SINAI HOSPITAL OUTPATIENT CODER LifeBridge HealthSINAI HOSPITAL OUTPATIENT CODERBaltimore, MDRemote$21.06–$39.12 / hourSupport: A culture of collaboration with resources like unit-based practice councils and advanced clinical education support — improving both workflow efficiency and patient outcomes and allowing you to work at the top of your license. Reviews medical records to determine the providers diagnoses/procedures for outpatient records (ER, Infusion, other outpatient) and assigns ICD-10CM/PCS codes or CPT codes to those diagnoses/procedures.
Coding 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.
NewPRN VA Outpatient Medical Coders (Remote) Cooper ThomasPRN VA Outpatient Medical Coders (Remote)Remote Home Office, DCRemoteAs a result of a new contract, Cooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has immediate openings for VA experienced PRN Outpatient Coders for a special client project over the next 6-8 weeks. · Knowledge in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health record format and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD, CPT, HCPCS).
NewPRN VA Inpatient PTF Medical Coders (Remote) Cooper ThomasPRN VA Inpatient PTF Medical Coders (Remote)Remote Home Office, DCRemoteExperience including, but not limited to data validation; analyzing and generating reports; reviewing and abstracting health record information, adhering to coding compliance, and ensuring that CPT/AMA and ICD codes and modifiers support clinical and physician documentation for proper and consistent data collection and reimbursement. As a result of a new contract, Cooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has immediate openings for VA experienced PRN Inpatient PTF Coders for a special client project over the next 4-6 weeks.
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 Virginia HeartMedical CoderFalls Church, Fairfax, VA$23–$29 / hourFull timeThe Medical Coder is responsible for reviewing, coding and updating charges in various Charge Work Queues, to ensure accuracy and timely release of charges, in a manner consistent with Virginia Heart’s mission of excellence in cardiovascular care. (Click link to view other available openings and locations for our company: https://virginiaheart.hiringplatform.com/list/careers) .
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.
Medical Coder III (Cardiology experience require) SavistaMedical Coder III (Cardiology experience require)District of ColumbiaWe partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results.
NewMedical Coder Educator Humana IncMedical Coder EducatorAnnandale, VARemote$59,300–$80,900 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Washington, DC$50,460–$65,599 / 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. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting Group LLCHealth Care | Life Sciences, Senior Associate - Registered Nurse / Certified CoderDCRegistered Nurse with active license, unrestricted license • Bachelor of Science in Nursing from an accredited college/university • Substantial clinical experience with demonstrated ability to interpret clinical documentation and medical necessity • Certified Professional Coder (CPC) with coding experience across inpatient, outpatient, and professional services • Familiar with the revenue cycle process and facility and professional claims • Demonstrates excellent communication skills, both written and oral • Experience managing small projects and teams • Familiar with accessing and identifying clinical documentation in electronic medical record systems • Proficient in Excel, Word, and PowerPoint and able to draft reports and presentations and present findings • Ability to problem solve, multi-task, and prioritize assignments • Understands the importance of privileged and confidential communication • Willingness to travel when needed • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future. Our clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers.
Profee Coder III (Radiology (IR), Vascular and Neurosurgery Coding) SavistaProfee Coder III (Radiology (IR), Vascular and Neurosurgery Coding)District of ColumbiaWe partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results.
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.
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting GroupHealth Care | Life Sciences, Senior Associate - Registered Nurse / Certified CoderWashington DC, District of ColumbiaRemoteOur clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations.
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.
Certified Risk Adjustment Coder (CRC), Senior Associate Ankura Consulting Group LLCCertified Risk Adjustment Coder (CRC), Senior AssociateDC$85,000–$200,000 / yearAssociates use their experience and knowledge related in coding, revenue cycle and clinical operations, along with their project management capabilities, to contribute to complex investigations, whistleblower lawsuits, internal investigations, payer/provider disputes, and acquisition due diligence, among others. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute.
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.
NewSenior Risk Adjustment Coder & Provider Education Lead Astrana Health ManagementSenior Risk Adjustment Coder & Provider Education LeadAnnapolis, MD$70,000–$85,000 / yearThis full-time role involves conducting high-volume chart reviews to ensure coding accuracy for Medicare and ACA requirements. The position follows a hybrid work structure, requiring occasional travel to provider sites in Maryland.
NewRemote Revenue Integrity Coder & Billing Specialist GuidehouseRemote Revenue Integrity Coder & Billing SpecialistWashington, DCRemote$49,000–$81,000 / yearCompetitive compensation ranges from $49,000 to $81,000 annually, alongside a rich benefits package that includes health insurance and retirement plans.#J-18808-Ljbffr. A leading consulting firm is seeking a Revenue Integrity Coding and Billing Specialist to join their remote team.
