99 cpc certified professional coder jobs found in Annapolis, MD

Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately escalates coding/denial trends and provider education...

This range is provided by Pride Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Direct message the job poster from Pride Health Job Title Job Title: Coding Specialist (OBGYN) (Temp-to-Hire) Location Location: Remote (Time Zone: EST) Shift Shift: Day shift Duration Duration: 6 months (26 Weeks) Pay rate Pay rate: $27.00 an hour on W2 Base pay range $25.00/hr - $27.00/hr Position Summary Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions. Assigns specified codes to medical diagnoses with some coding of specific clinical procedures. Job Requirements HS Diploma/GED Certification as a CPC or CCS-P required. Proficient in assigning and abstracting ICD-10-CM and CPT codes from provider documentation. 2+...

RELI Group, Inc. is seeking a Senior Medical Coder to support Medicare Part C RADV initiatives. The role requires extensive ICD-9-CM/ICD-10-CM coding across inpatient, outpatient, and physician office encounters, with emphasis on documentation quality and attestation. The ideal candidate will have 5+ years of coding experience, hold CPC/CCS/RHIA/RHIT credentials, and be able to perform intake reviews, disputes, and QA activities while maintaining strict confidentiality and high accuracy in a #J-18808-Ljbffr

Medical Coder The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality 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. 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 MS-DRG MCC/CC and APR-DRG/SOI/ROM and POA assignments. Utilizes critical thinking to analyze and evaluate documentation issues...

Medical Coder The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality 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. 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 MS-DRG MCC/CC and APR-DRG/SOI/ROM and POA assignments. Utilizes critical thinking to analyze and evaluate documentation issues...

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...

Humana Inc. is seeking a Senior Medical Coding Professional, Inpatient to support payment integrity by reviewing inpatient claims for coding accuracy, DRG assignment, and compliance with official guidelines. You will report to the Manager, Payment Integrity. The role involves reviewing inpatient records for coding accuracy and DRG validation, identifying anomalies for audits, applying ICD-10-CM/PCS guidelines, and collaborating with clinical reviewers and data analysts to ensure proper #J-18808-Ljbffr

J29, Inc. seeks experienced RVC Reviewers to perform automated and complex reviews of Medicare FFS claims, ensuring proper payments and adherence to CMS rules. The role emphasizes accuracy, compliance, and collaboration across teams. Qualified candidates have 5+ years in medical coding, experience with DRG validation, and remote work capability. This position supports ongoing audits and process improvements within a health and human services context. #J-18808-Ljbffr

About J29 J29, Inc. (J29) has been supporting commercial, State, and Federal health and human service programs since companyinceptionin 2017 as an employee-centered healthcare management consulting company. Our team of 260 employees focuses on providing processing,review, and analysis of medical claims, records, data, and audits between areas of compliance, policy, and clinicalexpertise. Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels. J29 was founded to be an employee-centric company that prioritizes the well-being and value of its employees. Our mission is to empower our employees to dogreat thingsfor the benefit of those that need it most. The J29 mission supports not only our health and human service programs, but also the philanthropy efforts of our team. We are proud to continue our support to...

VECRA Inc in Maryland is seeking Certified Medical Coders (Full-Time & Part-Time) to provide expert coding services for the Department of Veterans Affairs (VA). This remote role requires proficiency in ICD-10 CM, CPT, and HCPCS to accurately code various medical records. Candidates must have at least 2 years of VA coding experience, possess a relevant medical coding certification, and maintain a coding accuracy rate of at least 95%. Successful applicants will utilize VA systems to enhance coding efficiency while complying with HIPAA regulations. The ideal candidates will work independently, showcasing strong attention to detail and communication skills. #J-18808-Ljbffr

Summary of Responsibilities Analyze, prioritize and organize daily workloads for the team for the many different types of reports. Accountable for ensuring that the contract deliverables are met and/or exceeded on the daily basis. Edit reports to maintain the specified Federal privacy and anonymity guidelines. Analyze daily workloads to identify the product, manufacturer, device problems or malfunctions that contributed to the adverse event of the device. Perform editorial responsibilities to assist and guide the data entry staff in the entry of reports into the FDA database. Monitor performance outcomes and conduct periodic evaluations for direct reports. Coach, counsel and discipline direct reports as needed to achieve favorable performance outcomes. Perform strategic thinking to mitigate problems that could adversely impact the project. Supporting Responsibilities Participate in team and management meetings to discuss coding and personnel issues. Participate in...

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

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...

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)...

100% REMOTE OPPORTUNITY Eligible remote states: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia Key Responsibilities: 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). Codes Reviews medical records to determine the physicians' diagnosis/procedures for the patient and assigns ICD-10CM/PCS codes to those diagnoses/procedures. Requirements: Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field. Pay Range: $22.22 to $39.12 Base pay is determined by a variety of factors including the market range, candidates qualifications and experience, as well as internal peer equity. Benefits: Medical, dental, and vision coverage starting the first of the month after hire, plus wellness programs and mental health support 403(b) retirement plan with...

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 following 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 diagnoses and procedures for coding. Maintain coding accuracy and 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...

LifeBridge Health is seeking a Health Information professional to code and abstract the medical records from the ER. You will work within established conventions to ensure accurate documentation and proper E/M levels for diverse patient populations. The role is full-time with day shift responsibilities, offering growth opportunities, competitive health plans, and support for professional development within Sinai Hospital of Baltimore and the LifeBridge Health system. #J-18808-Ljbffr

The University of Maryland Medical System is seeking a Senior Inpatient Coder (Remote) responsible for coding hospital inpatient accounts accurately for reimbursement and compliance. This role involves analyzing documentation, ensuring coding quality, and collaborating with clinical staff. Applicants must be high school graduates with significant ICD-10-CM coding experience, preferably with trauma rehabilitation. Certifications such as CCS or RHIT are necessary. Competitive compensation of $30.26 to $42.37 per hour will be offered. #J-18808-Ljbffr

LifeBridge Health is seeking a Medical Records coder for Sinai Hospital in Maryland. The role involves coding and abstracting ER records, aligning with established conventions and ensuring accuracy in a high-volume environment. The candidate should have 1–3 years of experience, an associate degree (preferred) in Health Information Management or related field, and CCS, CPC, RHIA or RHIT certifications. #J-18808-Ljbffr

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

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

RELI Group, Inc. is seeking an experienced Senior Medical Coder in Baltimore, MD. You will support Medicare Part C Risk Adjustment Data Validation initiatives, performing diagnosis coding across various care settings. The ideal candidate will have a minimum of five years of coding experience and be a certified coder. The role offers an annual salary range of $60,000 to $80,000 based on skills and experience. Join a team that values expertise and impact. #J-18808-Ljbffr

LifeBridge Health in Baltimore, MD is seeking a full-time Medical Coder to code and abstract ER records, applying facility E/M levels and established coding conventions to ensure accuracy and productivity. The role requires 1–3 years of medical coding experience, an associate degree preferred in health information management or related field, and CCS, CPC, RHIA or RHIT certifications. Day shift 7:00am–3:30pm, competitive pay and benefits. #J-18808-Ljbffr