32 professional coding auditor educator jobs found in Silver Spring, MD

Employment Type:Full timeShift:Day ShiftDescription:Job Title: Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position Highlights: Competitive pay Additional Benefits: tuition reimbursement, free parking, employee discounts Quality of Life:Flexible work schedules Advancement:professional growth within the organization Location:Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD. Description: Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Responsibilities Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10,...

Coding Auditor And Educator (Remote) Employment Type: Full-Time Shift: Days Position Highlights: Competitive pay Additional benefits: tuition reimbursement, free parking, employee discounts Quality of life: flexible work schedules Advancement: professional growth within the organization Location: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD. Description: Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Responsibilities: Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local...

Coding Auditor And Educator (Remote) Employment Type: Full-Time Shift: Days (Summary) Position Highlights: Competitive pay Additional benefits: tuition reimbursement, free parking, employee discounts Quality of life: flexible work schedules Advancement: professional growth within the organization Location: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD. Description: Monday-Friday The Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS). Responsibilities: Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper...

Coding Auditor And Educator (Remote)Employment Type: Full-TimeShift: DaysPosition Highlights:Competitive payAdditional benefits: tuition reimbursement, free parking, employee discountsQuality of life: flexible work schedulesAdvancement: professional growth within the organizationLocation: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD.Description:Monday-FridayThe Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS).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...

Medical Coding Auditor Location: Baltimore, MD Pay: $66,102 - $92,560 annually Work Environment Hybrid position requiring a minimum of 1 day onsite weekly (Wednesday), with occasional additional onsite days for provider meetings, training, and department activities. Candidates must be local and able to travel to provider locations as needed. Schedule Monday through Friday Standard business hours Hybrid schedule with 1-2 onsite days per week Compensation And Benefits Pay Rate: Permanent salaried position Duration: Direct Hire / Permanent If Eligible, Benefits May Include Medical, Dental, Vision Critical Illness, Accident, and Hospital coverage 401(k) Retirement Plan (Pre-tax and Roth post-tax contributions available) Voluntary Life & AD&D (employee + dependents) Short-term and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program (EAP) Time Off / Leave (PTO, Vacation or Sick Leave) About The Role The Medical...

Job Details Level: Experienced Job Location: Walter Reed National Military Medical Center, MD - Bethesda, MD 20889 Position Type: Full Time Education Level: High School Salary Range: $42.00 - $43.00 Hourly Travel Percentage: None Job Shift: Day Job Category: Health Care/Medical About Us Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world. LTSi connects the right opportunities to the right people. With our experience in placing our Team Members throughout the United States and overseas, we excel at providing experienced, professional personnel for a wide range of Professional and Office Administration as well as Medical Services. Our goal is to provide the highest quality professionals in the industry. LTSi’s culture delivers a strong work ethic while going above and beyond with a sense of urgency. We are an employee-driven company. We strive for excellence every day, which is what sets us apart from all...

Title: Specialty Medical Biller Job Type: Regular Company: Roswell Park Comprehensive Cancer Center Department: Patient Accounts Time Type: Full time FTE: 0.9375 Shift: First Shift (United States of America) Summary: About the Role: At Roswell Park Comprehensive Cancer Center, every treatment, procedure, and breakthrough in care relies on a strong team working behind the scenes to support our patients and providers. We’re looking for an experienced Specialty Medical Biller to help ensure accurate billing, reimbursement, and claim management for some of the most advanced cancer treatments available today. This role plays an essential part in supporting complex services such as Bone Marrow Transplant (BMT), CAR-T therapy, Gamma Knife radiosurgery, robotic-assisted procedures, and other specialized oncology treatments. Success in this role requires a strong understanding of medical billing, insurance requirements, and claims management, along with the ability to navigate...

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...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Medical Coder-Inpatient to join our growing team. Job Summary: The Medical Coder is responsible for reviewing inpatient medical record documentation to ensure the accuracy, completeness, and...

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...

Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development . Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of...

Currently recruiting an REMOTE Medical Coding Auditor to provide support to Active Duty heroes, their families, and retirees.The full-time position is Monday-Friday, 8 hours shifts between 7:30am and 4:30pm.DUTIES OF THE MEDICAL CODING AUDITOR:Verifies the accuracy of the diagnosis, procedure, supply codes, modifiers, and sequencing for the professional and institutional (facility) components of inpatient, ambulatory, and outpatient encounters.Provides second-level review of coding assignment to ensure compliance with legal and procedural policies to ensure optimal reimbursements while adhering to regulation prohibiting unbundling and other questionable practices.Examines records for proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained.When assigned to perform Data Quality Management Control (DQMC) audits, provides each assigned MTF with coding audit accuracy data...