NewHybrid Risk Adjustment Coder - HCC Expert CareFirst BlueCross BlueShieldHybrid Risk Adjustment Coder - HCC ExpertBaltimore, MD$51,984–$95,304 / yearCareFirst is looking for a Risk Adjustment Coding Specialist to support the CMS-HCC Medicare Advantage Risk Adjustment and HHS-Risk Adjustment Data Validation audit. This position requires an Associate's Degree in a related field and CCS certification upon hire.
HIM-INPATIENT CODER Sinai Hospital of BaltimoreHIM-INPATIENT CODERBaltimore, 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. Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve."
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.
NewPT Instructor Pool - Medical Coding Specialist Program Madison Area Technical College DistrictPT Instructor Pool - Medical Coding Specialist ProgramDCMadison College offers degrees, diplomas, apprenticeships and certificates in Architecture & Engineering; Arts, Design & Humanities; Business; Construction, Manufacturing & Maintenance; Culinary, Hospitality & Fitness; Education & Social Services; Health Sciences; Information Technology; Law, Protective & Human Services; Science, Math & Natural Resources; and Transportation. This includes developing a relevant and progressive curriculum, designing and implementing effective learning strategies and environments, delivering instruction of high quality, assessing student learning, advising students, and participating in college service activities at the department, division and college levels.
Senior Medical Coding Specialist (Remote) Blue Cross and Blue Shield AssociationSenior Medical Coding Specialist (Remote)DCRemote$67,464–$133,991 / yearThis role utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge, to build effective guidelines and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. Consults with various teams, including the Practice Transformation Consultants, Medical Policy Analysts and Provider Networks colleagues to interpret coding and documentation language and respond to inquiries from providers.
Medical Records Technician (Clinical Documentation Improvement Specialist (CDIS - Inpatient)) U.S. Department of Veterans AffairsMedical Records Technician (Clinical Documentation Improvement Specialist (CDIS - Inpatient))Fort Belvoir, VARemote$61,722–$80,243 / yearAn associates degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management (e.g., courses in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR, 3- Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more that included courses in anatomy and physiology, medical terminology, basic ICD diagnostic/procedural, and basic CPT coding. Grade Determinations: Medical Records Technician (Clinical Documentation Improvement Specialist (CDIS-Outpatient and Inpatient)), GS-9: Experience: In addition to the basic requirements, candidates must meet one of the following: One year of creditable experience equivalent to the journey grade level of a MRT (Coder-Outpatient and Inpatient) including: (a) Ability to analyze the health record to identify all pertinent diagnoses and procedures for coding and to evaluate the adequacy of the documentation.
Certified Medical Billing /Coding Specialist Moore OBGYNCertified Medical Billing /Coding SpecialistForestville, MDThe ideal candidate will have strong OB/GYN coding knowledge, payer compliance expertise, and the ability to manage accounts receivable efficiently. Moore OB/GYN is seeking an experienced and detail-oriented Certified Medical Billing & Coding Specialist to join our growing team.
Payment and Medical Policy Coordinator (Remote) Blue Cross and Blue Shield AssociationPayment and Medical Policy Coordinator (Remote)DCRemote$51,264–$101,816 / yearThis role ensures business readiness across impacted functions, including claims, configuration, provider communications and operations, and provides support during testing, implementation, and post-implementation validation. QUALIFICATIONS: Education Level: Bachelor''s Degree in Health Administration, Business, Finance or related discipline OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Medical Coding SME Graham TechnologiesMedical Coding SMEFalls Church, VAFull timeAt Graham Technologies, we've built a family-oriented environment where team members are encouraged to maintain a healthy work-life balance, pursue their passions, and grow professionally through flexible schedules, continued education, and a strong sense of community. Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting our customer.
Medical Coding Specialist-New Jersey Avenue, Washington, D.C Unity Health Care IncMedical Coding Specialist-New Jersey Avenue, Washington, D.CDCAdvanced knowledge of medical codes involving selections of most accurate and description code using the extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes. Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
Certified Medical Billing & Coding Specialist CLINICA FAMILIAR DE ARLINGTONCertified Medical Billing & Coding SpecialistFalls Church, VAThe ideal candidate is detail-oriented, organized, and experienced with insurance claims, coding accuracy, and revenue cycle workflows. We are seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice.
NewSpecial Investigation Unit (SIU) Manager CVS Health CorpSpecial Investigation Unit (SIU) ManagerDC$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 Audit & Education Specialist Privia Health Group, IncCoding Compliance Audit & Education SpecialistDC$70,000–$80,000 / yearThe Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.
Coding Specialist III - Plastics/Podiatric Surgery MedStar Health Research InstituteCoding Specialist III - Plastics/Podiatric SurgeryMD$28.76–$48.96 / hourHandles complex coding case review including but not limited to surgical coding (Orthopaedics Cardiac Neurosurgery Otolaryngology etc.) extraction, co-surgery scenarios, multi-visceral transplant cases, comorbidity evaluation. In addition to interacting with physicians on coding issues, ensures that physician encounter forms, the GE IDX billing system and processes are up to date and compliant regarding coding issues.
