NewForensic Medical Coder Ensemble Health PartnersForensic Medical CoderSalisbury, MD$24.65–$27.10Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. This position is responsible for root cause analysis of trending front and/or back end identified coding opportunities; internal and external coding/documentation education; supporting and at times leading coding opportunity improvement projects.
NewSpecialized Coder - Cardiology, Vascular and CVTS Ensemble Health PartnersSpecialized Coder - Cardiology, Vascular and CVTSAnnapolis, MD$29.75–$32.70Extensive knowledge/experience in physician coding with expert knowledge in Cardiology, Cardiovascular Thoracic Surgery or Vascular Surgery coding specialty and the ability to provide education/support to coding team and providers. Remains abreast of changes to current payer guidelines, Correct Coding Initiative edits, and Local/National Coverage Determinations for accuracy in Coding and mentors team members regarding coding guidelines and accuracy.
NewCoding Quality Review Specialist -Inpatient (CCS Required) MedStar HealthCoding Quality Review Specialist -Inpatient (CCS Required)MDRemote$31.28–$56.39Responsibility 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.
NewMedical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)fort meade, MD$40,736–$59,031 / yearRefer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference. GS-6: Your resume must demonstrate at least one year of specialized experience (equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector) performing the following type of work and/or tasks: Analyzing, interpreting, and abstracting data from dental documentation to assure the presence and compliance of all component parts of the record; and assigning diagnostic and procedure codes.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)MD$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
SINAI HOSPITAL OUTPATIENT CODER Sinai Hospital of BaltimoreSINAI HOSPITAL OUTPATIENT CODERBaltimore, MDRemoteSINAI HOSPITAL OUTPATIENT CODER in Baltimore, MD - LifeBridge Health Career Site SINAI HOSPITAL OUTPATIENT CODER in Baltimore, MD - LifeBridge Health Career Site Save Job Saved. Support: 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.
Coder Financial Coordinator Sinai Hospital of BaltimoreCoder Financial CoordinatorBaltimore, MDRemote$25–$30 / hourCoder Financial Coordinator in Baltimore, MD - LifeBridge Health Career Site Coder Financial Coordinator in Baltimore, MD - LifeBridge Health Career Site Save Job Saved. Support: 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.
Inpatient Coder Omm IT SolutionsInpatient CoderBaltimore, MarylandRemoteMinimum of 3 years ICS-10-CM/ICD-10-PCS coding and abstracting experience with a Level 1 trauma and rehab hospital or 4 years of experience with coding inpatient hospital medical records required . The Inpatient Coder is responsible for reviewing inpatient medical records and assigning accurate ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines, regulatory requirements, and Clint policies.
Inpatient Coder - Full-time with Benefits Frederick Health Hospital, Inc.Inpatient Coder - Full-time with BenefitsFrederick, MD$26.46–$37.80 / hourPart timeMaintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participating in continuing education programs to effectively apply ICD-10-CM and CPT coding guidelines to inpatient and outpatient diagnoses and procedures. · Accurately abstracts the Attending Physician, Discharge Disposition and location Discharged to, Consultations, Ambulance Run Number & County codes, Date (s) of surgery or other procedures, Cause of Death if applicable, and Anesthesiologist.
Inpatient Coder - Full-Time With Benefits Frederick Memorial Healthcare SystemInpatient Coder - Full-Time With BenefitsFrederick, MD$26.46–$37.80 / hourMaintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participating in continuing education programs to effectively apply ICD-10-CM and CPT coding guidelines to inpatient and outpatient diagnoses and procedures. Accurately abstracts the Attending Physician, Discharge Disposition and location Discharged to, Consultations, Ambulance Run Number & County codes, Date (s) of surgery or other procedures, Cause of Death if applicable, and Anesthesiologist.
EMERGENCY ROOM CODER - REMOTE Sinai Hospital of BaltimoreEMERGENCY ROOM CODER - REMOTEBaltimore, MDSupport: 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. EMERGENCY ROOM CODER - REMOTE in Baltimore, MD - LifeBridge Health Career Site EMERGENCY ROOM CODER - REMOTE in Baltimore, MD - LifeBridge Health Career Site Save Job Saved.
