192 jobs found

Serco is seeking a Medical Coding Auditing Specialist to support the Defense Health Agency’s Medical Coding Program Branch. The role involves auditing DHA Market facilities, developing annual audit plans, and conducting targeted reviews of coding and documentation to ensure compliance with official policies. Ideal candidates will have seven years of coding/auditing experience across multiple specialties, plus certification requirements. #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

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. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

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 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 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

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...

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...

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: Benefits may vary based upon position type and/or level. Job...

The Medical Billing (Claims) Supervisor is responsible for the supervision, training and development of a team of Medical Claims Specialists. The Medical Billing (Claims) Supervisor manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues. RESPONSIBILITIES AND DUTIES Be the point person for questions from your team members. Coordinate answers with agencies and/or internal departments including Operations. Sign off/approve credit memos and employee receivables. Assist with administrative accounting procedures per Controller/CFO. Audit team performance, monitor team metrics and manage claims process. Train new employees and existing employees in department procedures and agency requirements. Assist in developing claims procedures for all new agencies prior to transitioning to Claims Specialist. Prepare A/R reports for your team’s agencies to monitor unpaid claims. Work with team members and agencies to...

Trinity Health in Silver Spring, Maryland is seeking a Coding Auditor and Educator for a full-time remote role. The successful candidate will be responsible for ensuring accuracy in coding practices, conducting education for practitioners, and monitoring compliance with healthcare regulations. Qualified applicants should have a relevant certification and a minimum of 2-5 years of professional coding experience. The position offers flexibility in work schedules and a supportive work environment aimed at professional growth. #J-18808-Ljbffr

Overview Job Title: Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Day Shift Responsibilities Monitors accuracy of centralized coders’ charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. Partners with leadership to improve HCC, high risk scoring, with provider and coder education. Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner. Responsible for practitioner education in areas related to coding, documentation, and compliance. Works closely with leadership and the department to establish and modify the charge description master (CDM) methodology and pricing models to ensure accuracy and regulatory compliance. Reports to the Manager, Provider Revenue Operations. What You Will Need High school diploma or equivalent combination of education and experience Certified Professional Coder or...

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, follow-up, and cash postings for an...

The Medical Coding Auditor is responsible for performing internal QA audits on coding staff and supporting the quality of coding provided by coders. Minimum Requirements: Formal HIM education with national certification (RHIA or RHIT) or Bachelor's Degree required Additional coding certification (CCS, or CCS-P) preferred Minimum of three (3) years of inpatient and outpatient hospital experience (additional physician coding experience preferred) Minimum of three (3) years of inpatient and outpatient hospital coding/auditing experience preferred Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) or have a preferred minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks...

LifeBridge Health is seeking a billing and coding professional for a 100% remote role with quarterly onsite meetings. Candidates must reside in Maryland, Washington DC, Pennsylvania, Virginia, or West Virginia. The role coordinates daily revenue cycle activities, ensuring accurate coding and eligibility verification. The position requires 3–5 years of billing and coding experience and a CCS-P or CPC certification. #J-18808-Ljbffr

CareFirst is looking for a Risk Adjustment Coding Specialist to support the CMS-HCC Medicare Advantage Risk Adjustment and HHS-Risk Adjustment Data Validation audit. This position requires an Associate's Degree in a related field and CCS certification upon hire. The role involves verifying diagnosis codes and maintaining coding guidelines. Candidates should have at least 3 years of relevant coding experience and be adaptable to various technology platforms. Position offers a hybrid work model, allowing some remote work. Salary ranges from $51,984 to $95,304 with a comprehensive benefits package. #J-18808-Ljbffr

Johns Hopkins Medicine is seeking a skilled coding professional to handle provider education, compliance, and quality assurance within a dynamic environment. The ideal candidate will have at least 5 years of coding experience, a CPC certification, and familiarity with Medicare regulations. Responsibilities include developing coding procedures and training staff on billing changes. The role supports a diverse workplace and offers competitive pay ranging from $22.33 to $36.86 per hour, based on experience and qualifications. #J-18808-Ljbffr

The Medical Coding Auditor is responsible for performing internal QA audits on coding staff and supporting the quality of coding provided by coders. Minimum Requirements Formal HIM education with national certification (RHIA or RHIT) or Bachelor’s Degree required Additional coding certification (CCS, or CCS-P) preferred Minimum of three (3) years of inpatient and outpatient hospital experience (additional physician coding experience preferred) Minimum of three (3) years of inpatient and outpatient hospital coding/auditing experience preferred Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) or have a preferred minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs Benefit eligibility is dependent on employment status. Amergis is an equal...

LifeBridge Health is seeking a Health Information Management professional for a 100% remote opportunity. This role involves coding and abstracting medical records for outpatient facilities, supporting the continuity of patient care. Qualifications include an Associate's degree equivalent and 1-3 years of experience in medical coding, with required certifications such as CCS or RHIT. The position offers competitive compensation and professional growth opportunities. Join a mission-driven health system focused on delivering exceptional care and improving community health outcomes. #J-18808-Ljbffr

The Inpatient Medical Coder is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate and abstracts pertinent information from patient records. Minimum Requirements Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) for a minimum of 2 years and have a minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates...

Eligible Remote States District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia Who We Are 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. The Health Information Management Department supports the mission and goals of Sinai Hospital, Northwest Hospital, Carroll Hospital, Levindale, and Grace Medical Center by providing appropriate and timely access to health information for continuity of patient care and other authorized requests. Key Responsibilities Follow established conventions and guidelines to code and abstract the medical records of a diverse population of facility outpatient records. Assist with coding and leveling ERs and with coding and charging infusion...

Lifebridge Health, Inc. is seeking a Remote Medical Coder to manage coding and abstraction of patient records. This position requires certifications such as CCS, COC, RHIA, or RHIT and a formal Associate's degree. Ideal candidates will have 1-3 years of relevant experience. The role offers a competitive compensation package, professional development opportunities, and a sign-on bonus up to $10,000. Join us in delivering patient-centered care while working from eligible remote states. #J-18808-Ljbffr

GBMC HealthCare seeks a data coder who abstracts and analyzes demographic and clinical information to accurately assign ICD-10-CM and CPT codes for billing. The role emphasizes data quality and adherence to coding guidelines. Candidates should have 3+ years in CPT/ICD-10-CM coding with certification; associates degree preferred; radiology coding experience and knowledge of wound care coding are highly valued. This on-site position supports a healthcare data-driven environment. #J-18808-Ljbffr

Signature Performance is seeking a remote-based Inpatient Professional Fee, Profee Medical Coder for nationwide applicants. You will encode diagnoses and procedures from medical records, ensure coding accuracy, and support compliant billing. Candidates should have strong knowledge of ICD-10-CM/PCS, CPT, HCPCS, and E&M coding guidelines. Minimum two years of professional fee coding experience with AHIMA or AAPC credentials is preferred. #J-18808-Ljbffr