13 coding auditor jobs found in Baltimore

A leading health solutions company in Maryland seeks a Certified Professional Coder (CPC) to review medical claims ensuring coding compliance. The role necessitates strong coding knowledge and the ability to identify errors and fraud. Required qualifications include AAPC certification and at least 3 years of coding or auditing experience. Benefits include comprehensive medical plans, a 401(k), and flexible work schedules. Commitment to diversity is emphasized, and applications close on 01/15/2026. #J-18808-Ljbffr

Summary 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." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests. REMOTE WORK OPPORTUNITY Acceptable remote locations: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia, Reviews medical records for coding accuracy (I10 and CPT) and DRG (CMS or APR) assignment. Develops and provides a structured reporting and education process for HIM...

Job Description I. General Summary 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. II. 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, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and...

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company...

Coding Specialist Under 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 physiology Knowledge in all aspects of Radiology and Interventional Radiology and wound care coding Knowledge of coding guidelines as set forth by Official Coding Guidelines, Coding Clinic. Ability to keep current with recent trends within the industry Skill in using computers and software applications Ability to interpret medical terminology in order to code records...

Introduction Grade: 20 Location of Position: 100 South Charles Street, Baltimore, Maryland 21201 Main Purpose of Job The main purpose of this position is to supervise a staff of UI Contributions Tax Auditors assigned to ensure fair and equal administration of Unemployment Insurance law to all Maryland employers. This position educates Maryland employers, accountants, and attorneys about the Maryland Unemployment Insurance program and state and federal unemployment insurance laws. The Auditor VI position supervises the assigned team of Auditors IV to Auditors I with the audit staff. This position ensures efficient resource management and quality customer service within the Field Investigation and Audit Unit. Position Duties Position duties include but are not limited to the following: Supervise and assist in the training of UI Contributions Tax Auditors, and perform audits, disputed claims, claimant questionnaires, delinquency collection, and special investigation assignments...

Description Performs functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents. Insures 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. 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 about...

Candidate should ideally be located in Baltimore, MD Monro’s family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach.  Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company’s regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color.  Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry.  Do you have what it takes to shape a...

Job Title: Inpatient Coder Shift time: can vary but needs to be day time hours Time zone: MUST Reside on CST/EST Equipment: Facility will NOT provide equipment. Contractors must have their own equipment for contract duration Conversion: The role is a temp to perm opportunity (cannot hire from Alaska, California, or Hawaii) JOB SUMMARY: General Summary: 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. Responsibilities and Tasks: *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...

About Integrated Management Strategies (IMS) LLC We area women-owned small business and management consulting firm that provides an array of business and technical services. IMS is headquartered inthe Washington, D.C. metropolitan area, with employees across 24 US states. What We Do We support the mission critical needs of federal agencies and commercial businesses by leveraging our experience, talent and can-do attitude, and solve their strategic and operational challenges. How We Do It We earn our clients’ trust through our personalized approach and attention to detail, allowing us to collaborate and solve even the most complex problems. About the role Are you ready for your next career adventure?! 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. We are seeking an experienced Outpatient Medical Coder to join our healthcare...

Location: Remote City/State: Baltimore, Maryland Position Type: Contract / Travel Department: Health Information Management (HIM) Schedule: Full-time JOB SUMMARY: 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 Client policies. This position supports timely and accurate billing, reimbursement, and compliance and is fully remote. ESSENTIAL RESPONSIBILITIES: • Review inpatient medical records to assign appropriate ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes • Ensure coding accuracy and compliance with AHIMA, AHA, CMS, and official coding guidelines • Abstract clinical data accurately into the coding system • Meet established productivity and quality benchmarks • Identify documentation issues and work with CDI or providers as appropriate • Maintain confidentiality and comply with HIPAA regulations •...

Job Title : Medical Coder Location : Greater Baltimore Area Type/Duration : Contract, 13 weeks - possible extensions Pay : $15-40/hour We are currently staffing for Medical Coders across several Hospital locations and units. This is a Generic Post for Personnel, who would be working in a Hospital setting in the greater Baltimore area. Specifics on Pay, Location, Unit, and Hours would be provided during your interview. JOB SUMMARY : Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of records within the facility. Meets departmental accuracy and production standards. Reviews medical records to determine the providers diagnosis/procedures for unit and assigns ICD-10-CM codes, CPT, and facility E&M levels to those diagnoses/procedures. Reviews the entire record for codable information. Uses resources (Coding references and guidelines, Coding Clinics, Auditors, CDI staff, Co-workers, internet, etc.)...

Introduction OPEN TO ALL QUALIFIED APPLICANTS This is a position specific recruitment. The resulting certified eligible list may be used to staff several current and future vacancies for this position/function only. This recruitment will be closed once all positions have been filled. GRADE 16 (*Please note, state salary guidelines may apply for current state employees) LOCATION OF POSITION Baltimore, Maryland POSITION DUTIES The Comptroller of Maryland's Compliance Division is looking to add new tax auditors to their Business Tax Audit and Individual Tax Audit teams. We offer flexible work schedules that include telework options and opportunities to work from the field (outside of the office) for certain audit assignments. If you're interested in tax auditing and want to join our team, please consider applying. We look forward to meeting you! Business Tax Audit : The main purpose of this position is to audit business entities for compliance with the...