280 jobs found in Annapolis, MD

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

The Supervisor of Biomedical Engineering manages the day-to-day operations on the clinical engineering initiatives to provide superior customer service and operational efficiency by managing the execution of the Medical Equipment Management Plan (MEMP). This position assists the Senior Biomedical Manager with all aspects of program management, including equipment repair, equipment calibration, preventive maintenance, supervising and directing team personnel, planning and organizing work load, staff accountability, creating and maintaining open lines of communication, customer satisfaction and responsiveness, financial resourcefulness, personal and team development. This will require you to build strong relationships with nursing, information systems, engineering, and other partners throughout the health system. This position will primarily provide daily oversight at the LHAAMC campus. The following statements are intended to describe the general nature and level of work being...

Introduction The Governor’s Office of Crime Prevention and Policy serves as a coordinating office that advises the Governor on criminal justice strategies. The office plans, promotes, and funds efforts with government entities, private organizations, and the community to advance public policy, enhance public safety, reduce crime and juvenile delinquency, and serve victims. Responsibilities Assist the Audit Director with agency’s audit and compliance functions; ensure fiduciary and regulatory responsibilities are met for grant operations. Maintain an audit schedule, conduct entry/exit conferences with internal stakeholders, sub‑recipients, and other third‑party organizations. Manage financial audits, support desk reviews, site visits, etc.; prepare audit reports, administer risk‑based scoring model of sub‑recipients, resolve audit discrepancies, and address appeal matters as needed. Assist with periodic audit inquiries from both internal and external stakeholders. Minimum...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

A leading pharmaceutical company is seeking an Associate Director of Scientific Communications to manage the global medical communications strategy. This role involves overseeing the creation of key scientific content and managing publication plans while ensuring compliance and scientific accuracy. Candidates should have a strong scientific background, extensive experience in medical affairs, and exceptional communication skills. The position offers a competitive salary and comprehensive benefits including health coverage and flexible leave policies. #J-18808-Ljbffr

Start your medical front office career with this entry-level certification program. What Does a Medical Billing Specialist Do? Medical Billing Specialists have the option to work in either an insurance office or a variety of healthcare environments, including doctors’ offices, hospitals, and healthcare facilities. Some responsibilities include interacting with patients, extracting information from their medical records related to medical procedures, diagnoses, and symptoms, and preparing them for reimbursement submission. Explain the revenue cycle and process of medical billing in order to transmit CMS-1500 claim forms using ICD and CPT codes Describe front-end duties related to patient demographics, insurance verification, authorization, and referral forms Ensure accuracy with payment processing, adjudication, remittance advice or explanation of benefits Ensure HIPAA, OSHA, and CMS compliance as applicable to protected health information, safety, claim submission, and...

State of Maryland in Crownsville is seeking a qualified professional to assist the Audit Director within the Governor's Office of Crime Prevention and Policy. The role focuses on agency audit and compliance, maintaining risk-based scoring, preparing reports, and coordinating with internal stakeholders, sub-recipients, and external partners. The position requires a high school diploma or equivalent, six years of administrative or professional experience, and potential substitutions as described; #J-18808-Ljbffr

Program Overview This program is designed for individuals preparing for a career in medical coding within physician offices and is essential for certification on the CCS‑P or CPC exams. Participants gain the qualifications required to read medical charts and assign accurate ICD‑10, CPT and HCPCS codes, preparing them for revenue cycle and reimbursement roles in medical practice settings. Key Responsibilities Review patient records and assign numeric/alphanumeric codes for each diagnosis and procedure. Maintain in‑depth knowledge of the CPT coding system and stay familiar with ICD‑10‑CM and HCPCS Level II coding systems. Assign accurate medical codes for professional (physician) procedures, services and diagnoses. Adhere to medical coding guidelines, regulations and compliance standards. Qualifications Prior billing & coding or industry experience recommended. Strong attention to detail and analytical skills. Basic understanding of medical terminology, anatomy and...

This range is provided by Pride Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Direct message the job poster from Pride Health Job Title Job Title: Coding Specialist (OBGYN) (Temp-to-Hire) Location Location: Remote (Time Zone: EST) Shift Shift: Day shift Duration Duration: 6 months (26 Weeks) Pay rate Pay rate: $27.00 an hour on W2 Base pay range $25.00/hr - $27.00/hr Position Summary Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions. Assigns specified codes to medical diagnoses with some coding of specific clinical procedures. Job Requirements HS Diploma/GED Certification as a CPC or CCS-P required. Proficient in assigning and abstracting ICD-10-CM and CPT codes from provider documentation. 2+...

