11 coder provider practice jobs found in Baltimore

Compliance AuditorResponsible for ensuring that all aspects of documentation, coding, and billing practices are in compliance with applicable laws, regulations, guidelines, and UMMS policies and procedures. Conduct audits to identify areas of non-compliance, assess risks, and collaborate with key stakeholders to monitor corrective measures when indicated. Responsible for validating that data abstracted from the electronic health record (EHR) is coded according to ICD-10-CM, CPT, HCPCS, AMA CPT guidelines, E/M guidelines, and CMS standards. Work is performed under limited supervision. Direct report to the Manager, Coding Compliance Training.Conduct independent compliance audits and review on the adequacy of medical record documentation to support the codes selected by providers and/or coders.Verify compliance with CMS guidelines, CPT, HCPCS, and ICD-10 standardized code sets, and internal coding and billing policies via documentation and coding review audits.Assist with reporting...

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...

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...

Medical Billing Specialist Are you ready to make an impact in healthcare while growing your career in a fast paced, supportive environment? We're looking for a detail oriented, customer focused Medical Billing Specialist to join our dynamic team. As an Medical Billing Specialist, your drive for accuracy directly supports our ability to deliver high quality care to residents and maintain strong relationships with payers and families. You will play a vital role in a mission-driven organization that values your expertise and empowers you to grow your career. This individual must have third-party billing experience, including billing, collections, cash posting, or other revenue cycle-related functions in a health care setting. This is a position located in Catonsville, Maryland. How you will impact the team: Reconcile third party payments and perform necessary adjustments. Manage accurate pre-billing reviews, billing, follow-up, and cash postings for an assigned business line. Deliver...

Baltimore, MD Full time R0103348 Location: Erickson Senior Living Are you ready to make an impact in healthcare while growing your career in a fast paced, supportive environment? We're looking for a detail oriented, customer focused Medical Billing Specialist to join our dynamic team. As an Medical Billing Specialist, your drive for accuracy directly supports our ability to deliver high quality care to residents and maintain strong relationships with payers and families. You will play a vital role in a mission-driven organization that values your expertise and empowers you to grow your career. This individual must have third-party billing experience, including billing, collections, cash posting, or other revenue cycle-related functions in a health care setting. This is a position located in Catonsville, Maryland. How you will impact the team: Reconcile third party payments and perform necessary adjustments. Manage accurate pre-billing reviews, billing,...

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...

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 collections for all services...

Outpatient CoderLocation Baltimore, MDFacility SINAI CORPORATEDepartment HLTH INFORMATION MNGSchedule - Shift - Hours PRN - As Needed - 8:00am-4:30pmJob Category PROFESSIONALReq # 87195$21.06-$39.12 Experience basedSummaryWho 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.SIGN-ON BONUS ELIGIBLE $10,000Eligible remote states: District of Columbia, Maryland, Pennsylvania, Virginia, West...

Outpatient Coder Location Baltimore, MD Facility SINAI CORPORATE Department HLTH INFORMATION MNG Schedule - Shift - Hours PRN - As Needed - 8:00am-4:30pm Job Category PROFESSIONAL Req # 87195 $21.06-$39.12 Experience based 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. SIGN-ON BONUS ELIGIBLE $10,000 Eligible remote states: District of Columbia,...

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