62 coder lll jobs found

Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately assign the appropriate ICD-10-CMcodes and CPT codes. Education: Associates Degree preferred. Experience: At least 3 years of CPT and ICD-10-CM coding experience with certification. 3 years of radiology/interventional radiology coding and charging experience preferred. Knowledge of specialty coding including wound care. Other combinations of formal education, training and experience may be considered. Skills: Knowledge of medical terminology and anatomy and physiology Knowledge in all aspects of Radiology and Interventional Radiology and wound care coding Knowledge of coding guidelines as set forth by Official Coding Guidelines, Coding Clinic. Ability to keep current with recent trends within the industry Skill in using computers and software applications Ability to interpret medical terminology in order to code records...

Coding SpecialistUnder general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately assign the appropriate ICD-10-CM codes and CPT codes.EducationAssociates Degree preferred.ExperienceAt least 3 years of CPT and ICD-10-CM coding experience with certification. 3 years of radiology/interventional radiology coding and charging experience preferred. Knowledge of specialty coding including wound care. Other combinations of formal education, training and experience may be considered.SkillsKnowledge of medical terminology and anatomy and physiologyKnowledge in all aspects of Radiology and Interventional Radiology and wound care codingKnowledge of coding guidelines as set forth by Official Coding Guidelines, Coding Clinic. Ability to keep current with recent trends within the industrySkill in using computers and software applicationsAbility to interpret medical terminology in order to code records utilizing the International...

Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients’ unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities: Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data, contribution,...

Medical Billing Specialist Are you ready to make an impact in healthcare while growing your career in a fast paced, supportive environment? We're looking for a detail oriented, customer focused Medical Billing Specialist to join our dynamic team. As an Medical Billing Specialist, your drive for accuracy directly supports our ability to deliver high quality care to residents and maintain strong relationships with payers and families. You will play a vital role in a mission-driven organization that values your expertise and empowers you to grow your career. This individual must have third-party billing experience, including billing, collections, cash posting, or other revenue cycle-related functions in a health care setting. This is a position located in Catonsville, Maryland. How you will impact the team: Reconcile third party payments and perform necessary adjustments. Manage accurate pre-billing reviews, billing, follow-up, and cash postings for an assigned business line. Deliver...

Job Requirements Responsible for ensuring that all aspects of documentation, coding, and billing practices are in compliance with applicable laws, regulations, guidelines, and UMMS policies and procedures. Conduct audits to identify areas of non-compliance, assess risks, and collaborate with key stakeholders to monitor corrective measures when indicated. Responsible for validating that data abstracted from the electronic health record (EHR) is coded according to ICD-10-CM, CPT, HCPCS, AMA CPT guidelines, E/M guidelines, and CMS standards. Work is performed under limited supervision. Direct report to the Manager, Coding Compliance Training. • Conduct independent compliance audits and review on the adequacy of medical record documentation to support the codes selected by providers and/or coders. • Verify compliance with CMS guidelines, CPT, HCPCS, and ICD-10 standardized code sets, and internal coding and billing policies via documentation and coding review audits. • Assist...

Coding Specialist Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately assign the appropriate ICD-10-CM codes and CPT codes. Education Associates Degree preferred. Experience At least 3 years of CPT and ICD-10-CM coding experience with certification. 3 years of radiology/interventional radiology coding and charging experience preferred. Knowledge of specialty coding including wound care. Other combinations of formal education, training and experience may be considered. Skills Knowledge of medical terminology and anatomy and physiology Knowledge in all aspects of Radiology and Interventional Radiology and wound care coding Knowledge of coding guidelines as set forth by Official Coding Guidelines, Coding Clinic. Ability to keep current with recent trends within the industry Skill in using computers and software applications Ability to interpret medical terminology in order to code...

Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately assign the appropriate ICD-10-CMcodes and CPT codes. Education: Associates Degree preferred. Experience: At least 3 years of CPT and ICD-10-CM coding experience with certification. 3 years of radiology/interventional radiology coding and charging experience preferred. Knowledge of specialty coding including wound care. Other combinations of formal education, training and experience may be considered. Skills: Knowledge of medical terminology and anatomy and physiology Knowledge in all aspects of Radiology and Interventional Radiology and wound care coding Knowledge of coding guidelines as set forth by Official Coding Guidelines, Coding Clinic. Ability to keep current with recent trends within the industry Skill in using computers and software applications Ability to interpret medical terminology in order to code records...

