47 ccs certified coding specialist jobs found in Baltimore, MD

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. •...

A healthcare staffing provider is seeking a Division Manager, Talent Acquisition to manage coding operations for hospital settings, focusing on OB/GYN professional services. Applicants should have a HS Diploma and certification as a CPC or CCS-P, along with 2+ years’ coding experience. This remote role offers a W2 contract-to-hire arrangement and emphasizes communication between clinical and billing departments. #J-18808-Ljbffr

Position Overview The Senior Medical Coding Specialist acts as an internal expert to ensure that value‑based reimbursement and medical policy models are developed and implemented to support Payment Integrity. This role provides expert knowledge to support effective partnership with provider entities, guidance on the appropriate quality‑measure capture and proper use of CPT and ICD‑10 codes in claims submissions. The specialist utilizes coding expertise, combined with medical policy, credentialing and contracting rules knowledge, to build effective guidelines and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. This role also provides expertise and mentoring to other team members and will sit within the Payment Integrity team. Essential Functions Consult on proper coding rules in value‑based contracts to ensure appropriate quality‑measure capture and proper use of...

Job TitleResponsible 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.Hybrid Work ExpectationsTo ensure collaboration, provider engagement, and training effectiveness, this position follows a hybrid work model with the following expectations:Mandatory in-office presence at least 1 day per week (Wednesday).Additional in-office days may be required for:Training sessionsProvider meetingsDepartment meetingsSome weeks may require 2 days onsite depending on operational...

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:...

Medical Coding Specialist You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical record...

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:...

Remote VA Experienced Outpatient Medical Coders Summary Cooper Thomas, LLC, a leading provider of medical coding services to the Department of Veterans Affairs (VA), has immediate openings for experienced Outpatient Coders. Applicants must have at least 2 years of experience for remote outpatient coding positions. Previous experience with VA is required , whether as a VA employee or with another VA contractor. You must be able to pass an initial entrance exam and code at a minimum of 95% accuracy. This work will be performed remotely in your home office. Benefits are available if interested in full-time employment or you can decline benefits to maximize your compensation. If you are working for another VA contractor and are having a difficult time being paid on time, our company pays bi-weekly without exception. This is the perfect opportunity for you. Presently we are only interested in candidates who meet the qualifications below and have an active Background Investigation,...

About the Job General Summary of Position Assists in the MedStar Family Choice compliance program related to program integrity. Conducts provider audits to identify and address improper billing practices. We recruit, retain, and advance associates with diverse backgrounds skills and talents equitably at all levels. Primary Duties and Responsibilities Analyzes current payment policies and makes recommendations to improve program integrity and organizational processes. Assists with and tracks responses to external government inquiries investigations data requests subpoenas and fair hearings. Responds to government requests for claims data/information. Prepares written audit reports and communicates the results to management. Initiates corrective action plans or continuous improvement plans identified through audits. Communicates compliance issues and findings identified through audits and reviews. Prepares written audit reports and communicates the results to management....

VA Experienced Remote Inpatient Facility Fee (PTF) Medical Coders-Full-Time Positions AvailableCooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has up to immediate openings for VA experienced Inpatient PTF Coders with at least 2 years of experience for (W-2) full-time (40 hours a week) positions. We will hire either 1099 (no second tier subs) or W-2.Benefits are available or you can decline benefits to maximize your compensation.If you are working for another VA contractor and are having a difficult time being paid on time, our company pays bi-weekly without exception. This is the perfect opportunity for you.Presently we are only interested in candidates who meet the qualifications below and have an active Background Investigation, COI, PIV Card, eToken, and an active VA Contractor's Citrix Access Account or an active Moonlighter Account.Previous experience with the Department of Veterans Affairs...

Medical Coding Specialist You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the...

Job SummarySupports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior.Codes and abstracts inpatient medical records of all types and, following a rigorous review of the clinical documentation, abstracts and assigns appropriate ICD-10-CM/PCS code sets and assigns the correct APR-DRG into the hospital information system. May also code other work types as assigned by the Coding Manager.Essential Functions:Determines the correct principal diagnosis, identifies and assigns co-morbidities and complications, secondary diagnoses, present on admission indicators for ICD-10-CM and MHACs (Maryland Hospital Acquired conditions), principal procedure codes and secondary procedure codes.Assigns the appropriate APR-DRG.Works in collaboration with CDI to ensure that the MHACS...

Job Posting This position codes and abstracts same day surgery medical records of all types following a complete review of the clinical documentation, abstracts and assigns appropriate ICD-10-CM and CPT code sets and assigns the correct codes into the hospital Information System. May also code other outpatient work types as assigned by the Coding Manager, including Observation, Emergency Department, Ancillary and Recurring Accounts. Required: High School Diploma or GED required. Completion of a Coding Certificate Program is required. At least one of the following: CCS (Certified Coding Specialist), CPC, RHIA or RHIT is required. In addition, 3 years hospital coding experience preferred which includes coding of outpatient Same Day Surgery records using both ICD-10-CM and CPT-4. Demonstration of skills through completion of a hospital administered advanced coding test with a satisfactory score. Caring for you as you care for the CommUNITY Frederick Health offers a comprehensive...