Coder - Same Day Surgery - Full-time with Benefits Frederick Health Hospital, Inc.Coder - Same Day Surgery - Full-time with BenefitsFrederick, MD$20.84–$30.68 / hourPart timeThis position codes and abstracts same day surgery medical records of all types following a complete review of the clinical documentation, abstracts and assigns appropriate ICD-10-CM and CPT code sets and assigns the correct codes into the hospital Information System. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs.
SR. OUTPATIENT CODER University of Maryland Baltimore Washington Medical CenterSR. OUTPATIENT CODERBaltimore, MD$28.41–$40.35 / 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. Strong 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.
Outpatient Coder, Senior University of Maryland Baltimore Washington Medical CenterOutpatient Coder, SeniorBaltimore, MD$28.41–$40.35 / 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. Strong 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.
Coder - Same Day Surgery - Full-Time With Benefits Frederick Memorial Healthcare SystemCoder - Same Day Surgery - Full-Time With BenefitsFrederick, MD$20.84–$30.68 / hourThis position codes and abstracts same day surgery medical records of all types following a complete review of the clinical documentation, abstracts and assigns appropriate ICD-10-CM and CPT code sets and assigns the correct codes into the hospital Information System. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs.
HIM-INPATIENT CODER Sinai Hospital of BaltimoreHIM-INPATIENT CODERBaltimore, MDRemoteSupport: 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. HIM-INPATIENT CODER in Baltimore, MD - LifeBridge Health Career Site HIM-INPATIENT CODER in Baltimore, MD - LifeBridge Health Career Site Save Job Saved.
Inpatient Coder - Full-time with Benefits Frederick Health Hospital IncInpatient Coder - Full-time with BenefitsFrederick, MD$26.46–$37.80 / hourMaintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participating in continuing education programs to effectively apply ICD-10-CM and CPT coding guidelines to inpatient and outpatient diagnoses and procedures. Accurately abstracts the Attending Physician, Discharge Disposition and location Discharged to, Consultations, Ambulance Run Number & County codes, Date (s) of surgery or other procedures, Cause of Death if applicable, and Anesthesiologist.
Coder - Same Day Surgery - Full-time with Benefits Frederick Health Hospital IncCoder - Same Day Surgery - Full-time with BenefitsFrederick, MD$20.84–$30.68 / hourThis position codes and abstracts same day surgery medical records of all types following a complete review of the clinical documentation, abstracts and assigns appropriate ICD-10-CM and CPT code sets and assigns the correct codes into the hospital Information System. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your familys needs.
SR. INPATIENT CODER University of Maryland Baltimore Washington Medical CenterSR. INPATIENT CODERBaltimore, MD$30.26–$42.37 / 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. Strong 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.
Inpatient Coder, Senior University of Maryland Baltimore Washington Medical CenterInpatient Coder, SeniorBaltimore, MD$30.26–$42.37 / 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. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care 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.
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.
Adjunct, Medical Billing and Coding Frederick Community CollegeAdjunct, Medical Billing and CodingFrederick, MDTo be considered for this position, candidates must possess relevant professional experience or appropriate licensure in the content area or a closely related field and hold CPB certification for medical billing instruction, as well as CPC and CPC-I certifications for medical coding instruction. The adjunct instructor prepares students for the AAPC Certified Professional Coder (CPC) or Certified Professional Biller (CPB) exam through didactic classroom instruction and facilitation of online material.
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.
NewCompliance Consultant IV - Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV - Medical Coding - Risk AdjustmentHyattsville, MDCompletes 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 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. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
Medical Biller Dej Med PracticeMedical BillerHagerstown, MDFull timeThe Medical Biller is responsible for managing the billing process for a primary care practice, including claim submission, payment posting, insurance follow-up, and patient billing. This role ensures accurate coding and billing, timely reimbursement, and compliance with healthcare regulations.
NewMEDICAL SERVICES REVIEWING NURSE II State of MarylandMEDICAL SERVICES REVIEWING NURSE IIBaltimore City, MDThis position will utilize specialized nursing knowledge, medical coding knowledge, certifications and extensive experience in Current Procedural Terminology coding (CPT), Internal Classification of Disease coding (ICD-10), and Healthcare Common Procedure Coding (HCPCS), coding conventions, as well as general billing experience.  This position will also utilize required knowledge and experience in nursing and supervision, as well as knowledge of State and federal regulations along with thorough comprehension of medical and surgical terminology is essential in order to make definitive decisions as they pertain to regulatory compliance. Candidates for positions in this classification must possess a current license as a Registered Nurse from the Maryland State Board of Nursing, 4140 Patterson Avenue, Baltimore, Maryland 21215 or possess a current multi-state license in party states that candidates have declared as primary states of residence.
