14 certified coding auditor jobs found in Baltimore

Job Requirements General Summary 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 assist 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...

Medical Coding Auditor Hybrid (1 - 2 days in office per week) Baltimore, MD 21201 Compensation: $66k-$92k Direct Placement Description Responsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and training initiatives. This position plays a key role in physician documentation improvement, coding compliance, audit readiness, and provider education across the organization. Core Responsibilities Conduct independent physician coding and auditing reviews to assess the adequacy of medical record documentation supporting codes selected by providers and/or coders. Perform detailed physician coding compliance audits to ensure adherence...

Medical Coding Auditor Hybrid (1 - 2 days in office per week) Baltimore, MD 21201 Compensation $66k-$92k Direct Placement Description Responsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and training initiatives. This position plays a key role in physician documentation improvement, coding compliance, audit readiness, and provider education across the organization. Core Responsibilities – Physician Coding, Auditing, Compliance & Education Conduct independent physician coding and auditing reviews to assess the adequacy of medical record documentation supporting codes selected by providers and/or coders. Perform detailed...

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

Auditing Team LeadUnder 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.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 scheduling. Manages time and attendance approvals.a....

Remote Chicago - 550 Van Buren Michigan-Grayling Pennsylvania-Trappe Boro Pennsylvania-East Lampeter Twp Pennsylvania-Skippack Twp Pennsylvania-Bethel Twp (Armstrong) Pennsylvania-North Bethlehem Twp Pennsylvania-South Park Twp Pennsylvania-West Norriton Twp Pennsylvania-West Mifflin Boro Pennsylvania-Wilkinsburg Boro Pennsylvania-Cogan House Twp (Lycoming) Kentucky-Wolfe County Pennsylvania-Reading (Berks) Pennsylvania-Bensalem Twp Pennsylvania-Lower Salford Twp Ohio-Mentor Michigan-Lansing Pennsylvania-Clarks Green Boro Ohio-Lima Pennsylvania-Bethlehem Twp Pennsylvania-West Cornwall Twp (Lebanon) Pennsylvania-Edgeworth Boro Ohio-Rocky River Kentucky-Murray Pennsylvania-Kennedy Twp Pennsylvania-Moon Twp Ohio-Bay Village Ohio-Lakewood Ohio-Ashville Kentucky-Lakeside Park Pennsylvania-Lower Paxton Twp Ohio-Oxford Ohio-Bedford Pennsylvania-Ross Twp Pennsylvania-Newtown Twp Pennsylvania-Washington Twp...

Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately assign the appropriate ICD-10-CMcodes 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...

100% REMOTE, WITH QUARTERLY ONSITE MEETINGS. CANDIDATES MUST RESIDE IN MD, DC, PA, VA OR WVA. About the Role: Coordinates the daily billing activities of assigned areas. Works independently to maintain consistent workflow of all billing activities. Works collaboratively with the Professional Billing Office, physicians and third party payers. Provides and performs coding functions to optimize revenue enhancement. KEY RESPONSIBILITIES: Coordinates and monitors daily revenue cycle activities to optimize reimbursement opportunities. Verifies benefit coverage to determine patient financial liability. Works proactively and collaboratively to investigate and resolve patient billing issues. Provides documentation requested by third party payers to enhance reimbursement opportunities. May perform patient registration and appointment scheduling into the system and update information as applicable. Optimizes facility and professional charge entry and subsequent...

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....

CareFirst BlueCross BlueShield seeks an experienced Risk Adjustment Coding Specialist to support retrospective risk adjustment, RADV audits, and related coding functions. The role involves reviewing medical records, ensuring compliance with coding guidelines, and developing Commercial Risk Adjustment coding guidelines. The position requires 3 years of HCC coding experience, RHIT/RHIA preferred, and CCS/CCS-P or CRC upon hire. #J-18808-Ljbffr

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.)...

Job Requirements 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...

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,...

About the Company 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. Description We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD‑9‑CM/ICD‑10‑CM coding guidelines and consistently demonstrates high accuracy and productivity. Responsibilities Perform diagnosis coding of inpatient, outpatient, and physician office medical...