NewDRG Coding Auditor - MS-DRG and APR-DRG Elevance Health IncDRG 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.
NewDRG 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.
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 Auditor - Ambulatory/Professional Coding/Profee Huron Consulting GroupCoding Auditor - Ambulatory/Professional Coding/ProfeeOklahoma, PA$26.44–$52.40 / hourPHYSICAL DEMANDS: This role requires remaining seated at a desk/computer for 8 hours daily; repetitive use of computer keyboard and mouse; use of computer monitors for 8 hours daily; interaction though video/audio conference calls and possible use of a headset with microphone; very rarely duties might require the ability to lift up to 20 pounds and bending & standing for periods at a time. Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
Coding Specialist - Patient Accounting Greater Baltimore Medical CenterCoding Specialist - Patient AccountingTimonium, MD$24.84–$40.72 / hourFunctions as the practice liaison with the Billing Office and assists in educating the practice staff about efficient and compliant billing and registration practices. Works closely with Providers, offering assistance and education regarding correct CPT and ICD 10 coding as well as documentation requirements.
Coding Specialist I Outpatient - MedStar Ambulatory Surgery Centers MedStar Health Research InstituteCoding Specialist I Outpatient - MedStar Ambulatory Surgery CentersColumbia, MD$23.65–$42.03 / hourCodes and abstracts Ambulatory Surgery Center (ASC) services using CPT, ICD-10-CM, HCPCS and other applicable patient classification schemes. 1-2 years coding experience and experience with clinical information systems (3M grouper electronic medical records computer assisted coding) preferred.
Coding Quality Review Specialist -Inpatient MedStar Health Research InstituteCoding Quality Review Specialist -InpatientMaryland, MD$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 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.
NewRevenue Integrity Coding Specialist I Johns Hopkins HospitalRevenue Integrity Coding Specialist IBaltimore, MDProvides local direction and input and is expert for build and maintenance of charge masters and fee schedules (R&B, lab, pharmacy, supplies, surgical, radiology, cardiology, etc. and physician charge master) and works collaboratively with CDM, compliance and coding teams. Under direction of the Director of Revenue Integrity, the Revenue Integrity Specialist II plays an important role in a high-profile group tasked with improving charge capture results by taking a global view of the full charging process, functions and interdependencies from the provision of patient care to final bill generation.
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.
Medical Coding Specialist Johns Hopkins Medical Management CorporationMedical 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.
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 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 Quality Review Specialist -Inpatient MedStar HealthCoding Quality Review Specialist -InpatientMaryland, MD$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 SPECIALIST II Mercy Medical CenterCODING SPECIALIST IIBaltimore, MarylandFull timeAssociate’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. Responsibilities: 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.
NewAnalyst, Coding Data Quality Audit CVS Health CorpAnalyst, Coding Data Quality AuditMD$21.10–$36.78 / hourThe Coding Data Quality Audit Analyst is responsible for performing second-level quality inter-rater review audits of medical records coded by internal teams, as well as external vendors (if applicable), to ensure that ICD codes submitted to the Centers for Medicare & Medicaid Services (CMS) for risk adjustment purposes are appropriate, accurate, and supported by clinical documentation in accordance with all state and federal regulations, as well as internal policies and procedures. Confidently communicates supporting evidence to internal stakeholders with varying levels of coding and clinical expertise through both written and verbal communication, including interactions with clinical staff, coding staff, federal regulators, and vendor coding resources.
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.
NewHospital Coding Spec II - Edits WVU MedicineHospital Coding Spec II - EditsMarylandReviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Clinical Coding Analyst RN, Consultant Blue Cross and Blue Shield AssociationClinical Coding Analyst RN, ConsultantBaltimore, MDIn this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Acts as a resource and helps to validate post claim DRG downgrade denials related to coding and clinical determination to support appeal strategy, tracking by disease, payer and denial activity and works with teams to create transparency and improvements to mitigate and prevent denials.