NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorAberdeen, 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.
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 AuditorLancaster, PARemote$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.
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 Coder IMSMedical CoderMarylandRemoteExperience in multiple specialties including Behavioral Health, Cardiology, ER, Endocrinology, Gastroenterology, Hematology/Oncology, Infectious disease, Internal medicine, Nephrology, Neurology, OB/Gyn surgery, Ophthalmology, Orthopedic, Orthopedic surgery, Outpatient, Pulmonology, Rheumatology, Sleep medicine, Transplant surgery, or Vascular surgery (preferred). Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting.
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.
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.
NewEMERGENCY ROOM CODER - REMOTE Sinai Hospital of BaltimoreEMERGENCY ROOM CODER - REMOTEBaltimore, 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. 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.
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.
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.
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.
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.
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$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.
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.
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.
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.
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 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.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Baltimore, MDRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
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 Documentation Specialist II Johns Hopkins HospitalClinical Documentation Specialist IIBaltimore, MDRemoteRHIT.RHIA: Requires successful completion of the academic requirements for the Registered Health Information Technician (RHIT) certification or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) and be a Certified Coding Specialist (CCS). 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.
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.
HIM Clinical Documentation Specialist, PRN (Weekends) University of Maryland Baltimore Washington Medical CenterHIM Clinical Documentation Specialist, PRN (Weekends)Towson, MD$38.67–$58.05 / hourUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program, the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding and reporting of high-quality healthcare data. Experience • Minimum of 2 years of experience reviewing Inpatient medical records as a Clinical Documentation Integrity Specialist, Coder/DRG Analyst with a clinical background, Care Manager, Utilization Review Specialist, or Quality Review Specialist • Strong Clinical Background Minimum of 3 years chart abstraction/chart review experience.
Primary Care Physician (Woodlawn, MD) Sage HealthPrimary Care Physician (Woodlawn, MD)Woodlawn, MarylandOur model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. Our care team consists of physicians, advanced practice professionals, pharmacists, care associates, medical assistants, behavioral health support, quality-based coders, referral coordinators and more.
Clinical Provider Auditor Lead - Maryland Behavioral Health Elevance HealthClinical Provider Auditor Lead - Maryland Behavioral HealthMarylandThe Clinical Provider Auditor Lead is responsible for leading the professional audit program for a region and manages the work of vendors contracted to perform audits on the company's behalf. Leads day-to-day activities of the audit team, providing allocation of resources, establishing priorities, and serving as resource to lower-leveled audit associates.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)MD$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
NewInvestigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)MD$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.
NewInvestigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)MD$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
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.