NewCoding Specialist III - Plastics/Podiatric Surgery MedStar HealthCoding Specialist III - Plastics/Podiatric SurgeryMDRemote$28.76–$48.96Handles 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.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorBaltimore, MDRemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
NewRevenue Cycle Senior Manager West Cecil Health Center IncRevenue Cycle Senior ManagerConowingo, MD$65,800–$83,600 / yearQualifications & Experience: The ideal candidate will possess the following essential skills and demonstrate a strong commitment to the mission of West Cecil Health Center: ICD-10: 1 year (Preferred) CPT Coding: 1 year (Preferred) Medical Billing: 1 year (Preferred) A bachelor’s degree in business administration, health administration, or a related field is required. Including in-person speech, over the telephone, and/or using equipment Visual Acuity: sufficient to clearly see and distinguish small objects, including while using a computer, as well as to recognize individuals and features at a distance Location & Travel This position is located in West Cecil Health Center and/or its qualified subsidiaries.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorHavre De Grace, MDRemote$57,400–$99,000Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
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 -InpatientMaryland$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.
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.
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, 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.
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.
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.
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 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 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 - 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.
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.
CDI Coding Liaison Mercy Medical Center IncCDI Coding LiaisonBaltimore, MDUtilizes 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. Associate'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.
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.
NewIP Facility Coding Auditor (2) Amergis Healthcare StaffingIP Facility Coding Auditor (2)Baltimore, MDMust hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) or have a preferred minimum of 2 years relevant coding experience. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school.
Financial Coding and Systems Analyst - Eurofins Environment Testing - Lancaster, PA Eurofins Scientific SEFinancial Coding and Systems Analyst - Eurofins Environment Testing - Lancaster, PALancaster, PA$80,000–$90,000 / yearThe Eurofins network of companies is the global leader in food, environment, pharmaceutical and cosmetic product testing and in discovery pharmacology, forensics, advanced material sciences and Eurofins Scientific 2/2 March 2023 agroscience contract research services. With climate change posing an imminent threat, Eurofins and its many companies recognize their duty to proactively reduce or offset the environmental impact of essential operations while also helping our clients do the same-serving as a true ESG Enabler.
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.
NewCode Enforcement Investigator I- Department of Housing & Community Development City of BaltimoreCode Enforcement Investigator I- Department of Housing & Community DevelopmentBaltimore, MD$50,797–$61,402 / yearExperience: Have two years of experience investigating environmental, housing or other code violations, conducting environmental health or related code inspections, enforcing ordinances, regulations and public laws, or in monitoring and enforcing compliance with program requirements. Licenses, Registrations, and Certificates: Have a valid Maryland Class C Noncommercial driver's license or an equivalent driver's license and eligible to obtain a Baltimore City driver's permit.
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.
Bureau Chief of Building Codes City of Lancaster PABureau Chief of Building CodesLancaster, PA$100,000–$115,000 / yearThe City oversees a range of public services including fire and police, health, housing, parks, streets, as well as water and wastewater for upwards of 120,000 customers in the surrounding region. An Economy That Works - Driving equitable growth, empowering small businesses, and creating opportunities that strengthen our community.
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.
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.
General Practice Care - Medical Director - Landisville , {State_Code UsvtaGeneral Practice Care - Medical Director - Landisville , {State_CodeLandisville, PennsylvaniaAn 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 PriceSr. Manager, Code ComplianceOwings Mills, MarylandCode 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.
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.
Billing Charge Entry Clerk Park West Health System IncBilling Charge Entry ClerkBaltimore, MDThis role reviews encounter and coding information, submits claims to payers, and assists with resolving billing discrepancies to promote clean claim submission and minimize delays in payment. Schedule, reschedule, and confirm appointments including follow-ups, call-ins, and walk-ins as well as provide reminder calls to support patient engagement and reduce missed visits.
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.
Medical Coder Level One PersonnelMedical CoderBaltimore, MarylandMINIMUM REQUIREMENTS: Must be able to complete any additional credentialing as required by the unit/facility, Formal working knowledge equivalent to an Associate's degree (2 years college) in HIM, HIT or related field. Prepares and submits a properly completed management production report to the Supervisor and/or Manager weekly and notifies the manager of problems that impact efforts to perform the job.
MEDICAL OFFICE MANAGER ORIENTED HEALTHCARE LLCMEDICAL OFFICE MANAGERBaltimore, MD$20–$26 / hourYou’ll play a key role in ensuring smooth clinic operations, excellent patient care, and efficient workflow across administrative and clinical functions. Oriented Healthcare, LLC is seeking a Full-Time Medical Office Manager to oversee daily clinic operations in our integrated Primary Care and Behavioral Health clinic.
Physical Therapist- Surgery and Rehab Hospital (Inpatient Medical Rehab)- PRN WellSpan HealthPhysical Therapist- Surgery and Rehab Hospital (Inpatient Medical Rehab)- PRNYork, PAAll Sub-Categories Accounting Accreditation and Licensure Administrative and Clerical Anesthesia APP-Other Behavioral Health Billing Collections and Patient Financial Services Business Development Cardiology Care Management / Patient Care Coordination Certified Registered Nurse Anesthetists Clinical Equipment Biomed Clinical Supplies and Processing Coding Direct Nursing Emergency Services Environmental Health and Safety Environmental Services Facilities Operations Food & Nutrition Services Health Information Management Home and Community Services Human Resources Information Systems Human Resources Operations and Support Imaging Services Laboratory Language Services Logistics Neurology Nurse Education Nurse Midwife Nurse Practitioner / Physician Assistant Nursing Leadership Executive Nursing Management Nursing Operations Nursing Support Pastoral Services Pathology Patient Access Patient Safety Patient Transport Patient Wellness and Fitness Pharmacy Philanthropy Physician-Administrative Physician-Clinical Practice Management Support Public Relations Respiratory Care Security Sleep Services Strategic Sourcing Supply Chain Management Surgical / Perioperative Services Therapy and Rehab Warehouse Operations. Similar Opportunities Rehabilitation Assistant- Surgery and Rehab Hospital Inpatient Post Surgery- Day/Evening York PA | Full Time Speech Language Pathologist- Surgery and Rehab Hospital Outpatient- Day/Evening York PA | Full Time Physical Therapist- Surgery and Rehab Hospital Inpatient Post Surgery- Day/Evening York PA | Full Time Dietitian - WellSpan Surgery and Rehabilitation Hospital - Days York PA | Part Time Rehabilitation Liaison - Surgery and Rehab Hospital - PRN York PA | PRN/Per Diem View All Jobs Opportunities Search.
