23 jobs found in Baltimore, MD

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action...

Job Description Job Description The Medical Billing Specialist is responsible for posting charges and receiving payment for all medical services rendered by Pediatric Associates of Alexandria. Employees in this role are held accountable for managing their accounts throughout the entire collections process. Prompt submittal and follow-up of all claims are essential for success. Persistency is vital! Errors will result in slow payment and/or reduced and lost revenue to PAA. Electronic Medical Records (EMR) experience preferred; our practice uses  eClinicalWorks(ECW). Duties & Responsibilities Include But Not Limited To: · Post insurance, patient and credit card payments for all assigned payers on a daily basis. · Complete claim forms, submit patient statements and claims. · Manage the claims submission process for all assigned payers. · Ensures all claims are submitted with minimal error rate. · Maintain a record of electronic claims/Patient Statements to include...

Job Family: Strategy & Transformation Consulting Travel Required: Up to 25% Clearance Required: None Are you passionate about transforming the healthcare landscape? At Guidehouse's Life Sciences practice, we drive innovative solutions for pharmaceutical, biotech, medical device, and diagnostics companies. Join us to make an immediate impact as we partner with clients to address their challenges in product planning, pricing, reimbursement, commercialization, and regulatory compliance. We pride ourselves on fostering an inclusive and diverse work culture. Our commitment to your career growth includes providing challenging projects, valuable educational resources, and a mentorship-focused environment. If you are driven to contribute to meaningful work, we encourage you to explore your career opportunities with us. What You Will Do: Lead initiatives in medical affairs strategy, integrated evidence planning, real-world evidence study design, and AI-driven...

Job Family : Finance & Accounting Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do: The Revenue Integrity Analyst (Medical Coding) supports accurate documentation, compliant coding, and optimized charge capture within MHS GENESIS, the Military Health System's enterprise EHR. The role ensures correct configuration of revenue cycle workflows and reduces revenue leakage through data analysis, system support, and cross-functional collaboration. Responsibilities of this role are as follows, to include but not limited to: System Configuration & Support: Validate and troubleshoot MHS GENESIS revenue cycle build, including coding workflows, charge capture, charge router logic, and billing integrations. Ensure accurate mapping of CPT, ICD-10, HCPCS, modifiers, and charge codes. Data Analysis: Analyze clinical and financial data to identify coding variances, charge gaps, and revenue...

Job Family : Finance & Accounting Consulting Travel Required : Up to 25% Clearance Required : Ability to Obtain Public Trust What You Will Do: Guidehouse is seeking a Revenue Integrity Analyst (Medical Biller) with strong billing, coding, and revenue cycle expertise to support the modernization of MHS GENESIS, the DoD's enterprise EHR. The role ensures accurate billing, compliant charge capture, and efficient claim resolution by analyzing data, auditing documentation, and collaborating with clinical, coding, IT, and financial teams across the Military Health System. Responsibilities of this role are as follows, to include but not limited to: Support and optimize MHS GENESIS revenue cycle configuration, including charge capture workflows, billing rules, and work queues. Validate charge accuracy, coding logic, modifiers, and payer requirements; troubleshoot system and workflow issues. Analyze financial, clinical, and operational...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Medical Coder to join our growing team. Job Summary: The Medical Coder is responsible for reviewing inpatient medical record documentation to ensure the accuracy, completeness, and clinical...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Medical Coder Supervisor to join our growing team. Job Summary: Acentra Health is seeking an experienced Medical Coding Supervisor to lead and oversee medical coding operations in support of...

Description The Inpatient Medical Coder will provide support to the Department of Veterans Affairs by analyzing and abstracting patient health records, then assigning appropriate alpha-numeric codes for diagnoses and procedures. This role requires expertise in the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). This is a Part Time opportunity, and coders must commit to a minimum of 20 hours per week, scheduled at your discretion from Monday through Sunday weekly. Position Responsibilities/Duties: Working knowledge of CPT, ICD-10, and DRG assignment and must be able to code PTF charts in ICD-10 Ability to code the minimum per-hour productivity, including the related procedures, with 95% accuracy Active credentials as a certified coder and completion of all requirements to maintain active credentials Ability to follow site-specific coding guidelines...

Description The Outpatient Medical Coder is responsible for performing remote coding on all outpatient visits and surgical procedures by the Veteran Affairs Health Care System (VAHCS). The medical coder will access the Veteran Affairs VistA/CPRS system to read and code medical records identified by the Veteran Affairs and enter codes into the approved encoder or other package. The Medical Coder is required to comply with all HIPAA provisions for a Business Associate, and all provisions in this Performance Work Statement. This is a Part Time opportunity, and we are looking for coders who can commit to a minimum of 20 hours per week, scheduled at your discretion from Monday through Sunday weekly. Requirements Responsible for being qualified and competent to perform coding activities. There shall be no reimbursement charge for mileage, travel times, meals, parking, etc. Comply with all VA privacy and security requirements Must maintain above a minimum of 95% on all...

Position Status Label: Non- Exempt Labor Category: Admin Remote/Onsite: Remote Additional Informations: This job is for new sourcing The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; Retrieves information from medical records, ensuring adherence with established methods and procedures. Key Responsibilities/ Accountabilities: • Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. • Sequence the diagnoses and procedures using coding guidelines. • Ensure DRG/APC assignment is accurate. • Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. • Serves as backup to other administrative functions as assigned. • Meets job standards for achieving contract...

