242 jobs found in Maryland

Compliance Auditor 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...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

Job Description Job Description Medical Biller - Patient Benefit Representative Easton, MD Pay From: $25 per hour MUST: The Patient Benefit Representative or Medical Biller must have experience: High school diploma or equivalent required Minimum five years (5) of experience as a patient pre-services coordinator or equivalent required Proficiency with computer systems and Microsoft Office (Word and Excel) required Experience with collections, patient accounts and verifying patient insurance coverage Must be able to verbally communicate clearly and utilize the appropriate and correct terminology DUTIES: Prior to a patient receiving treatment, obtains insurance coverage information and demographics Educates patient on insurance coverage, benefits, co-pays, deductibles, and out-of-pocket expenses Assess patients' ability to meet expenses and discusses payment arrangements May educate patients on financial assistance programs as well as identify sources and provide...

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

Trinity Health Mid-Atlantic is seeking a remote Coding Auditor and Educator to oversee medical record audits, validate diagnoses and procedures, and ensure proper coding according to CMS guidelines. The role emphasizes education of providers and coders to improve accuracy and compliance. The position supports flexible schedules with competitive pay, tuition reimbursement, and employee discounts, reporting to Provider Revenue Operations. #J-18808-Ljbffr

Note : This is an educational program, not a job. Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market. Looking to start a rewarding career path in the healthcare industry? Use Dreambound to find a Medical Billing and Coding program that will prepare you for this high-demand, entry-level role. What does a Medical Billing and Coding Specialist do? A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Highlights : • Complete in as short as a few weeks to a few months • Online and in-person options available • Payment plans and financial aid may be available for those who qualify Cost : This program is an educational opportunity that requires a financial investment. Cost varies per partner school, but payment plans and / or financial aid may be available...

RELI Group, Inc. is seeking a medical coder to perform diagnosis coding of inpatient, outpatient, and physician office records in accordance with RADV guidelines. You will validate records for appropriate physician specialty, dates of service, signatures, and CMS attestations. Ideal candidates are certified coders with experience auditing medical records and proficiency in Microsoft Office Suite. The role emphasizes confidentiality and collaboration with a multidisciplinary team in a high-volume #J-18808-Ljbffr

GHR Travel Nursing seeks a Remote Professional Fee Coding Auditor specializing in HCC risk adjustment, physician coding, and primary care documentation. The role focuses on retrospective medical record audits, identifying coding opportunities, and delivering actionable recommendations to support compliant reimbursement. The engagement runs quarterly with 2-week initial duration, 8-hour days, and remote collaboration across Baltimore, MD, aiming for timely preliminary findings and consistent #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, 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...

Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately assign the appropriate ICD-10-CMcodes and CPT codes. Education: Associates Degree preferred. Experience: At least 3 years of CPT and ICD-10-CM coding experience with certification. 3 years of radiology/interventional radiology coding and charging experience preferred. Knowledge of specialty coding including wound care. Other combinations of formal education, training and experience may be considered. Skills: Knowledge of medical terminology and anatomy and physiology Knowledge in all aspects of Radiology and Interventional Radiology and wound care coding Knowledge of coding guidelines as set forth by Official Coding Guidelines, Coding Clinic. Ability to keep current with recent trends within the industry Skill in using computers and software applications Ability to interpret medical terminology in order to code records...

Johns Hopkins Public Safety is seeing an Emergency Medical Services (EMS) Supervisor who provides operational oversight, mentorship, and clinical support for Johns Hopkins Emergency Response Organization (HERO), Johns Hopkins University’s student-led EMS organization. This role supervises volunteer EMTs, supports training and quality improvement initiatives, ensures compliance with Maryland EMS and Maryland Institute for Emergency Medical Services Systems (MIEMSS) standards, and helps guide HERO’s transition toward becoming an independent EMS organization. The position also serves as a liaison between HERO, Johns Hopkins Student Health and Well-Being, other university departments, and external public safety and healthcare partners to ensure high-quality emergency medical services for the university community. The position works closely with Student Health and Well-Being’s Chief Medical Director who serves both as HERO’s staff advisor and the physician under whose medical...