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.
NewCompliance Consultant IV, Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV, Medical Coding - Risk AdjustmentHyattsville, MDCompletes 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 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. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.
NewCompliance Consultant V, Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant V, Medical Coding - Risk AdjustmentHyattsville, MDManages projects or compliance components of larger cross-functional projects by identifying and managing stakeholder contacts; assembling teams based on project needs and team member strengths; developing, analyzing, and managing project plans; negotiating and managing project schedules and resource forecasts; and managing project financials and deliverables. Job Summary: In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to functions within all settings of care, maintaining compliance with national coding policies and procedures, assisting with coding questions and related topics, and auditing and monitoring the quality of coding assignments across all lines of business.
Clinical Coding Specialist Johns Hopkins Medical Management CorporationClinical 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.
Pediatric Coding Specialist Johns Hopkins Medical Management CorporationPediatric Coding SpecialistMiddle river, MarylandRemote$26–$30 / hourCore Coding Focus: This role involves professional fee coding in a physician-based environment and includes work with CPT coding, ICD-10-CM diagnosis coding, HCPCS coding as applicable, Evaluation & Management (E/M) leveling, and physician documentation review to support accurate, compliant coding and appropriate reimbursement. Note: This is a single position that may be listed under different titles to reflect common industry search terms, including Medical Coding Specialist, Physician Coding Specialist, Clinical Coding Specialist, Medical Coder, or Coding Specialist.
Coding Educator Johns Hopkins HospitalCoding EducatorBaltimore, MDRemoteJob Functions: Develops and delivers coding education and training programs for coding staff based on identified learning needs, audit findings, and operational priorities to support accurate coding and optimal revenue cycle performance. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
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 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 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 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.
Field Reimbursement Manager - Mid-Atlantic HeartFlowField Reimbursement Manager - Mid-AtlanticBaltimore, MDRemote$90,000–$120,000 / yearHeartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). The flagship product-an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis-provides a color-coded, 3D model of a patient's coronary arteries indicating the impact blockages have on blood flow to the heart.
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.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)MD$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Hanover, MD$82,232–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
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.
DRG Clinical Validation Lead Elevance Health IncDRG Clinical Validation LeadHanover, MD$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
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.
Pro Fee Audit Educator University of Maryland Baltimore Washington Medical CenterPro Fee Audit EducatorLinthicum, MD$31.78–$44.50 / hourPrepare reports for the Chief Compliance, Audit and Provider Officer, Vice President, Compliance Operations, Director, Revenue Cycle Billing and Coding Compliance, Manager, Coding Compliance and Training, UMMS Executive Management and the Audit and Compliance Committee of the Board of Directors. • Develop and administer training and educational materials to address documentation and coding deficiencies identified in audits; support the development and administration of system-wide compliance education (e.g., New Provider Compliance Education and Annual Compliance Education).
Professional Coding Auditor & Educator Trinity Health CorporationProfessional 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.
DRG Clinical Validation Lead Elevance HealthDRG Clinical Validation LeadHanover, MD$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistBaltimore, MD$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.
NewCoding Compliance Auditor Team Lead- Educator University of Maryland Medical SystemCoding Compliance Auditor Team Lead- EducatorBaltimore, MD$36.83–$55.29 / hourKnowledge, Skills and AbilitiesStrong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Assists coding specialists in writing appropriate coding queries, works collaboratively with CDI, understands Potentially Preventable Complications (PPC's)/Maryland Hospital Acquired Conditions (MHAC's), Prevention Quality Indicators (PQI's) and their impact and other indicators as needed.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystBaltimore, MDRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
CBO Billing Relations Manager MedVanta CareersCBO Billing Relations ManagerBethesda, MarylandFunctions as a floating Revenue Cycle leader by providing interim management coverage, operational support, special project leadership, and hands-on claims assistance across multiple RCM teams as organizational needs dictate. Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.