Job Requirements Hybrid, on site presence in MD. Functions as a trusted advisor to compliance, revenue cycle, operational, clinical, and executive leadership regarding complex regulatory, documentation, coding, billing, reimbursement, and compliance matters. Leads the development, implementation, and continuous improvement of the professional fee compliance auditing program, including risk-based audit planning, monitoring activities, and system-wide compliance initiatives. Serves as the organization's subject matter expert in professional fee documentation, coding, billing compliance, and regulatory requirements. Leads complex, high-risk audits, investigations, and special projects to evaluate compliance with applicable laws, regulations, coding guidelines, and organizational policies; identifies emerging risks, assesses organizational impact, and develops mitigation strategies. Provides advanced education, consultation, and technical guidance to providers, operational leaders,...

Physician Coding and Auditing Specialist 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. Hybrid Work Expectations: To ensure collaboration, provider engagement, and training effectiveness, this position follows a hybrid work model with the following expectations: Onsite Expectations: Mandatory in-office presence at least 1 day per week (Wednesday). Additional in-office days may be required for: Training sessions Provider meetings...

Job Requirements Hybrid, on site presence in MD. Functions as a trusted advisor to compliance, revenue cycle, operational, clinical, and executive leadership regarding complex regulatory, documentation, coding, billing, reimbursement, and compliance matters. Leads the development, implementation, and continuous improvement of the professional fee compliance auditing program, including risk-based audit planning, monitoring activities, and system-wide compliance initiatives. Serves as the organization's subject matter expert in professional fee documentation, coding, billing compliance, and regulatory requirements. Leads complex, high-risk audits, investigations, and special projects to evaluate compliance with applicable laws, regulations, coding guidelines, and organizational policies; identifies emerging risks, assesses organizational impact, and develops mitigation strategies. Provides advanced education, consultation, and technical guidance to providers, operational leaders,...

University of Maryland Medical System Corporation is seeking a Compliance Coding Auditor to ensure documentation, coding, and billing align with CMS and policy guidelines. The role includes audits, education, and cross-functional collaboration with providers and administrators. The candidate will use MDaudit to monitor coding patterns, present findings, and support system-wide compliance training. A CPC and 5+ years in coding with auditing experience are required. #J-18808-Ljbffr

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 with...

Senior CoderHot JobFully Remote • Windsor Mill, MDOverviewSalary Range $60,000.00 - $65,000.00 Salary Position Type Full Time Education Level High SchoolDescriptionAbout Us: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.Summary/ObjectivePerform intake and coding validation on medical records and enter the corresponding data into CMS tool in accordance with contractual and organizational guidelines. Assist Project Director with any additional responsibilities requested.Essential FunctionsPerform diagnosis coding of...

Primary CoderHot JobFully Remote • Windsor Mill, MDOverviewSalary Range $45,000.00 - $52,000.00 Salary Position Type Full Time Education Level High SchoolDescriptionAbout Us: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.Summary/ObjectivePerform intake and coding on medical records and enter the corresponding data into CMS Tool in accordance with contractual and organizational guidelines. Assist Project Director with any additional responsibilities requested.Essential FunctionsPerform diagnosis coding of inpatient,...

Job Details: Job Location: Windsor Mill, MD 21224, Position Type: Full Time, Education Level: High School, Salary Range: $60,000.00 - $65,000.00 Salary About Us: 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. Summary/Objective Perform intake and coding validation on medical records and enter the corresponding data into CMS tool in accordance with contractual and organizational guidelines. Assist Project Director with any additional responsibilities requested. Essential Functions Perform diagnosis coding of inpatient,...

Job Details: Job Location: Remote - Windsor Mill, MD, Position Type: Full Time, Education Level: High School, Salary Range: $45000.00 - $52000.00Salary, About Us: 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. Summary/Objective Perform intake and coding on medical records and enter the corresponding data into CMS Tool in accordance with contractual and organizational guidelines. Assist Project Director with any additional responsibilities requested. Essential Functions Perform diagnosis coding of inpatient,...

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 (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

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...

We're building a world of health around every individual – shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Certified Coding Analyst will perform medical claim reviews for waste and error to ensure compliance with coding practices through a comprehensive record review for medical and institutional providers. The Analyst must have the ability to determine correct coding and appropriate documentation during the review of medical records. The Analyst must also ensure state; federal and company requirements are met. Conduct a comprehensive medical record audit to ensure the CPT/HCPCS or modifiers billed are consistent with medical record...