Job Description Job Description Description: Join Our Team as a Medical Billing Specialist! Are you an experienced Medical Billing Specialist with a passion for accuracy and efficiency? Do you thrive in a fast-paced, dynamic environment where your contributions truly matter? If so, we want you on our team! We’re looking for a detail-oriented, dedicated professional to manage and streamline our medical billing process. This is a full-time, in-person opportunity with competitive pay, outstanding benefits, and a supportive work culture. Bring your expertise to our team, and let's make a difference in healthcare together! What You’ll Be Doing: As a Medical Billing Specialist, you will be the backbone of our billing operations, ensuring accuracy and efficiency in every step of the process. Your key responsibilities will include: Claims Superhero: Review, process, and submit medical claims to insurance companies—both electronically and on paper—with exceptional...

Medical Biller Rockville, Maryland Pay From: $25.00 per hour MUST: Experienced Medical Biller 3 plus years of Medical Biller experience Must have experience working within Pediatric, Women's Health, and/or Surgical Must have experience with CPT, ICD-10-CM, modifiers, and claims Must have strong experience working with insurance denials, rejections, and A/R follow up Must have knowledge of commercial insurance DUTIES: Medical Biller will be responsible for but not limited to the following: Prepare, review, and submit accurate, professional insurance claims for timely processing. Verify coding, modifiers, diagnosis codes, and supporting documentation to ensure claim accuracy and compliance. Monitor electronic claim submissions, clearinghouse reports, and claim rejections to identify and resolve processing issues. Post and reconcile insurance payments, contractual adjustments, and denials with accuracy. Investigate and resolve denied, rejected, and underpaid claims to maximize...

Medical Billing Specialist – ABA & Speech Therapy Location: Waldorf, Maryland Position: Part-Time Work Arrangement: On-Site We are seeking an experienced Medical Billing Specialist to join our growing pediatric healthcare organization. This is a part-time, on-site position for a billing professional with experience in rehabilitative and habilitative healthcare services, including ABA and Speech Therapy. This is not an entry-level billing position. We are looking for someone who can step into the role with minimal training, manage day-to-day billing responsibilities, identify issues before they impact reimbursement, and actively work outstanding claims through resolution. Key Responsibilities Submit accurate and timely claims for ABA and Speech Therapy services Verify insurance eligibility, benefits, authorizations, and coverage requirements Review claims for accurate CPT/HCPCS codes, units, provider information, and authorization requirements Monitor claim status and follow...

Full Time MED-Conforming Joint Base Andrews, MD, US Salary Range: $40.42 To $45.51 Hourly About Company: Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities. Guided by our core principles of excellence, integrity, andcollaboration , we are dedicated to delivering high-quality staffing solutions that strengthen the delivery of patient care nationwide. Rooted in a culture of Linked Prosperity , PPDG values the success of our clients, employees, and partners alike-offering competitive compensation, comprehensive benefits, professional growth, and a cooperative workplace built on trust, respect, and service. As a proud Department of Defense Partner Employer and participant in the Military Spouse EmploymentPartnership (MSEP) , PPDG remains committed to supporting our Nation's...

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...

Why work at TidalHealth? Looking for a rewarding place to work? Choose TidalHealth. U.S. News & World Report, a global authority in hospital rankings and consumer advice, has named TidalHealth Peninsula Regional and TidalHealth Nanticoke as 2022-2023 High Performing hospitals for 11 challenging and elective health conditions; the highest award a hospital can earn for U.S. News' Best Hospitals Procedures & Conditions ratings. Located just 30 minutes from the beach, TidalHealth offers the widest array of specialty and subspecialty services such as neurosurgery, cardiothoracic surgery, joint replacement, emergency/trauma care, comprehensive cancer care, wound care and clinical trials and research. Take advantage of our tuition assistance and scholarship programs to grow both personally and professionally. Trauma Registrar/Coder Position Summary The Trauma Registrar/Coder ensures that complete and accurate data is collected and maintained for trauma services and all...

HBH Wellness in Baltimore is seeking a Medical Biller to join our in-office team. You will work closely with clients to answer questions related to billing, process all forms for insurance billing, and collect necessary documentation from clients. The role requires demonstrated experience with Maryland Medicaid and programs, Carelon, EVS, Medicare, and knowledge of relevant ICD-10 codes. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable #J-18808-Ljbffr

HBH Wellness in Baltimore, MD is seeking a Medical Biller to join our in-office team. You will work closely with clients to answer billing questions, process all forms needed for insurance billing, and collect documentation from clients. The ideal candidate has experience with Maryland Medicaid, Carelon, EVS, Medicare, COMAR regulations, and knowledge of mental/behavioral health ICD-10 codes and levels of care. Icanotes is a plus. This role emphasizes accuracy and strong computer skills. #J-18808-Ljbffr

Baltimore, MD Full time R0103348 Location: Erickson Senior Living Are you ready to make an impact in healthcare while growing your career in a fast paced, supportive environment? We're looking for a detail oriented, customer focused Medical Billing Specialist to join our dynamic team. As an Medical Billing Specialist, your drive for accuracy directly supports our ability to deliver high quality care to residents and maintain strong relationships with payers and families. You will play a vital role in a mission-driven organization that values your expertise and empowers you to grow your career. This individual must have third-party billing experience, including billing, collections, cash posting, or other revenue cycle-related functions in a health care setting. This is a position located in Catonsville, Maryland. How you will impact the team: Reconcile third party payments and perform necessary adjustments. Manage accurate pre-billing reviews, billing,...

