3 coding auditor jobs found in Baltimore, MD

Amazon.com Services LLC in Arlington, VA is seeking a Medical Coder I to support the One Medical Senior Health Revenue Cycle by reviewing coding accuracy for office visits and procedures. You will assign ICD-10-CM, CPT and other codes in a production environment, ensuring compliance with guidelines. The role emphasizes auditing, timely responses to email requests, and collaboration with the Medicare Risk Operations team to drive positive program outcomes. #J-18808-Ljbffr

JOB SUMMARY : The Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing practices. In this role, you will perform bill and chart reviews to identify any variation from quality billing practices and monitor patient bills for accuracy and compliance. This position also requires awareness of international coding systems and healthcare billing practices to support global operations and ensure alignment with international regulatory standards. JOB ROLES AND RESPONSIBILITIES: Review and analyze inpatient, outpatient, and provider billing for medical appropriateness of treatment; analyze charges across various revenue centers with consideration to patient diagnosis, procedures, age, facility type, and international healthcare norms where applicable. Apply recommendation of national coding and international coding and regulation standards (e.g., ICD-10-AM, OPCS-4,...

Skills Claims Data,Data Analysis,Microsoft Excel,Policy Analysis,Strategic Objectives Certifications Certified Fraud Examiner (CFE) | Association of Certified Fraud Examiners (ACFE) - Association of Certified Fraud Examiners (ACFE) Experience 8 + years of related experience Job Description GDIT's Federal Health Division is hiring a Healthcare Coding Expert to support the Centers for Medicare and Medicaid (CMS), you will be trusted to identify trends in the data and create leads and referrals for the Healthcare Fraud Prevention Partnership (HFPP) members (Partner) and the Trusted Third Party (TTP). You will be part of a 50-person team supporting the TTP which was established in 2012 to reduce fraud, waste and abuse in healthcare data. Work expected to begin in October 2026 Work visa sponsorship will not be considered for this position WHAT YOU'LL BE DOING Performs analytical tasks in support of HFPP program, including identifying fraud, waste, and abuse referrals and leads...