Coding Specialist Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information to accurately assign the appropriate ICD-10-CM codes and CPT codes. Education: Associates Degree preferred. Experience: At least 3 years of CPT and ICD-10-CM coding experience with certification. 3 years of radiology/interventional radiology coding and charging experience preferred. Knowledge of specialty coding including wound care. Other combinations of formal education, training and experience may be considered. Skills: Knowledge of medical terminology and anatomy and physiology Knowledge in all aspects of Radiology and Interventional Radiology and wound care coding Knowledge of coding guidelines as set forth by Official Coding Guidelines, Coding Clinic. Ability to keep current with recent trends within the industry Skill in using computers and software applications Ability to interpret medical terminology in...

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...

$10,000 Sign On Bonus (new employees) M-F with rotating Saturdays, 7AM-3:30PM or 8AM-4:30PM Delivers advanced occupational therapy services through the evaluation of patient needs, goal determination, and development of treatment plans according to the principles and practices of occupational therapy services. May lead or engage in professional development and performance improvement activities. Responsible for identifying, resolving, and/or escalating clinical and operational issues and assists in selection and maintenance of equipment. Job Requirements $10,000 Sign On Bonus (new employees) M-F with rotating Saturdays, 7AM-3:30PM or 8AM-4:30PM Delivers advanced occupational therapy services through the evaluation of patient needs, goal determination, and development of treatment plans according to the principles and practices of occupational therapy services. May lead or engage in professional development and performance improvement activities. Responsible for identifying,...

Signature Performance, Inc. is seeking an Outpatient Coding Auditor for a remote, nationwide role. You will conduct quality reviews, identify documentation issues, and deliver educational feedback to coding staff while coordinating with department managers to uphold coding standards. The ideal candidate has 5+ years in professional medical coding, AHIMA/AAPC credentials, and strong knowledge of ICD-10-CM/PCS, CPT-4, HCPCS, with proficiency in Microsoft Office and experience with major EHRs such #J-18808-Ljbffr

LifeBridge Health System's Sinai Hospital in Baltimore seeks a remote Medical Records Coder to follow established conventions and guidelines, coding and abstracting outpatient records. The role supports accurate coding and timely documentation from a remote location. You will assist with coding and leveling ERs as needed, as well as coding and charging infusion cases, while ensuring adherence to departmental accuracy and production standards. #J-18808-Ljbffr

Overview Overview: HYBRID Role. 1 day in office (Near East Office Building) and 4 days from home (after probationary period). Works between 6am and 7pm. This is a new role to introduce a coder to auditing and compliance with opportunity to grow into a Compliance Audit and Education Specialist in as little as 15 months! Job Description Summary Job Description Summary: Performs foundational audit tasks, assists with documentation reviews, and learns core auditing and compliance principles. This role is designed for early-career professionals or internal candidates transitioning into compliance. Essential Functions Assists in conducting billing and coding audits under supervision, which includes a review of inpatient and outpatient medical records to determine appropriateness of documentation, procedure, and diagnosis coding. Audits involve professional and facility billing. Reviews medical records for completeness and accuracy. Supports audit processes,...

RELI Group seeks a detail-oriented Medical Coder to support Risk Adjustment and Medicare Part C audits by accurately coding inpatient, outpatient, and physician office records. The ideal candidate is certified (CPC/CCS/RHIA/RHIT) with ICD-9-CM/ICD-10-CM proficiency, at least 1 year of experience, and the ability to maintain high accuracy and confidentiality in a fast-paced environment. Excellent benefits and HUBZone-friendly opportunities are noted; competitive compensation aligns with #J-18808-Ljbffr

Professional Fee Coding Auditor & EducatorWe are seeking an experienced Professional Fee Coding Auditor & Educator to partner with physicians and APPs on coding accuracy, documentation improvement, compliance, and provider education. Must currently possess both the CPC and CPMA certifications in order to be considered for the role.The Coding Auditor and Educator role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities,...

Medical Reviewer, Coder This is a temporary seasonal position. Employment is anticipated to continue for up to six months based on business needs. Location: Remote Rate: $35-40 hourly About J29 At J29, we believe in empowering our employees to do great things for the benefit of others. Our culture is built on purpose, service, and impact - not just for our clients, but for our communities. We are a mission-driven, people-first organization that believes strong culture, thoughtful leadership, and meaningful philanthropy are inseparable from business success. Key Responsibilities RVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims- including Part A/B, DMEPOS, and Home Health/Hospice to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and...