Job Requirements General Summary Under direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assist Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists. Principal Responsibilities and Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring...

100% REMOTE, WITH QUARTERLY ONSITE MEETINGS. CANDIDATES MUST RESIDE IN MD, DC, PA, VA OR WVA. About the Role: Coordinates the daily billing activities of assigned areas. Works independently to maintain consistent workflow of all billing activities. Works collaboratively with the Professional Billing Office, physicians and third party payers. Provides and performs coding functions to optimize revenue enhancement. KEY RESPONSIBILITIES: Coordinates and monitors daily revenue cycle activities to optimize reimbursement opportunities. Verifies benefit coverage to determine patient financial liability. Works proactively and collaboratively to investigate and resolve patient billing issues. Provides documentation requested by third party payers to enhance reimbursement opportunities. May perform patient registration and appointment scheduling into the system and update information as applicable. Optimizes facility and professional charge entry and subsequent...

Compliance AuditorResponsible for ensuring that all aspects of documentation, coding, and billing practices are in compliance with applicable laws, regulations, guidelines, and UMMS policies and procedures. Conduct audits to identify areas of non-compliance, assess risks, and collaborate with key stakeholders to monitor corrective measures when indicated. Responsible for validating that data abstracted from the electronic health record (EHR) is coded according to ICD-10-CM, CPT, HCPCS, AMA CPT guidelines, E/M guidelines, and CMS standards. Work is performed under limited supervision. Direct report to the Manager, Coding Compliance Training.Conduct independent compliance audits and review on the adequacy of medical record documentation to support the codes selected by providers and/or coders.Verify compliance with CMS guidelines, CPT, HCPCS, and ICD-10 standardized code sets, and internal coding and billing policies via documentation and coding review audits.Assist with reporting...

Medical Coding Auditor Hybrid (1 - 2 days in office per week) Baltimore, MD 21201 Compensation: $66k-$92k Direct Placement Description Responsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and training initiatives. This position plays a key role in physician documentation improvement, coding compliance, audit readiness, and provider education across the organization. Core Responsibilities Conduct independent physician coding and auditing reviews to assess the adequacy of medical record documentation supporting codes selected by providers and/or coders. Perform detailed physician coding compliance audits to ensure adherence...

Inpatient Coding SpecialistUnder direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems.The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.1. Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.a. Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.b....

Medical Coding Auditor Hybrid (1 - 2 days in office per week) Baltimore, MD 21201 Compensation $66k-$92k Direct Placement Description Responsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and training initiatives. This position plays a key role in physician documentation improvement, coding compliance, audit readiness, and provider education across the organization. Core Responsibilities – Physician Coding, Auditing, Compliance & Education Conduct independent physician coding and auditing reviews to assess the adequacy of medical record documentation supporting codes selected by providers and/or coders. Perform detailed...

Auditing Team LeadUnder direct supervision, the Auditing Team Lead provides day to day supervision and instruction of the auditors. The Auditing Team Lead oversees the internal and external auditing function and assists Director Inpatient Coding, Coding Audits, and Education in developing reports specific to audit findings and assists with implementing action plans. The Auditing Team Lead ensures internal audits are accurate, complete and reported on a timely basis and serves in an advisory and educator role for Coding Specialists.The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.1. Provides for day to day supervision and instruction for the auditors which includes audit assignments, problem solving, monitoring productivity and scheduling. Manages time and attendance approvals.a....

100% REMOTE, WITH QUARTERLY ONSITE MEETINGS. CANDIDATES MUST RESIDE IN MD, DC, PA, VA OR WVA.About the Role:Coordinates the daily billing activities of assigned areas. Works independently to maintain consistent workflow of all billing activities. Works collaboratively with the Professional Billing Office, physicians and third party payers. Provides and performs coding functions to optimize revenue enhancement.KEY RESPONSIBILITIES:Coordinates and monitors daily revenue cycle activities to optimize reimbursement opportunities.Verifies benefit coverage to determine patient financial liability.Works proactively and collaboratively to investigate and resolve patient billing issues.Provides documentation requested by third party payers to enhance reimbursement opportunities.May perform patient registration and appointment scheduling into the system and update information as applicable.Optimizes facility and professional charge entry and subsequent collections for all services...