179 jobs found in Maryland

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and identify opportunities for...

Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review hospital claims for proper reimbursement and resolve provider disputes. You will extract clinical information and assign ICD-10-CM, ICD-10-PCS and DRG codes to patient records, ensuring accurate payments. Responsibilities include reviewing inpatient records, auditing coding quality, resolving disputes with a fact-based approach, and collaborating with cross-functional teams to improve payment accuracy and #J-18808-Ljbffr

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

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...

Holy Cross Health is seeking a Coding Auditor and Educator to perform medical record audits, validate diagnoses and procedures, and ensure proper coding under CMS guidelines. This role emphasizes auditor education and collaboration with providers to improve documentation accuracy. Requires CPC or RHIT accreditation, strong ICD-10/CPT knowledge, and 2–5 years coding experience. Remote work options available with competitive pay and benefits. #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

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,...

The State of Maryland seeks a seasoned supervisor to lead UI Contributions Tax Auditors in the Unemployment Insurance program. You will oversee audits, training, and QA, ensuring fair administration of unemployment insurance laws and optimal customer service. You will manage staff across the Field Investigation & Audit Unit, coordinate with MTW and DoIT for COMPAS system updates, and drive performance improvements in wage and tax record accuracy. #J-18808-Ljbffr

Priority One Staffing Services is seeking a Coding Compliance Auditor for a remote/hybrid position in Baltimore, Maryland. The role involves auditing hospital visits for appropriate reimbursement and ensuring compliance with federal and state regulations. Candidates should have a minimum of 2 years in ICD-10-CM and ICD-10-PCS, along with inpatient auditing experience. Relevant certifications such as CCS, RHIT, or CIC are required. This is an excellent opportunity for professionals seeking to leverage their coding expertise. #J-18808-Ljbffr

Coding ComplianceAuditor Remote/Hybrid Accurately audits hospital Inpatient, Ambulatory Surgery, Observation& any outpatient visit for appropriate reimbursement. Compliance with federal & state regulations according to established ICD-10CM/PCScoding & CPT-4 procedure coding classification. Clinical coding subject matter expert. Evaluate & analyze documentation issues consulting with medical staff. Audits complex cases utilizing the ICD-10-cm & ICD-10-PCSnomenclature to ensure accurate APR-DRG/SOI/ROM & POAAssignments Required qualifications: Must have inpatient auditing experience. Minimum 2 years ICD-10-CM,ICD-10-PCS, CPT- 4 training. Level 1 Trauma hospital experience or 4 years experience with coding inpatient hospital medical records 2 to 3 year ambulatory coding. Certifications... Must have at least 1 Certified Coding Specialist(CCS) Registered Health Information Tech (RHIT) Registered Health Information Administrator (RHIA) Certified...

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

Senior Outpatient Coding Specialist - Remote Monday - Friday 6AM-6PM ET (40 hours/week) We are seeking a Job Requirements Senior Outpatient Coding Specialist - Remote Monday - Friday 6AM-6PM ET (40 hours/week) We are seeking a Senior Outpatient Surgery Coder with experience in IR & Cardiology coding to join our team. This role is responsible for the accurate and timely assignment of CPT, ICD-10-CM, and applicable modifiers for IR & Cardiology procedures , ensuring compliance with official coding guidelines, payer requirements, and organizational policies. The Senior OP Surgery Coder possesses the ability to code these complex cases and contributes to quality initiatives, audits, and process improvements. The ideal candidate demonstrates knowledge of surgical anatomy, operative reports, and specialty-specific procedures, along with strong critical-thinking skills, attention to detail, and the ability to work independently while meeting productivity and quality...

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...

