3 jobs found in Silver Spring

A leading children's healthcare provider seeks a Coding Analyst specialized in pediatric medical records. Responsible for coding diagnostic and procedural information for various payment types, the ideal candidate will ensure compliance with coding guidelines and reimbursement policies. A minimum of 1 year of hospital-based coding experience is required, with pediatric experience preferred. Candidates should possess strong analytical skills and attention to detail in their work environment. #J-18808-Ljbffr

A leading children’s healthcare provider in Silver Spring, MD seeks a Coding Auditor to ensure billing integrity in coding and documentation. This role involves conducting audits, evaluating medical necessity, and maintaining up-to-date knowledge of billing compliance. Candidates should have an Associate's Degree or equivalent experience, alongside necessary certifications like CCS or CPC. Strong communication skills and 2+ years as a Certified Coder, especially in pediatric settings, are essential for success in this position. #J-18808-Ljbffr

Overview The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation in support of services billed including ICD-10/CPT/HCPCS and other third party payor codes, DRG and EAPG assignments, medical necessity of the services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing standards. The Coding Auditor applies standardized audit scoring methodology to consistently evaluate documentation and coding, and standardized audit findings methodology to report audit results. Minimum Education Associate's Degree Candidates with 3 years of coding experience in lieu of the degree requirement will be considered. Minimum Work...