NewAudit Senior - General Davis and AssociatesAudit Senior - GeneralColumbia, MDConsulting Practice PositionsOutpatient Medical Record CoderPosition Number: CON20105Candidate must possess and maintain one of the following certifications issued by American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC).Certified Coding Specialist (CCS)Certified Coding Specialist – Physician-based (CCS-P)Certified Professional Coder (CPC)Certified Professional Coder – Hospital (CPC-H)Certified Professional Coder – Payer (CPC-P)Registered Health Information Administrator (RHIA)Possess a minimum of 1 year of outpatient coding experience within the preceding 3 years. Medical Record Coding SpecialistPosition Number: CON20109Candidate must possess and maintain one of the following certifications issued by AHIMA or AAPC.Certified Coding Specialist (CCS)Certified Coding Specialist – Physician-based (CCS-P)Certified Professional Coder – Hospital (CPC-H)Certified Professional Coder – Payer (CPC-P)Registered Health Information Administrator (RHIA)Possess a minimum of 2 years of outpatient coding experience within the preceding 3 years.
Senior Software Development Engineer Inovalon Holdings IncSenior Software Development EngineerBowie, MD$85,000–$150,000 / yearThe actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. This role will contribute to the modernization of a high-impact, revenue-critical payer application that integrates with AI models to streamline clinical workflows and improve diagnostic accuracy for medical coders and staff.
Senior Revenue Cycle Specialist (Hybrid), Day Shift, Ambulatory Revenue Cycle Shady Grove Adventist HospitalSenior Revenue Cycle Specialist (Hybrid), Day Shift, Ambulatory Revenue CycleGaithersburg, MD$24.41–$34.18 / hourPerforms analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds, and write-off approvals. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.
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.
Program Manager - Federal Health (CMS) DOMA TechnologiesProgram Manager - Federal Health (CMS)DCRemoteThis is a high-visibility, high-accountability role that demands deep expertise in Medicare Fee-for-Service (FFS) program operations, federal contracting environments, and large-scale healthcare program management. Lead and manage a multi-disciplinary team including clinical reviewers, medical coders, customer service representatives, and IT staff; oversee hiring, training, performance management, and workforce planning.
NewData Analyst Coding Rev Cycle MedStar Health Research InstituteData Analyst Coding Rev CycleDC$71,843–$135,907 / yearMonitors and trends coding-related KPIs including: DNFB (Discharged not final billed); denial trends coding productivity and accuracy audit findings DRG shifts case Mix Index severity of illness (SOI) Risk of Mortality (ROM) query rates and outcomes coding turnaround times physician documentation trends CC/MCC capture rates and quality measure impacts. This role partners closely with Revenue Cycle Operations Coding CDI HIM Revenue Integrity Quality to identify trends monitor coding performance support auditing activities and improve documentation and coding outcomes.
NewCoding Quality Review Specialist -Inpatient MedStar Health Research InstituteCoding Quality Review Specialist -InpatientMD$31.28–$56.39 / hourResponsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.
NewData Analyst Coding Rev Cycle MedStar HealthData Analyst Coding Rev CycleDC$71,843–$135,907 / yearMonitors and trends coding-related KPIs including: DNFB (Discharged not final billed); denial trends coding productivity and accuracy audit findings DRG shifts case Mix Index severity of illness (SOI) Risk of Mortality (ROM) query rates and outcomes coding turnaround times physician documentation trends CC/MCC capture rates and quality measure impacts. This role partners closely with Revenue Cycle Operations Coding CDI HIM Revenue Integrity Quality to identify trends monitor coding performance support auditing activities and improve documentation and coding outcomes.
NewRemote HCC Coding Specialist | Risk Adjustment Expert Highmark HealthRemote HCC Coding Specialist | Risk Adjustment ExpertWashington, DCRemote$27.02–$41.85 / hourThe role involves performing HCC coding for Medicare Advantage and ACA, ensuring compliance with CMS guidelines. A minimum of 3 years of coding experience is required, with preferred education in medical billing and coding.
NewCoding Quality Review Specialist -Inpatient MedStar HealthCoding Quality Review Specialist -InpatientMD$31.28–$56.39 / hourResponsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.
CODING 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.
Manager, Coding Compliance - Pediatrics Central Administration Washington University in St LouisManager, Coding Compliance - Pediatrics Central AdministrationWashingtonAccounting, Code Compliance, Coding Compliance, Compliance Management, Healthcare Auditing, Health Care Regulation, Health Insurance Portability & Accountability Act (HIPAA), ICD Coding, Medical Billing and Coding, Organizing, Supervisory Management, Trend Analysis, Trend Reporting Grade . This leader is responsible for overseeing a team reviewing complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance.
Coding Compliance Auditor, 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. Job Description: Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
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.