7 vendor compliance auditor jobs found in Baltimore, MD

Medical Office Supervisor Plastic & Reconstructive Surgery is seeking a Medical Office Supervisor to supervise seven full-time equivalent staff members. Responsible for serving in the supervisory role as a group/team mentor and resource liaison. The ideal candidate will provide ideas and solutions to assist in streamlining procedures and processes to move the department forward. A successful candidate will be pivotal in assisting the director and administrators in accomplishing the goals, strategies, and initiatives of the department. Responsible for the coordination of a multi-faceted clinical office to ensure both a smoothly functioning office and good patient relations. Provides administrative oversight of day-to-day activities to others in the office. Works with others in a team environment. Monitors activity for quality and productivity; analyzes, develops and produces feedback and management reports; conducts quality audits; coordinates the development of and reviews...

Join to apply for the HIM - INPATIENT HOSPITAL CODER (Exp.) role at LifeBridge Health Join to apply for the HIM - INPATIENT HOSPITAL CODER (Exp.) role at LifeBridge Health REMOTE WORK OPPORTUNITY Competitive Benefits REQUIRED CERTIFICATIONS - CCS or CCA with 5+ years’ experience or RHIT or RHIA Summary REMOTE WORK OPPORTUNITY Acceptable remote locations: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia Competitive Benefits REQUIRED CERTIFICATIONS - CCS or CCA with 5+ years’ experience or RHIT or RHIA JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of inpatients. Groups codes to determine diagnosis related groupings (DRGs-CMS and/or APR). May be asked to code day surgery, emergency and outpatient records. Meets departmental accuracy and production standards. Essential Functions Codes Reviews medical records to determine the physicians diagnosis/procedures for the patient and assigns...

Join to apply for the HIM-OUTPATIENT CODER role at LifeBridge Health Join to apply for the HIM-OUTPATIENT CODER role at LifeBridge Health Get AI-powered advice on this job and more exclusive features. FULL-TIME REMOTE OPPORTUNITY Summary HIM OUTPATIENT CODER FULL-TIME REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 tion : District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of facility outpatient records. Assists with coding and leveling ERs as needed. Assists with coding and charging infusion cases as needed. Meets departmental accuracy and production standards. Reviews medical records to determine the providers diagnoses/procedures for outpatient records (ER, Infusion, other outpatient) and assigns ICD-10CM/PCS codes or CPT codes to those diagnoses/procedures. Abstracts predetermined information from ER and outpatient...

We are seeking a Sr. Compliance Auditor Trainer who will provide on-going training and support to physicians, non-physician providers, professional fee billing staff, clinic staff, administrators, and other affected personnel on documentation and billing requirements. Using auditing and analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical specialties. Works in close collaboration with the clinical departments, Physicians Billing Service, and the Johns Hopkins Health System Compliance Office. The documentation audits are conducted as part of the School of Medicine's Quality Assurance Compliance Program. Prepares reports for the Senior Director, Director, and clinical departments regarding the status or results of the reviews. Summary results are presented to the Clinical Practice Association's Board of Governors, the University's Trustee Committee for Audits and Insurance and other appropriate...

Overview 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. Remote Work Opportunity Acceptable remote locations: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia. Key Responsibilities Review outpatient records for coding accuracy and/or charge accuracy. Review records for compliance with standardized coding conventions. Determine which records are to be reviewed based on coding, CPT or DRG change patterns. Review and advise on post-discharge audit records with coding changes proposed by external auditors. Educate HIM Coding Staff on coding conventions, chart review techniques and idiosyncrasies of DRGs (CMS and APR). Educate on CPT and ICD10. Identify educational...

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. Position Summary: RELI Group is seeking an experienced Privacy Compliance Auditor Subject Matter Expert (SME) to support privacy-focused audits and assessments under Task 8 of the Information Security and Privacy Services (ISPS), part of the Marketplace System Security and Privacy Support Services (MSSPSS) contract. The Privacy Compliance Auditor SME will provide expert-level evaluation of CMS ACA and NST systems to ensure compliance with the Privacy Act,...

Job Title: Medical Billing Specialist Reports To: Executive Director/ Senior Director of Programs Salary/Hourly Rate: $24 an hour Direct Reports: None Position Status: Part Time – Contractor Location: Maryland State-Wide Position Overview: The Medical Billing Specialist is responsible for managing all billing and revenue cycle activities specific to Lead4Life’s Psychiatric Rehabilitation Program (PRP). This role ensures timely and accurate claim submission, reimbursement tracking, and financial recordkeeping in compliance with Medicaid regulations and internal financial policies. The specialist will collaborate closely with PRP program managers to ensure that required documentation is submitted on time to support accurate billing. Key Responsibilities (Including but not limited to): Prepare, submit, and monitor PRP claims to Medicaid and other payers in accordance with applicable billing guidelines and timelines. Track the status of claims and proactively address denials,...