University of Maryland Faculty Physicians Incorporated

A leading academic medical center in Baltimore seeks an Auditor to perform documentation audits of inpatient and outpatient records. The ideal candidate will have experience in CPT and ICD-10 coding, and auditing, along with necessary certifications. Responsibilities include conducting audits, preparing summaries, and ensuring compliance with regulations. The position offers a comprehensive rewards package and opportunities for professional growth. #J-18808-Ljbffr

A medical institution in Baltimore seeks a qualified coding specialist to perform medical coding, ensure compliance with billing regulations, and communicate effectively with physicians regarding coding issues. A Certified Professional Coder certification is required, along with extensive knowledge of CPT and ICD-10 coding. This role offers comprehensive benefits and a supportive work environment. #J-18808-Ljbffr

Performs functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents. Ensures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned. ESSENTIAL FUNCTIONS Selects the appropriate procedural and diagnostic code based on provider documentation, utilizing HIPAA Standardized Code Set and applying CMS/payor guidelines. Ensures that teaching physician documentation and billing requirements are met and are clearly reflected. Review provider coding and provide training and feedback on coding questions and issues. Assists billing and collections staff with denials and charge correction requests as needed. Resolves coding TES edits. Continually refreshes and applies knowledge of government regulations as they relate to coding and billing. Performs internal pre-pay audits based on compliance guidelines when required. Communicates with physicians...