28 coding auditor jobs found in Silver Spring, MD

A leading children's hospital in Silver Spring, Maryland is seeking a Coding Auditor to ensure compliance in coding and billing practices. The ideal candidate will have an Associate's Degree or equivalent experience, along with certifications such as CCS or CPC. Responsibilities include performing audits, evaluating documentation and coding, and communicating effectively with team members. The position offers a salary range of $64,188.80 to $106,995.20, with additional job benefits in a full-time role. #J-18808-Ljbffr

Coding Auditor (250002UP) Job Description Description 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. Qualifications Minimum Education Associate’s Degree. Candidates with 3 years of coding experience in lieu of...

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...

Join Our Extraordinary Team Carelon Payment Integrity, a member of the Elevance Health family, is committed to recovering, eliminating, and preventing unnecessary medical-expense spending. Build the possibilities. Make an extraordinary impact. Title: DRG Coding Auditor This role enables associates to work virtually full-time, with the exception of required in-person training sessions. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates reside within a commuting distance from an office. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high-quality recoverable claims for...

Become a part of our caring community and help us put health first 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...

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

A healthcare data company is seeking an Inpatient Auditing Specialist. This remote role involves performing coding audits to ensure quality and compliance. Ideal candidates will have 5+ years of inpatient coding experience and relevant certifications. Responsibilities include providing coder education and maintaining high accuracy rates. The position offers competitive pay ranging from $35 to $45 per hour, along with comprehensive benefits including medical, dental, and ongoing training. #J-18808-Ljbffr

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Him Coding/Compliance Auditor 2 Jackson Memorial Hospital is the flagship hospital for Jackson Health System and it has been a beacon of medical excellence and community care for more than a century. Throughout its rich and storied history, Jackson Memorial - located in the heart of the City of Miami - has been ground zero for some of the world's greatest medical breakthroughs and important moments in South Florida. We've grown into one of the nation's largest public hospitals, and one of the few that is also a world-class academic medical center with a proud mission and proven success. Jackson Memorial is an accredited, tertiary teaching hospital with 1,500 licensed beds, where nearly every medical specialty is provided by some of the world's most skilled and highly regarded multidisciplinary team of healthcare professionals. The HIM Coding/Compliance Auditor 2 analyzes abstracted, coded data for the purpose of ensuring coding accuracy. Serves as a resource for expert knowledge...

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...

Job Description Job Description Company Description The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you’ll enjoy as a member of our team.  Job Description I. General Summary Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure...

Company Description The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women's and children's health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you'll enjoy as a member of our team. Job Description I. General Summary Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems....

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...

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...

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...

About Integrated Management Strategies (IMS) LLC We area women-owned small business and management consulting firm that provides an array of business and technical services. IMS is headquartered inthe Washington, D.C. metropolitan area, with employees across 24 US states. What We Do We support the mission critical needs of federal agencies and commercial businesses by leveraging our experience, talent and can-do attitude, and solve their strategic and operational challenges. How We Do It We earn our clients’ trust through our personalized approach and attention to detail, allowing us to collaborate and solve even the most complex problems. About the role Are you ready for your next career adventure?! Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting practice....

Analyst Coder (FIRF - TO 12) Greater Landover, MD, USA 52,000.00-62,620.00 per year Salary Full Time BlackFish Federal offers a variety of benefits such as PTO, Medical, Dental, Life, Vision, STD/LTD, and 401(k). Blackfish Federal, LLC is committed to supporting economic development in Historically Underutilized Business Zones (HUBZones). Candidates residing in a designated HUBZone are strongly encouraged to apply. To check if your address qualifies, please visit the official HUBZone Map provided by the U.S. Small Business Administration. Position Description: This position is responsible for reviewing, prioritizing, and analyzing adverse medical events related to medical devices that are submitted on MedWatch reporting forms via hard copy or electronically to our customer, the Food and Drug Administration (FDA). Additionally, this position is responsible for processing and coding a variety of reports from device manufacturers (MFR), importers, user facilities, health care...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Job Title Tenet Healthcare has immediate needs for remote, home-based Inpatient Corporate Coders to support the hospital business. Corporate Coders can be based anywhere in the country with home internet access. Job Description The Corporate Coder ("CC") functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC's and/or other projects where indicated. Accurately and productively code/abstract patient health documentation for Tenet facilities. Utilize coding abilities to review flagged cases, in CARDS and RevInt for...

Lead Coding Specialist Adventist HealthCare seeks to hire an experienced Lead Coding Specialist for our Medical Coding Department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Lead Coding Specialist, you will: Conduct reviews to validate I-10-CM diagnosis codes and PCS procedure codes for inpatient bill hold related to PSI, PPC & other reimbursement conventions to be resolved prior to final coded data. Manages daily DNFB and DNFC reports and work queues for un-coded or outstanding records. Under the direction of the coding manager, the coding specialist lead should be proficient in communicating with the coding team. Oversees coding corrections, abstracts elements for HSCRC submissions, and ensures coding compliance with coding standards. Liaison between coding and other departments, managing coding-related tasks and denials. Provides mentoring support to coders on coding questions/reviews and...

Orthopedic and Plastic Surgery Medical Coding Specialist Orthopedic and Plastic Surgery Medical Coding Specialist 1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. We have an immediate opening for a part-time Orthopedic and Plastic Surgery Medical Coder. Candidate will be a highly skilled and detailed-oriented Certified Medical Coder with specialized experience in Ambulatory Orthopedic and Plastic Surgery Coding for Same-Day Surgeries (outpatient procedures). The idealcandidate will possess extensive knowledge of CPT, ICD-10-CM and HCPCS coding systems, along with a strong understanding of outpatient surgical documentation and regulatory compliance. Preference will be given to candidates with same-day surgery coding and ASC coding specialties. Purpose The Medical Coding Specialist plays a key part in ensuring accurate coding for optimal reimbursement and compliance with all coding and billing guidelines. Organizational...

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...