Astrana Health Management is hiring a Risk Adjustment Coding Specialist II in Maryland. This full-time role involves conducting high-volume chart reviews to ensure coding accuracy for Medicare and ACA requirements. The ideal candidate has 3-5 years of risk adjustment experience, along with CPC or CRC certifications. Strong communication and Excel skills are essential. The position follows a hybrid work structure, requiring occasional travel to provider sites in Maryland. The compensation ranges from $70,000 to $85,000 per year. #J-18808-Ljbffr

Introduction This is a Special Appointment position which serves at the pleasure of the Appointing Authority. The Governor’s Office of Crime Prevention and Policy serves as a coordinating office that advises the Governor on criminal justice strategies. The office plans, promotes, and funds efforts with government entities, private organizations, and the community to advance public policy, enhance public safety, reduce crime and juvenile delinquency, and serve victims. Paygrade and Location GRADE: 18 LOCATION OF POSITION: 100 Community Place, Crownsville, MD 21032 Main Purpose of Job This position will assist the Audit Director with agency's Audit and Compliance functions. Will ensure that all fiduciary and regulatory responsibilities are met for agency grant operations. Will maintain an audit schedule, conduct entry/exit conferences with internal stakeholders, sub‑recipients, and other 3rd party organizations. Manage financial audits, supports desk reviews, site visits, etc....

Position open to all qualified candidates. Location: 3 Harry S. Truman Parkway, Annapolis, MD 21401 Hours: 8:00 a.m. - 4:30 p.m. Annual Budgeted Amount: $60,320 Benefits: Participation in the County’s group health plan including prescription, dental, and optical, paid holidays and sick leave. Optional deferred compensation program at employee's own expense. Job Description Nature of Work: Perform specialized administrative and medical insurance billing work to support the financial operations of the dental clinics and reproductive health and immunization services provided at the Department of Health's community health clinics. Process and submit insurance claims, post payments, review and resolve denied or unpaid claims, verify insurance coverage and claim status, maintain accurate billing records and ensure compliance with Medicaid, commercial insurance and healthcare billing regulations. Provide backup billing support for the Behavioral Health clinics and assist with...

Otsuka America Pharmaceutical Inc. seeks an Associate Director, Medical Publications (CNS) to drive the global CNS publication strategy and ensure timely, accurate dissemination of scientific data through abstracts, posters, manuscripts, and related outputs. The role partners with Clinical Development, GIEI, Medical Strategy, Core Content, and external vendors to execute high-quality publications while aligning with medical strategy and regulatory standards. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

The Associate Director, Medical Publications (CNS) is responsible for supporting the implementation and execution of the global medical publication strategy and deliverables for the CNS therapeutic area. This role ensures the timely, accurate, and compliant communication of scientific and clinical data through congress abstracts, posters, manuscripts, and other peer-reviewed outputs. Working within the CNS Medical Communications team, the Associate Director partners with cross-functional stakeholders including Clinical Development, Global Integrated Evidence & Innovation (GIE&I), Medical Strategy, Core Content, and external vendors to execute high-quality publication activities aligned with overall medical strategy. The Associate Director reports to the Director, Medical Publications (CNS) and plays a key role in driving operational excellence in publication execution while contributing to strategic planning and ensuring adherence to scientific and regulatory standards....

A prominent health data platform seeks experienced inpatient coders to join their remote team. Ideal candidates must possess exceptional attention to detail and a profound understanding of medical terminology. Responsibilities include assigning diagnostic codes, ensuring high coding accuracy, and mentoring junior coders. Preferred qualifications include at least 3 years of inpatient coding experience with relevant certifications. This role offers a flexible schedule, enabling you to contribute from your own workspace while shaping healthcare's future. #J-18808-Ljbffr

A leading health data exchange company is seeking an Inpatient Auditing Specialist to perform coding audits and provide education in a fully remote setting. The ideal candidate will have at least 5 years of inpatient coding experience and relevant certifications. Responsibilities include conducting audits, staying updated on regulations, and enhancing coding quality. This role offers a flexible schedule and valuable experience in transforming healthcare through data-driven solutions. #J-18808-Ljbffr

Baylor Scott & White Health in Annapolis, MD is seeking a Coding Auditor 1 to perform coding quality audits and provide feedback to coders. You will work with ICD-10-CM/PCS, HCPCS, CPT and other references to ensure accurate classifications. The role requires knowledge of HIPAA guidelines, strong attention to detail, and ability to communicate findings effectively. Certification in CCS/CPC/CCS-P or RHIA/RHIT is preferred along with 5 years coding experience. #J-18808-Ljbffr

A leading U.S. healthcare company is seeking a Medical Coding Auditor to review medical claims and ensure compliance with coding guidelines. This role involves analyzing medical documentation, confirming CPT coding assignments, and maintaining strict confidentiality. Ideal candidates will possess strong coding certifications and a minimum of 3 years of relevant experience. This position offers a remote work style with competitive benefits and a salary range of $59,300 - $80,900 per year. #J-18808-Ljbffr