Job Posting Tryfacta is a leading, nationally renowned Workforce Management Solution provider for private & public sector firms across the US. We specialize in Healthcare, IT, Business Support, and Professional & Craft/Light Industrial ecosystems. Founded in March 1996, we have a presence in all 50 States. Tryfacta has ranked number 1 as one of the fastest-growing companies by Inc. Magazine.

Outpatient Medical Coder The outpatient medical coder is responsible for performing remote coding on all outpatient visits and surgical procedures by the veteran affairs health care system (vahcs). The medical coder will access the veteran affairs vista/cprs system to read and...

Job Description Job Description We are seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice. The ideal candidate is detail-oriented, organized, and experienced with insurance claims, coding accuracy, and revenue cycle workflows. Responsibilities: Accurate medical coding (ICD-10, CPT, HCPCS) Submit and follow up on insurance claims Verify eligibility & benefits and resolve denials Post payments, adjustments, and reconcile accounts Work A/R reports and maintain clean claim rate Communicate with providers and staff for documentation support Qualifications: Certification required: CPC, CCS, or equivalent Minimum 1–2 years experience in billing/coding preferred Strong knowledge of CPT/ICD-10 and payer rules Must have experience with eClinical Works EMR Strong attention to detail and ability to meet deadlines We offer: Competitive pay (based on experience), benefits package...

Medical Record Reviewer Position Status Label: Non-Exempt Labor Category: Admin Remote/Onsite: Remote Additional Informations: This job is for new sourcing The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; Retrieves information from medical records, ensuring ...

Inova Fairfax Medical Campus is seeking a Registered Nurse Unit Supervisor on the Medical/Surgical Unit Full Time Nights Sign-on Bonus & Relocation Available Inova Fairfax Hospital is proud to be recognized as one of the top 10 Major Teaching Hospitals in the U.S.We maintain accolades for high-quality patient care and safety, recognized by top ranking in U.S. News & World Report for the past four years. We're also included in the 2024 Fortune/PINC AI 100 Top Hospitals. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. The Registered Nurse (RN) Unit Supervisor serves as a front-line leader who is accountable for delivering highly reliable results related to quality and best practices to improve the clinical operations of the unit. Embraces, uses and understands the research behind nursing practice...

Job Description Job Description Benefits: 401(k) 401(k) matching Competitive salary Dental insurance Free uniforms Health insurance Paid time off Vision insurance We are seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice. The ideal candidate is detail-oriented, organized, and experienced with insurance claims, coding accuracy, and revenue cycle workflows. Responsibilities: Accurate medical coding (ICD-10, CPT, HCPCS) Submit and follow up on insurance claims Verify eligibility & benefits and resolve denials Post payments, adjustments, and reconcile accounts Work A/R reports and maintain clean claim rate Communicate with providers and staff for documentation support Qualifications: Certification required: CPC, CCS, or equivalent Minimum 12 years experience in billing/coding preferred Strong knowledge of CPT/ICD-10 and payer rules Must have experience with eClinical Works...

Job Description Inova Fairfax Medical Campus is seeking a Registered Nurse Unit Supervisor on the Medical/Surgical Unit Full Time Nights Sign-on Bonus & Relocation Available Inova Fairfax Hospital is proud to be recognized as one of the top 10 Major Teaching Hospitals in the U.S. We maintain accolades for high-quality patient care and safety, recognized by top ranking in U.S. News & World Report for the past four years. We're also included in the 2024 Fortune/PINC AI 100 Top Hospitals. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. The Registered Nurse (RN) Unit Supervisor serves as a front-line leader who is accountable for delivering highly reliable results related to quality and best practices to improve the clinical operations of the unit. Embraces, uses and understands the research behind...

A private family practice office located in northern Virginia looking for a certified biller/coder to work in person with flexible hours. The candidate should be dedicated, energetic and be a team player. Experience with eclinical works EMR is a plus.  This job is offered with competitive salary and full benefits including health and dental insurance, matching 401K and paid time off. please send the resume to md@virginiafamilydr.com

Job Type Full-time Description Medicines are powerful - they can prevent and heal disease, but they can also be costly, ineffective or even harmful if not prescribed and taken correctly. The team at Mosaic Pharmacy Service is helping people get more from their medicines™. Mosaic Pharmacy Service a one-of-a-kind pharmacy experience. The patients don't come to us, we ship to them! This model allows our pharmacy team to do their best work without interruptions and gives our patients the white glove delivery experience of receiving their meds in our innovative easy-to-use packaging. Mosaic Pharmacy Service is a "closed door" pharmacy that provides comprehensive pharmacy care to medically complex and vulnerable seniors, across the country. We provide a patient-focused, pharmacist-driven care model in collaboration with health systems, assisted living facilities and health plans. Our goal is to help our patients feel better about the medications they take every day by...

Inova Systems Operations is looking for a dedicated Medical Records Coder 4 for Inpatient. This role will be full-time day shift with a negotiable schedule. This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and...

Inova Health is looking for a dedicated Medical Records Coder 2 to join the HB Coding Operations team. This role is Full-time working daytime hours Monday to Friday | REMOTE. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost. Work/Life Balance:...

Inova Health | Medical Records Coder 3 | Full-time - Monday to Friday | REMOTE. Long Description: Inova Health is looking for a dedicated Medical Records Coder 3 to join the HB Coding Operations team. This role is Full-time working daytime hours Monday to Friday | REMOTE. This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance...

Job Description Inova Systems Operations is looking for a dedicated Medical Records Coder 4 for Inpatient. This role will be full-time day shift with a negotiable schedule. This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their...