Inpatient Coder - Full‑time with Benefits Job Category: Admin/Clerical Requisition Number: CODER012234 Full‑time Overview Supports and incorporates Frederick Health (FH) mission, vision, core values and customer service philosophy into daily performance, adhering to the FH Compliance Program and all regulatory requirements and the FH Standards of Behavior. Codes and abstracts inpatient medical records of all types, performing rigorous reviews of clinical documentation to assign appropriate ICD‑10‑CM/PCS code sets and the correct APR‑DRG within the hospital information system. May also code other work types as assigned by the Coding Manager. Essential Functions Determines the correct principal diagnosis, identifies and assigns comorbidities and complications, secondary diagnoses, present‑on‑admission indicators for ICD‑10‑CM and Maryland Hospital Acquired Conditions (MHACs), principal procedure codes and secondary procedure codes. Assigns the appropriate APR‑DRG. Works...

Outpatient Medical Coder (100% Remote) Sign-On Bonus: Eligible for a $10,000 Sign-On Bonus Remote Work Eligibility: Applicants must reside in one of the following locations: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia We are seeking an experienced Outpatient Medical Coder to join our team in a fully remote capacity. The successful candidate will be responsible for accurately reviewing, coding, and abstracting outpatient medical records in accordance with established coding guidelines and regulatory standards. This position supports accurate reimbursement, quality reporting, and compliance through timely and precise medical coding. Key Responsibilities Review outpatient medical records to identify documented diagnoses and procedures. Assign accurate ICD-10-CM/PCS and CPT codes in accordance with established coding guidelines. Code and abstract a diverse range of outpatient encounters, including emergency department (ER), infusion, and other...

Senior Inpatient Coder - Remote Under 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. 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. 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. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Collaborates with other senior coders (and the other coding staff)...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

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

Outpatient Medical Coder (100% Remote) Sign-On Bonus: Eligible for a $10,000 sign-on bonus. Remote Work Eligibility: Applicants must reside in one of the following locations: District of Columbia, Maryland, Pennsylvania, Virginia, or West Virginia We are seeking an experienced Outpatient Medical Coder to join our team in a fully remote capacity. The successful candidate will be responsible for accurately reviewing, coding, and abstracting outpatient medical records in accordance with established coding guidelines and regulatory standards. This position supports accurate reimbursement, quality reporting, and compliance through timely and precise medical coding. Key Responsibilities: Review outpatient medical records to identify documented diagnoses and procedures. Assign accurate ICD-10-CM/PCS and CPT codes in accordance with established coding guidelines. Code and abstract a diverse range of outpatient encounters, including emergency department (ER), infusion, and...

100% REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE - UP TO $10,000 Eligible Remote States: District of Columbia, Maryland, Pennsylvania, Virginia, and West Virginia Key Responsibilities: Review, code, and abstract inpatient medical records in accordance with established coding guidelines and conventions. Assign accurate ICD-10-CM and ICD-10-PCS diagnosis and procedure codes. Determine and assign Diagnosis-Related Groups (DRGs), including CMS-DRGs and APR-DRGs. Review physician documentation to accurately identify and capture diagnoses and procedures for coding. Maintain coding accuracy and ensure compliance with organizational and regulatory standards. Qualifications: Associate degree or equivalent education in a specialized field required. One (1) to three (3) years of inpatient coding experience. One of the following certifications is required: Certified Coding Specialist (CCS) Certified Coding Associate (CCA) with five (5) or more years of coding...

Job Requirements Senior Inpatient Coder - Remote Monday - Friday 6AM-6PM ET (40 hours/week) Under 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. 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. 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. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as...

nTech Workforce has an immediate 22913 Certified Medical Coder Terms of Employment W2 Contract, 5 Months Location: Remote Overview 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. Responsibilities 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 deliverables. Assists with other job- and education-related...

Job Requirements 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. 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. 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. Serves as a clinical coding subject matter expert,...

CareFirst BlueCross BlueShield is looking for a Risk Adjustment Coding Specialist in Baltimore, Maryland. This role involves reviewing and coding medical records, ensuring compliance with federal and state guidelines. You will also develop coding guidelines and provide guidance to junior specialists. The position supports a hybrid working model and offers a salary range between $51,984 and $95,304. The ideal candidate will have an Associate degree in Health Information Technology and at least 3 years of coding experience. Required certifications include CCS or CPC upon hire. #J-18808-Ljbffr