This job description provides basic information about a temporary medical biller role in Baltimore, including pay rate, location, and necessary experience. However, it contains some formatting inconsistencies, irrelevant details, and redundancies that could be improved for clarity and professionalism. Here is a refined version: Medical Biller - Temporary Role We are partnering with a healthcare organization in Baltimore, Maryland, seeking a temporary medical biller. This is a temp-to-hire position with a pay rate of $20-22/hr. Location: Onsite in Baltimore, MD (not remote) Requirements: Medical Accounts Receivable experience (1-2 years) Experience with commercial payers for claims Knowledge of CPT codes Employment Details: Seniority level: Entry level Type: Contract (temp to hire) Job Function: Healthcare Provider Industries: Human Resources Services Additional benefits may include medical insurance, vision insurance, and a 401(k). #J-18808-Ljbffr

Supervisor - Residential Rehab Specialist - Grace Medical Center - New Phases Residential Program Sign On Bonus Potential: $10,000.00 Facility GRACE MEDICAL CENTER Schedule - Shift - Hours Full-time - Day shift - 7:30am-4:00pm This position oversees the direct care and administrative functions of the Grace Medical Center Residential Program. Establishes and maintains working relationships with community providers and with the Core Service Agency (CSA). Maintains confidential information within HIPPA and Grace Medical Center guidelines. Ensures that the Mental Health Associate staff/ Residential Supervisor maintain proper documentation related to providing services to the served populations. Checks to ensure that the documentation is submitted in a timely manner. Takes appropriate action to deal with any consumer behavioral/ case management issues. Directly provides services to members in the program when needed. Assists in the establishment of a performance improvement...

A healthcare staffing agency is seeking a Certified Medical Coder to work remotely. This role involves reviewing medical records and coding diagnoses and procedures using ICD-9-CM and CPT-4 conventions. The ideal candidate should have extensive experience in inpatient and DRG auditing, knowledge of medical coding systems, and effective communication skills. Benefits include medical, vision, and dental insurance, a 401K plan, and an employee referral bonus, among others. #J-18808-Ljbffr

University of Maryland Medical System seeks a clinical coding auditor to ensure accurate ICD-10-CM/PCS and CPT-4 coding across inpatient and outpatient encounters. The role involves auditing complex cases, advising CDI staff, and providing training to new employees. Responsibilities include monitoring coder productivity, reporting accuracy, and collaborating with hospital departments to resolve coding issues while adhering to AHIMA standards and system policies. #J-18808-Ljbffr

Cybersecurity Compliance Auditor / Security Control Assessor (SCA) Do you enjoy assessing complex systems and ensuring they meet the highest cybersecurity standards in support of national security, space exploration, and advanced technologies? We are seeking a Cybersecurity Compliance Auditor / Security Control Reviewer (SCR) to perform independent security control assessments across classified information systems to determine the overall effectiveness of the controls. As a Cybersecurity Compliance Auditor / Security Control Reviewer (SCR), you will: Plan, conduct, and perform independent security control assessments of classified systems in accordance with Risk Management Framework (RMF), Joint Special Access Program (SAP) Implementation Guide (JSIG), and applicable DoD/IC standards. Evaluate the implementation and effectiveness of security controls across a wide range of technologies and environments. Conduct risk‑based assessments to determine system compliance and identify...

The Johns Hopkins University Applied Physics Laboratory is seeking a Cybersecurity Compliance Auditor / Security Control Reviewer to perform independent RMF and JSIG assessments of classified systems and determine control effectiveness. You will plan and conduct assessments, produce actionable reports, collaborate with ISSMs/ISSO and program teams, and support inspections by DCSA, DoD, and IC, with a TS/SCI clearance requirement. #J-18808-Ljbffr

Introduction OPEN TO ALL QUALIFIED APPLICANTS This is a position specific recruitment. The resulting certified eligible list may be used to staff several current and future vacancies for this position/function only. This recruitment will be closed once all positions have been filled. GRADE 16 (*Please note, state salary guidelines will apply for current state employees) LOCATION OF POSITION Baltimore, Maryland POSITION DUTIES The Comptroller of Maryland’s Compliance Division is looking to add new tax auditors to their Business Tax Audit and Individual Tax Audit teams. We offer flexible work schedules that include telework options and opportunities to work from the field (outside of the office) for certain audit assignments. If you’re interested in tax auditing and want to join our team. We look forward to meeting you! Business Tax Audit The main purpose of this position is to audit business entities for compliance with the State of Maryland’s revenue laws and regulations...