70 jobs found in Baltimore

Compliance Auditor Responsible for ensuring that all aspects of documentation, coding, and billing practices are in compliance with applicable laws, regulations, guidelines, and UMMS policies and procedures. Conduct audits to identify areas of non-compliance, assess risks, and collaborate with key stakeholders to monitor corrective measures when indicated. Responsible for validating that data abstracted from the electronic health record (EHR) is coded according to ICD-10-CM, CPT, HCPCS, AMA CPT guidelines, E/M guidelines, and CMS standards. Work is performed under limited supervision. Direct report to the Manager, Coding Compliance Training. Conduct independent compliance audits and review on the adequacy of medical record documentation to support the codes selected by providers and/or coders. Verify compliance with CMS guidelines, CPT, HCPCS, and ICD-10 standardized code sets, and internal coding and billing policies via documentation and coding review audits. Assist with...

Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: 2026-10-12Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: TEKsystems in Baltimore, MD seeks a Medical Coding Auditor to conduct independent physician coding reviews, ensuring accuracy and CMS compliance. This hybrid role requires 1-2 days in the office weekly and offers direct placement with TEKsystems.You will use MDaudit to document findings, educate providers, and support audit readiness across the organization. Candidates should have CPC/CCS certifications and 5 years coding experience including auditing.#J-18808-Ljbffr

Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: 2026-10-12Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: TEKsystems seeks a Medical Coding Auditor in Baltimore, hybrid (1-2 days in office weekly). The role focuses on independent physician coding reviews, CMS/CPT/ICD-10 compliance, and training to improve documentation accuracy.Responsibilities include auditing, reporting findings, and developing education programs for providers, with a compensation range typically aligned to the posted salary and located in Baltimore, MD.#J-18808-Ljbffr

100% REMOTE OPPORTUNITY Eligible Remote States: District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Key Responsibilities Following established coding conventions and guidelines, review, code, and abstract medical records for inpatient services. Review medical records to identify physician-documented diagnoses and procedures. Assign accurate ICD-10-CM and ICD-10-PCS codes to documented diagnoses and procedures. Group assigned codes to determine appropriate Diagnosis-Related Groups (DRGs), including CMS-DRGs and/or APR-DRGs. Ensure coding and documentation are accurate and compliant with established standards and guidelines. Qualifications and Requirements Formal working knowledge equivalent to an associate degree (two years of college) in a specialized field. Knowledge of medical coding principles, conventions, and guidelines. Ability to accurately review medical records and assign appropriate diagnosis and procedure codes. Pay Range $22.22 to $39.12 per hour...

Actively hiring \"Certified Medical Coder (Remote) – Outpnt & ED \" at Remote for position at a hospital. pay rate is $36-$38/hour Certified Medical Coder (Remote) – Outpnt & ED Location: Remote 100% Duration: Extendable contract Pay Rate: $36-$38/hour Schedule Notes: Scheduled: 8:00 AM-4:00 PM. Candidate must be comfortable working one weekend (Saturday or Sunday). - 3 Years of outpatient coding and must have experience as Emergency room coder. We are seeking experienced Certified Medical Coders with strong outpatient acute care coding experience for a remote contract opportunity. Responsibilities Perform accurate outpatient, and ED medical coding Review and assign ICD-10, CPT-4, and related codes Ensure compliance with payer, federal, and coding guidelines Research and resolve coding-related issues Utilize EPIC and 3M/HDS coding applications effectively Required Qualifications CCS or RHIA, RHIT, CCP certification required Minimum 3 years of medical coding experience...

Pena4 Inc is seeking an Inpatient Medical Coder (CCS certified) to join our 100% remote team. You will handle inpatient and outpatient coding using ICD-10-CM/PCS, HCPCS CPT, and related references with emphasis on accuracy and DRG optimization, working weekdays on full-time hours. Requirements include at least 5 years IP PCS coding experience, CCS certification, and a preference for 3+ years OP coding. Start date is immediate and assessments may be required to qualify. #J-18808-Ljbffr

Medical Biller – Lead A/R CoordinatorBaltimore, Maryland Pay From: $27.00 per hour MUST: Experienced Medical Biller Must have 10 plus years of experience with Accounts Receivable Must have experience working on the EMR; knowledge of Epic, Allscripts, and/or AthenaIDX is highly preferred Charge capture, self-pay, payer edit, payment posting, referrals, and payer setup experience is highly preferred DUTIES: Medical Biller – Lead A/R Coordinator will be responsible for, but not limited to the following: Managing daily operations of billing and collections teams Overseeing the submission of insurance claims and patient invoices Monitoring accounts receivable and implementing strategies to reduce aging balances Ensuring compliance with HIPAA, payer guidelines and healthcare regulations Resolving billing discrepancies and responding to patient and provider inquiries Collaborating with finance, clinical and administrative teams to streamline processes Resolve billing discrepancies and...

Description Clinical-stage biopharmaceutical company developing multiple therapeutic products for rare dermatological diseases is seeking a medical writer with an expertise in clinical and regulatory writing to join their team as an Associate Director, Medical Writing. This position will report to the Vice President, Regulatory Affairs serving as the lead medical writer, providing strategic and operational support for regulatory submissions and clinical development activities across the United States, United Kingdom, and European Union. This role will be responsible for authoring, reviewing, and coordinating high-quality clinical and regulatory documents to support interactions with the FDA, MHRA, EMA, and other global health authorities. As a member of a lean biotechnology organization, the successful candidate will be a hands-on contributor who thrives in a fast-paced environment and is comfortable rolling up their sleeves to independently drive document development while...

