89 certified coder jobs found in Baltimore, MD

Performs functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents. Insures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned. ESSENTIAL FUNCTIONS Selects the appropriate procedural and diagnostic code based on provider documentation, utilizing HIPAA Standardized Code Set and applying CMS/payor guidelines. Ensures that teaching physician documentation and billing requirements are met and are clearly reflected. Review provider coding and provide training and feedback on coding questions and issues. Assists billing and collections staff with denials and charge correction requests as needed. Resolves coding TES edits. Continually refreshes and applies knowledge of government regulations as they relate to coding and billing. Performs internal pre-pay audits based on compliance guidelines when required....

Job Description Job Description Performs functions such as reviewing documentation and selecting the appropriate procedure and / or diagnosis code to be entered in billing documents. Insures that teaching physician requirements are met and are clearly reflected in the documentation; and other duties as assigned. EDUCATION and/or EXPERIENCE * High school diploma or general education degree (GED) preferred * Certified Professional Coder certification required * Level and years of experience based on departmental needs * Extensive knowledge of CPT and ICD-10 coding * Knowledge of government regulations as they relate to teaching physician documentation and billing guidelines * Understanding of: the importance of compliance with all government, department, and contractual regulations regarding coding and billing; and provider requirements Total Rewards The referenced base salary range represents the low and high end of University of Maryland’s Faculty Physician’s Inc. salary...

Roseville Coding Specialist Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary Reviews SDS and OBV records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Records types including same day surgery and observation encounter types. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Job Requirements Education and Work Experience: High...

A regional health system in Owings Mills, MD is seeking a Certified Coder to join their team. This entry-level role involves reviewing clinical documentation and coding based on established guidelines. Candidates should hold relevant coding certifications and have 1 to 3 years of experience. Offering competitive compensation, professional growth opportunities, and a collaborative culture, this position is designed for those committed to innovative health care delivery. #J-18808-Ljbffr

Job Title: Medical Coder - Inpatient Hospital – ICD 10 CM/PCS (Remote) - CCS AHIMA Certified Location: Remote Employment Type: Full-time M-F flexible hours An inpatient hospital medical coder is a healthcare professional responsible for reviewing and analyzing patient medical records from hospital stays and assigning standardized codes for diagnoses and procedures. These codes are primarily based on ICD-10-CM (International Classification of Diseases) and PCS (Procedure Coding System) standards. Responsibilities Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 16–24 encounters per day or 2–3 encounters per...

CPC - Certified Professional Coder (medical billing) Tutor Join to apply for the CPC - Certified Professional Coder (medical billing) Tutor role at Varsity Tutors, a Nerdy Company Pay Range $25.00/hr - $40.00/hr Your actual pay will be based on your skills and experience—talk with your recruiter to learn more. Varsity Tutors Live Learning Platform has thousands of students looking for online CPC tutors nationally. As a tutor on the Varsity Tutors Platform, you’ll have the flexibility to set your own schedule, earn competitive rates, and make a real impact on students’ learning journeys—all from the comfort of your home. Why Join Our Platform? Earn incrementally higher pay for each session with the same student—reaching up to $40/hour. Get paid up to twice per week, ensuring fast and reliable compensation for the tutoring sessions you conduct and invoice. Set your own hours and tutor as much as you’d like. Tutor remotely using our purpose-built Live Learning Platform—no...

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...

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 ...

Job Posting Resp & Qualifications PURPOSE: Acts as an internal expert to ensure that as value-based reimbursement and medical policy models are developed and implemented. Provides advanced knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing, and contracting rules knowledge to help build the effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality for FWA prevention. ESSENTIAL FUNCTIONS: Consults on proper coding rules in value-based contracts to ensure appropriate quality measure capture and proper use of CPT and ICD10 codes. Provides input on various consequences for different financial and incentive models. Supports to use of alternatives and solutions to maximize quality payments and risk...

At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance efforts....

Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking a detail-oriented and experienced Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office medical records. The ideal candidate has a strong understanding of ICD-9-CM/ICD-10-CM coding guidelines and consistently demonstrates high accuracy and productivity. Responsibilities: Perform diagnosis coding of inpatient, outpatient, and physician office medical records...

Description At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance...

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. About The Role Certified Coder reviews clinical documentation, abstracts and codes based on AMA, CCI Policies, Government Regulations, Payer Policies, and ICD-10-CM guidelines. Coders will submit charges through IDX. Coding feedback will be sent to providers regularly. Coders will serve as a coding resource for their coding assignment(s). Identify trends and coding educational opportunities to management. CANDIDATES MUST RESIDE IN MD, DC, PA, VA OR WVA Key Responsibilities Review documentation and follow AMA, Government Regulations, CCI, and ICD-10 CM guidelines to accurately select codes for billing in IDX. Send provider...

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...

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 the degree requirement will be considered. ....

Coding Team Member We know it's not just about finding a job. It's about finding a place where you are respected, valued, and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and provides opportunity for career advancement. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 14 states, CHS is committed to helping people get well and live healthier. CHS operates 70 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Job Summary As a member of the 100% US Based HIM Central Services coding team, the Coder IP provides inpatient coding assistance for a set of HIM Central Services-supported CHS...

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...

Certified Medical Coder Location: Remote Type: Contract to hire Pay Rate: $21.00/hour Job Summary: We are looking for a Certified Medical Coder to join our remote team in a term-to-perm role. This is a great opportunity for someone with a solid foundation in medical coding who is ready to take the next step in their career. You'll play a key role in ensuring coding accuracy and compliance with industry standards. Key Responsibilities: Assign diagnosis codes and procedure codes to patient records Ensure accurate and timely coding for all patient encounters Maintain compliance with HIPAA regulations and other coding standards Collaborate with healthcare professionals to clarify coding requirements Participate in ongoing training and development to stay current with coding changes Qualifications: Certified Medical Coder (CMC) or equivalent certification Proven experience in medical coding Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems Excellent attention...

Certified Medical Coder Location: Remote Type: Contract to hire Pay Rate: $21.00/hour Job Summary: We are looking for a Certified Medical Coder to join our remote team in a term-to-perm role. This is a great opportunity for someone with a solid foundation in medical coding who is ready to take the next step in their career. You'll play a key role in ensuring coding accuracy and compliance with industry standards. Key Responsibilities: Assign diagnosis codes and procedure codes to patient records Ensure accurate and timely coding for all patient encounters Maintain compliance with HIPAA regulations and other coding standards Collaborate with healthcare professionals to clarify coding requirements Participate in ongoing training and development to stay current with coding changes Qualifications: Certified Medical Coder (CMC) or equivalent certification Proven experience in medical coding Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems Excellent attention...

Job Description I. General Summary 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. II. 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 Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment. Utilizes critical thinking to analyze and evaluate documentation issues with...

Job Title: Inpatient Coder Shift time: can vary but needs to be day time hours Time zone: MUST Reside on CST/EST Equipment: Facility will NOT provide equipment. Contractors must have their own equipment for contract duration Conversion: The role is a temp to perm opportunity (cannot hire from Alaska, California, or Hawaii) JOB SUMMARY: General Summary: 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. Responsibilities and Tasks: *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...

Job Description Job Description Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit...

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 Outpatient Medical Coder to join our healthcare...