9 coding auditor educator jobs found in Baltimore

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. 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....

Job Description Job Description 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,...

Medical Records Technician (Coder) Auditor The Medical Records Technician (Coder) Auditor is located in the Health Information Management (HIM) section of Medical Administration Service at the VA Maryland Health Care System. A Medical Records Technician must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), the Healthcare Common Procedure Coding System (HCPCS) and be skilled in classifying medical data from patient health records. Duties include: Applying comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviewing assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology...

Him Coding/Compliance Auditor 2 Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals. The HIM Coding/Compliance Auditor 2 analyzes abstracted, coded data for the purpose of ensuring coding accuracy. Serves as a resource for expert knowledge...

Summary The Medical Records Technician (Coder) Auditor is located in the Health Information Management (HIM) section of Medical Administration Service at the VA Maryland Health Care System. A Medical Records Technician must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), the Healthcare Common Procedure Coding System (HCPCS) and be skilled in classifying medical data from patient health records. Responsibilities Total Rewards of a Allied Health Professional Duties: Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural...

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...

Internal Reference Number: R1049162 Summary Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies that allows us to build on a variety of business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! This open position is within one of our subsidiary companies called CGS Administrators. CGS has been a proven provider of administrative and business services for state Medicaid agencies, managed care organizations, commercial...

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...

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 •...