7 certified coder analyst jobs found in Baltimore

Senior Inpatient Coder - Remote 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 senior coders (and the other coding staff)...

Clinical Coding Auditor 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, 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 observation visits for the...

Position Overview The Senior Medical Coding Specialist acts as an internal expert to ensure that value‑based reimbursement and medical policy models are developed and implemented to support Payment Integrity. This role provides expert knowledge to support effective partnership with provider entities, guidance on the appropriate quality‑measure capture and proper use of CPT and ICD‑10 codes in claims submissions. The specialist 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. This role also provides expertise and mentoring to other team members and will sit within the Payment Integrity team. Essential Functions Consult on proper coding rules in value‑based contracts to ensure appropriate quality‑measure capture and proper use of...

Greater Baltimore Medical Center (GBMC) is seeking a qualified Medical Coder to abstract and analyze demographic and clinical information to assign ICD-10-CM and CPT codes for final billing. The role emphasizes accuracy, audits, and data integrity across the institution. Requires at least 3 years of CPT/ICD-10-CM coding experience with relevant certification, experience in radiology coding, and knowledge of wound care coding. Associate's degree preferred. #J-18808-Ljbffr

About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact—whether we’re supporting data-driven decisions, modernizing systems or safeguarding critical programs. Job Overview We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality...

Auditing Team Lead Under direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assists Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists. 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. 1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and...

Coding ComplianceAuditor Remote/Hybrid Accurately audits hospital Inpatient, Ambulatory Surgery, Observation& any outpatient visit for appropriate reimbursement. Compliance with federal & state regulations according to established ICD-10CM/PCScoding & CPT-4 procedure coding classification. Clinical coding subject matter expert. Evaluate & analyze documentation issues consulting with medical staff. Audits complex cases utilizing the ICD-10-cm & ICD-10-PCSnomenclature to ensure accurate APR-DRG/SOI/ROM & POAAssignments Required qualifications: Must have inpatient auditing experience. Minimum 2 years ICD-10-CM,ICD-10-PCS, CPT- 4 training. Level 1 Trauma hospital experience or 4 years experience with coding inpatient hospital medical records 2 to 3 year ambulatory coding. Certifications... Must have at least 1 Certified Coding Specialist(CCS) Registered Health Information Tech (RHIT) Registered Health Information Administrator (RHIA) Certified...