Coding and Billing Specialist- Remote GuidehouseRevenue Integrity Coding and Billing Specialist- RemoteWashington, DCRemote$49,000–$81,000 / yearUnder the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services through efficient review and prompt resolution of assigned Medicare and third-party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. Job Family General CodingTravel Required NoneClearance Required NoneResponsibilities Daily resolution of assigned claims with Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes in the hospital billing scrubber.
Senior Medical Coding Specialist (Remote) Blue Cross and Blue Shield AssociationSenior Medical Coding Specialist (Remote)DCRemote$67,464–$133,991 / yearThis role utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge, to build effective guidelines and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. Consults with various teams, including the Practice Transformation Consultants, Medical Policy Analysts and Provider Networks colleagues to interpret coding and documentation language and respond to inquiries from providers.
Certified Medical Billing & Coding Specialist CLINICA FAMILIAR DE ARLINGTONCertified Medical Billing & Coding SpecialistFalls Church, VAThe 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.
NewHCC 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!
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.
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.
Coding Specialist II Inpatient - MS - DRG, AP - DRG experience required MedStar Health Research InstituteCoding Specialist II Inpatient - MS - DRG, AP - DRG experience requiredMD$28.76–$48.96 / hourHigh School Diploma or GED required Associates degree in coding related degree preferred Bachelors degree in coding related degree preferred Courses in Medical Terminology, Anatomy & Physiology, ICD-CM, and ICD-PCS required. The Inpatient Coding Specialist II analyzes and interprets clinical documentation to accurately code and abstract inpatient facility records for all MedStar entities in accordance with established ICD-10-CM/PCS coding classification systems.
Coding Specialist II Johns Hopkins HospitalCoding Specialist IIBaltimore, MDResponsibilities: • Review medical record documentation to assure services are billed with the appropriate diagnosis and procedures • Assign the appropriate ICD-10 diagnosis, CPT, and HCPCS procedure codes as documented for accurate claim submission • Assign appropriate modifiers to bill appropriately for all services provided • Utilize revenue management software to identify and resolve coding and claim edits • Abstract data from clinical documentation in the electronic health record and assigns classification codes in accordance with Federal, State, and organizational guidelines • Review edits in Epic, including an understanding of HSCRC guidelines and correct coding and applying those rules to ensure claims are billed appropriately • When coding ASC accounts, work with departments in the hospital and health system to identify missing charges and charges billed in error • Queries physicians as needed, clarifying documentation to ensure accurate code assignment • Support all uses of coded data • Organizes and prioritizes work to meet deadlines and goals • Maintains and expands knowledge of coding and sequencing guidelines to ensure compliance and accuracy. Requirements: • High school diploma or GED required • Associates or higher degree in health information management or healthcare related field preferred • Active approved coding credential from AAPC or AHIMA upon hire • Successful completion of Outpatient Coding Specialist II diagnosis and CPT coding pre-employment assessment upon hire • Three (3) years coding experience for hospital facility and/or Ambulatory Surgery Centers.
Coding Specialist II Inpatient - MS - DRG, AP - DRG experience required MedStar HealthCoding Specialist II Inpatient - MS - DRG, AP - DRG experience requiredMD$28.76–$48.96 / hourHigh School Diploma or GED required Associates degree in coding related degree preferred Bachelors degree in coding related degree preferred Courses in Medical Terminology, Anatomy & Physiology, ICD-CM, and ICD-PCS required. The Inpatient Coding Specialist II analyzes and interprets clinical documentation to accurately code and abstract inpatient facility records for all MedStar entities in accordance with established ICD-10-CM/PCS coding classification systems.
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.
Medical Coding SME Graham TechnologiesMedical Coding SMEFalls Church, VAFull timeAt Graham Technologies, we've built a family-oriented environment where team members are encouraged to maintain a healthy work-life balance, pursue their passions, and grow professionally through flexible schedules, continued education, and a strong sense of community. Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting our customer.
Profee Coder III (Radiology (IR), Vascular and Neurosurgery Coding) SavistaProfee Coder III (Radiology (IR), Vascular and Neurosurgery Coding)District of ColumbiaWe partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results.
NewPT Instructor Pool - Medical Coding Specialist Program Madison Area Technical College DistrictPT Instructor Pool - Medical Coding Specialist ProgramDCMadison College offers degrees, diplomas, apprenticeships and certificates in Architecture & Engineering; Arts, Design & Humanities; Business; Construction, Manufacturing & Maintenance; Culinary, Hospitality & Fitness; Education & Social Services; Health Sciences; Information Technology; Law, Protective & Human Services; Science, Math & Natural Resources; and Transportation. This includes developing a relevant and progressive curriculum, designing and implementing effective learning strategies and environments, delivering instruction of high quality, assessing student learning, advising students, and participating in college service activities at the department, division and college levels.
Manager Coding Compliance (Hybrid) - Surgery Washington University in St LouisManager Coding Compliance (Hybrid) - SurgeryWashingtonThe screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Coding Specialist III - Plastics/Podiatric Surgery MedStar Health Research InstituteCoding Specialist III - Plastics/Podiatric SurgeryMD$28.76–$48.96 / hourHandles complex coding case review including but not limited to surgical coding (Orthopaedics Cardiac Neurosurgery Otolaryngology etc.) extraction, co-surgery scenarios, multi-visceral transplant cases, comorbidity evaluation. In addition to interacting with physicians on coding issues, ensures that physician encounter forms, the GE IDX billing system and processes are up to date and compliant regarding coding issues.
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.
Professional Coding Auditor & Educator Trinity HealthProfessional Coding Auditor & EducatorSilver Spring, MD$28–$43.40 / hourResponsibilities: Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for providing innovative, high-quality health care services.
NewRemote HCC Coding Specialist | Risk Adjustment Expert Highmark HealthRemote HCC Coding Specialist | Risk Adjustment ExpertWashington, DCRemote$27.02–$41.85 / hourThe role involves performing HCC coding for Medicare Advantage and ACA, ensuring compliance with CMS guidelines. A minimum of 3 years of coding experience is required, with preferred education in medical billing and coding.
IT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, Informatics Kaiser PermanenteIT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, InformaticsHyattsville, MDEssential Responsibilities: Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; and recognizing and capitalizing on improvement opportunities. Ability and/or having the capacity to learn -knowledge representation- logic to create, maintain subsets of clinical records to support reporting, business intelligence in the areas of best practice alerts, population and healthcare management, quality measurements, and health information exchanges.
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.