7 jobs found in Towson

Lehighbar is seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist to review, analyze, and write compelling appeals for coding and DRG-related denials in Towson, MD. The role requires mastery of inpatient coding guidelines, MS-DRG methodology, and payer policies. The ideal candidate has 2–5 years of inpatient coding experience, with strong ICD-10-CM/PCS knowledge and proven ability to craft persuasive appeals. #J-18808-Ljbffr

GBMC HealthCare in Towson, MD is seeking a Billing Specialist under direct supervision to manage all billing and collection functions within assigned classes. You will post payments in EPIC, verify eligibility, and handle authorization requests as needed. This role requires at least two years of medical billing experience, familiarity with Medicare and commercial payers, and strong attention to accuracy. The position offers a normal office environment and an emphasis on timely claim submission #J-18808-Ljbffr

Senior Medical Director/Clinical Educator Remote 10-15 hrs/week 1099 Flexible Hours PayerWatch and the Association for Healthcare Denial & Appeal Management (AHDAM) are seeking a part-time physician leader focused on provider and patient advocacy, training and education. It's partly a public-facing role: developing and presenting denial and appeal webinars and content for other healthcare advocates. This physician reports directly to the Chief Medical Officer/Chief AI Officer and the Chief Executive Officer, continuing the delivery of advocacy, training, appeal certification and appeal expertise to the AHDAM community of 1,800+ hospital and health system professionals. In practice that means shaping the webinar calendar, presenting, and maintaining the AHDAM certification material. Who fits: MD or DO heavily involved in denial and appeal management on the provider side: physician advisor, utilization review, care management. You know what a clean med nec argument looks...

Senior Medical Director/Clinical Educator Remote 10-15 hrs/week 1099 Flexible Hours PayerWatch and the Association for Healthcare Denial & Appeal Management (AHDAM) are seeking a part-time physician leader focused on provider and patient advocacy, training and education. It's partly a public-facing role: developing and presenting denial and appeal webinars and content for other healthcare advocates. This physician reports directly to the Chief Medical Officer/Chief AI Officer and the Chief Executive Officer, continuing the delivery of advocacy, training, appeal certification and appeal expertise to the AHDAM community of 1,800+ hospital and health system professionals. In practice that means shaping the webinar calendar, presenting, and maintaining the AHDAM certification material. Who fits: MD or DO heavily involved in denial and appeal management on the provider side: physician advisor, utilization review, care management. You know what a clean med nec argument looks...

Senior Medical Director/Clinical Educator Remote 10-15 hrs/week 1099 Flexible Hours PayerWatch and the Association for Healthcare Denial & Appeal Management (AHDAM) are seeking a part-time physician leader focused on provider and patient advocacy, training and education. It's partly a public-facing role: developing and presenting denial and appeal webinars and content for other healthcare advocates. This physician reports directly to the Chief Medical Officer/Chief AI Officer and the Chief Executive Officer, continuing the delivery of advocacy, training, appeal certification and appeal expertise to the AHDAM community of 1,800+ hospital and health system professionals. In practice that means shaping the webinar calendar, presenting, and maintaining the AHDAM certification material. Who fits: MD or DO heavily involved in denial and appeal management on the provider side: physician advisor, utilization review, care management. You know what a clean med nec argument looks...

Position Summary We are seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist to review, analyze, and write compelling appeals for coding and DRG-related denials. This position requires a strong understanding of inpatient coding guidelines, MS-DRG assignment, clinical documentation, payer policies, and reimbursement principles. Key Responsibilities Review inpatient coding and DRG denial cases to identify the reason for denial and determine the appropriate appeal strategy. Analyze medical records, coding, clinical documentation, and payer denial rationale. Write detailed, persuasive appeals addressing coding, sequencing, diagnosis/procedure assignment, and DRG-related denials. Apply ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting and other applicable coding standards. Evaluate MS-DRG assignments and identify discrepancies between the documented clinical circumstances and the payer's determination. Research and reference applicable coding...

Sacbar is seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist in Towson, MD to review and write compelling appeals for DRG-related denials. The role requires strong inpatient coding knowledge, MS-DRG assignment, clinical documentation, payer policies, and reimbursement principles. The candidate will analyze medical records, apply ICD-10-CM/PCS guidelines, and collaborate with CDIS and revenue cycle teams to strengthen appeals. #J-18808-Ljbffr