Medical Secretary II, Primary Care University of Maryland Baltimore Washington Medical CenterMedical Secretary II, Primary CareMD$18.57–$25.99 / hourWe are seeking a highly organized and efficient Medical Secretary II to join our Primary Care team in Parkton, United States. In this role, you will be responsible for providing essential administrative support to our healthcare professionals and ensuring smooth operations of our medical office.
Billing Specialist Baltimore Medical System IncBilling SpecialistBaltimore, MDBaltimore Medical System (BMS) is a community-based, nonprofit organization that provides quality primary/outpatient care services to communities in the Greater Baltimore area. The specialist is responsible for monitoring and following-up on outstanding charges and applying time-of-service payments to charges to ensure accurate patient statements.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorMD$70,000–$90,000 / 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.
Special Investigation Unit (SIU) Manager CVS Health CorpSpecial Investigation Unit (SIU) ManagerMD$54,300–$159,120 / yearThe Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state regulators.
Medical Biller PROSPER HEALTH AND BEHAVIORAL CAREMedical BillerBaltimore, MDAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Medical Biller Healthy Mind Foundation LimitedMedical BillerBaltimore, MDAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Field Reimbursement Manager - Mid-Atlantic Heartflow IncField Reimbursement Manager - Mid-AtlanticMDRemote$90,000–$120,000 / yearExceptional Communication: Outstanding presentation and communication skills, with the ability to translate complex reimbursement information into clear, actionable guidance for both internal teams and external customers. Cross-Functional Alignment: Proven ability to successfully collaborate and align with a direct sales force, serving as a respected consultative partner rather than a purely service-oriented resource.
Clinical Coder Level I HIM Impatient Specialist (Full-Time, Remote) Penn MedicineClinical Coder Level I HIM Impatient Specialist (Full-Time, Remote)PARemoteCertification as a Certified Coding Specialist CCS or Certified Coding Specialist-Physician CCS-P through AHIMA American Health Information Association, or certified by AAPC American Association Professional Coders with certification as a Certified Professional Coder CPC, or Certified Professional Coder-Hospital Outpatient COC. Summary: Position Summary: Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to official coding guidelines assuring appropriate reimbursement, compliance with regulations, and accuracy for clinical care analysis and provider profiling.
Compliance Program Manager Johns Hopkins HospitalCompliance Program ManagerBaltimore, MD$41–$65.60 / hourDeveloping audit work plans and conducting or supervising both planned and special audits of patient medical records and bills to determine whether charges being billed are adequately supported by documentation in the record, and that documented services are being billed. The Compliance Program Manager is responsible for the development, implementation, and ongoing monitoring of the Corporate Compliance Program with a particular emphasis on federal payor billing compliance and compliance-related education for the Johns Hopkins Health System Corporation and its affiliates.
Sr. Quality Improvement Specialist Johns Hopkins HospitalSr. Quality Improvement SpecialistBaltimore, MDIt includes six academic/community hospitals, including the flagship Johns Hopkins Hospital, along with suburban hospitals, specialized centers, and international patient services. This role ensures accurate data submission for quality-based payment and recognition programs, including core measures, eCQMs, HACs, PSIs, and mortality metrics.
Clinical Provider Auditor II - Maryland Behavioral Health Elevance HealthClinical Provider Auditor II - Maryland Behavioral HealthMarylandRequires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background. Born out of one of the largest healthcare systems organization in the United States, our rich history gives us a unique and valuable perspective on how to solve the most pressing healthcare challenges.
Clinical Provider Auditor I - Maryland Behavioral Health Elevance HealthClinical Provider Auditor I - Maryland Behavioral HealthMarylandBorn out of one of the largest healthcare systems organization in the United States, our rich history gives us a unique and valuable perspective on how to solve the most pressing healthcare challenges. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Revenue Integrity Specialist Johns Hopkins HospitalRevenue Integrity SpecialistBaltimore, MDProvides local direction and input and is expert for build and maintenance of hospital CDM both chargeable and non-chargeable items (R&B, lab, pharmacy, supplies, surgical, radiology, cardiology, etc. and physician charge master) and works collaboratively with JHHS Revenue Integrity group. Must possess excellent verbal and written communication skills to support interaction and participation in meetings with patients, physicians, payer representatives, MHA, and representatives of other departments within our organization (Medical Records, Utilization Review, JHMCIS, registration, etc.).
Payment Integrity Analyst Expert In Recruitment SolutionsPayment Integrity AnalystTimonium, MDRemoteThe Payment Integrity Analyst Post Payment Audits, Claims Analytics & Reimbursement Policy Strategy is responsible for independently analyzing medical claims trends, post payment audit outcomes, and industry-wide provider reimbursement policy trends to identify payment integrity risks and improvement opportunities. This role combines hands-on claims analytics with external market intelligence, requiring the ability to evaluate evolving reimbursement practices across the industry and recommend applicable policies that improve payment accuracy, compliance, and financial integrity.