Highmark Inc. is seeking a seasoned HCC coder to support risk adjustment coding for Medicare Advantage and ACA programs. You will work with physicians and teams to translate clinical documentation into ICD-10 diagnoses and HCC categories. The role requires 3+ years of HCC coding, CPC/CRC/CCS/RHIT certifications, and strong attention to detail. This remote, office-based position involves RPM projects, audits, and collaboration across Compliance, Quality, and Enterprise teams. #J-18808-Ljbffr

Job Requirements 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. 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. Principal Responsibilities And Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Serves as a clinical coding subject matter expert,...

A healthcare organization is seeking a Coding Specialist III responsible for all coding aspects, quality assurance, and compliance with federal guidelines. The ideal candidate will have a high school diploma or GED, relevant certifications, and at least five years of coding experience, with a strong analytical background. The role includes training staff on coding changes and managing billing accuracy. Competitive salary starting from $24.25 to $42.50 hourly is offered, depending on experience. #J-18808-Ljbffr

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%) Performs...

Employee Resource Group Coordinator Shift: Mon-Fri, 9am-5pm About the Role: Supports the function and growth of Employee Resource Groups (ERGs) and provides administrative support to the Health Advocacy & Fairness (HAF) office. Key Responsibilities: Overseeing existing Employee Resource Groups (Interfaith, Disabilities, Black Culture, LGBTQIA+, Pan Asian, Graduate Medical Education, Hispanic Latino) and guides the development of new groups. Promoting the function of ERGs to drive belonging across the organization including both hospital, ambulatory settings and our partners. Partnering with ERG chairs and co-chairs to plan events, including budget oversight, logistics, coordinating with marketing team, and advertising. Tracking metrics and outcomes related to ERGs and organizational advocacy initiatives to support reporting and continuous improvement. Facilitating collaborations between departments, ERGs and HAF councils to promote equity, inclusion, and belonging for...

Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Collaborates with other...

Medical Coding Specialist Shift: Mon-Fri, 7:00am -3:00pm 100% REMOTE OPPORTUNITY Eligible Remote States: District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Key Responsibilities: Following established coding conventions and guidelines, review, code, and abstract medical records for inpatient services. Review medical records to identify physician-documented diagnoses and procedures. Assign accurate ICD-10-CM and ICD-10-PCS codes to documented diagnoses and procedures. Group assigned codes to determine appropriate Diagnosis-Related Groups (DRGs), including CMS-DRGs and/or APR-DRGs. Ensure coding and documentation are accurate and compliant with established standards and guidelines. Qualifications and Requirements: Formal working knowledge equivalent to an associate degree (two years of college) in a specialized field. Knowledge of medical coding principles, conventions, and guidelines. Ability to accurately review medical records and assign...

Inpatient Coding Specialist Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. a. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA...

Medical Coding SpecialistShift: Mon-Fri, 7:00am -3:00pm100% REMOTE OPPORTUNITYEligible Remote States: District of Columbia, Maryland, Pennsylvania, Virginia, and West VirginiaKey Responsibilities:Following established coding conventions and guidelines, review, code, and abstract medical records for inpatient services.Review medical records to identify physician-documented diagnoses and procedures.Assign accurate ICD-10-CM and ICD-10-PCS codes to documented diagnoses and procedures.Group assigned codes to determine appropriate Diagnosis-Related Groups (DRGs), including CMS-DRGs and/or APR-DRGs.Ensure coding and documentation are accurate and compliant with established standards and guidelines.Qualifications and Requirements:Formal working knowledge equivalent to an associate degree (two years of college) in a specialized field.Knowledge of medical coding principles, conventions, and guidelines.Ability to accurately review medical records and assign appropriate diagnosis and...

Inpatient Coding SpecialistUnder direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems.The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.1. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.a. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.b....

Coding SpecialistUnder general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately assign the appropriate ICD-10-CM codes and CPT codes.Education:Associates Degree preferred.Experience:At least 3 years of CPT and ICD-10-CM coding experience with certification. 3 years of radiology/interventional radiology coding and charging experience preferred. Knowledge of specialty coding including wound care. Other combinations of formal education, training and experience may be considered.Skills:Knowledge of medical terminology and anatomy and physiologyKnowledge in all aspects of Radiology and Interventional Radiology and wound care codingKnowledge of coding guidelines as set forth by Official Coding Guidelines, Coding Clinic. Ability to keep current with recent trends within the industrySkill in using computers and software applicationsAbility to interpret medical terminology in order to code records utilizing the...

Location: Baltimore, Maryland, United StatesCompany: TEKsystemsPosted: 2026-10-06TEKsystems in Baltimore, MD seeks a Medical Coding Auditor to conduct independent physician coding reviews, ensuring accuracy and CMS compliance. This hybrid role requires 1-2 days in the office weekly and offers direct placement with TEKsystems.You will use MDaudit to document findings, educate providers, and support audit readiness across the organization. Candidates should have CPC/CCS certifications and 5 years coding experience including auditing.#J-18808-Ljbffr