Clinical Documentation Specialist

1 day ago


Linthicum, Maryland, United States University of Maryland Medical System Full time
Job Title: Clinical Documentation Specialist

The University of Maryland Medical System (UMMS) is seeking a skilled Clinical Documentation Specialist to join our team. As a Clinical Documentation Specialist, you will play a critical role in ensuring the accuracy and completeness of medical records documentation, coding, and billing for all providers across all clinical specialties.

Key Responsibilities:
  • Conduct independent reviews/audits on the adequacy of medical record documentation to support the codes selected by providers or by billing office coders.
  • Analyze documentation or coding patterns by a provider, division, or department that poses a compliance risk and recommend solutions to address the problem(s).
  • Provide feedback to providers on the results of their medical record documentation reviews and give targeted training as needed, either individually or to groups.
  • Assist in the development of medical record documentation standards and requirements related to clinical services billing. Develop training and educational materials to address documentation and coding deficiencies and educate staff and providers on new requirements.
  • Conduct concurrent coding reviews for coding staff, and provide timely feedback to the Director.
  • Conduct audits of provider documentation on an ad-hoc basis as requested by the Director.
Requirements:
  • High school diploma required
  • CPC coding certification is required. CCS, CCS-P certifications preferred but not required.
  • CPMA certification preferred.
  • Five (5) years of coding experience and two (2) years of auditing/billing compliance experience required.
Preferred Qualifications:
  • Maintains current knowledge of CPT, ICD-10, and HCPCS coding and modifiers for appropriate reporting of patient services.
  • Demonstrated knowledge of MS Office software applications such as Microsoft Excel and Microsoft Word is required.
  • Ability to maintain a culture of excellent customer service, open and friendly staff relations with all levels of staff.
  • Effective verbal and written communication and listening skills.


  • Linthicum Heights, Maryland, United States Reflexive Concepts Full time

    Technical Documentation SpecialistWe are seeking a skilled Technical Documentation Specialist to create and edit technical documentation for our projects. The ideal candidate will have a strong background in technical writing and be able to produce high-quality documentation with a focus on detail and clarity.Key Responsibilities:Develop and maintain...


  • Linthicum Heights, Maryland, United States University of Maryland Medical System Full time

    Job SummaryThe Clinical Informatics Lab Specialist plays a crucial role in delivering value-added healthcare informatics and technology to support the strategic plan of the University of Maryland Medical System. This position is accountable for designing, developing, and implementing effective laboratory workflow, operational processes, and system functions...


  • Linthicum, Maryland, United States University of Maryland Medical System Full time

    Job OverviewCompany Overview:The University of Maryland Medical System (UMMS) is a leading academic private health system dedicated to providing high-quality, compassionate care while integrating innovation and research into clinical practice. As a collaborative partner with the University of Maryland School of Medicine and other educational institutions,...


  • Linthicum Heights, Maryland, United States University of Maryland Medical System Full time

    Job SummaryWe are seeking a highly skilled Clinical Training and EHR Support Specialist to join our team at the University of Maryland Medical System. This role will provide technical support for clinical and operational end users of the electronic health record, ensuring seamless integration and optimal use of our systems.Key ResponsibilitiesProvide...


  • Linthicum Heights, Maryland, United States University of Maryland Medical System Full time

    Job SummaryThe University of Maryland Medical System (UMMS) is seeking a highly skilled Clinical Training and EHR Support Specialist to join our team. As a key member of our informatics team, you will provide direct technical support for clinical and operational end users of our electronic health record system.Key ResponsibilitiesProvide high-level...


  • Linthicum Heights, Maryland, United States Reflexive Concepts Full time

    Technical Documentation ExpertAt Reflexive Concepts, we are seeking a skilled Technical Documentation Expert to contribute to the development of high-quality technical documents that support the success of our projects.Key Responsibilities:Develop and maintain technical documentation for software and systems engineering, system operations, testing, and user...


  • Linthicum Heights, Maryland, United States University of Maryland Medical System Full time

    Position OverviewThe University of Maryland Medical System is seeking a skilled Clinical Informatics Specialist to drive innovation in healthcare informatics solutions. As a key member of our team, you will play a crucial role in delivering efficient and effective healthcare solutions to drive quality outcomes.Key ResponsibilitiesCollaborate with...


  • Linthicum Heights, Maryland, United States University of Maryland Medical System Full time

    Job SummaryThe Clinical Informatics Lab Specialist plays a critical role in delivering value-added healthcare informatics and technology to support the strategic plan of the University of Maryland Medical System. This position is accountable for designing, developing, and implementing effective laboratory workflow, operational processes, and system functions...


  • Linthicum, Maryland, United States University of Maryland Medical System Full time

    Job SummaryWe are seeking a highly skilled Ambulatory Informatics Training and Support Specialist - Hybrid to join our team at the University of Maryland Medical System. This role will be responsible for providing training and support to users and application developers for clinical and business applications, as well as coordinating and providing support for...


  • Linthicum Heights, Maryland, United States University of Maryland Medical System Full time

    Job SummaryThe University of Maryland Medical System seeks a highly skilled Clinical Informatics Specialist to join our team. As a key member of our informatics team, you will play a critical role in the design, development, and implementation of clinical informatics solutions that support our strategic objectives.Key ResponsibilitiesCollaborate with...


  • Linthicum Heights, Maryland, United States TEKsystems Full time

    Medical Coding Specialist **Job Summary** We are seeking a skilled Medical Coding Specialist to join our team at TEKsystems. As a Medical Coding Specialist, you will play a critical role in ensuring the accuracy and quality of medical coding for our clients. **Key Responsibilities** * Ensure charges are coded accurately from medical records and entered...


  • Linthicum Heights, Maryland, United States TEKsystems Full time

    Medical Coding Specialist **Job Summary** We are seeking a skilled Medical Coding Specialist to join our team at TEKsystems. As a Medical Coding Specialist, you will play a critical role in ensuring the accuracy and quality of medical coding for our clients. **Key Responsibilities** * Ensure accurate and timely coding of medical records for...

  • B2B Sales Specialist

    1 month ago


    Linthicum, Maryland, United States PrideStaff Full time

    Job DescriptionOur client is in search of a B2B Sales Specialist to enhance their boat parts distribution business. This position offers a temp-to-hire opportunity, and the client is seeking a candidate who is interested in a long-term commitment.B2B Sales Specialist Responsibilities:Facilitate the sale of products between businesses.Initiate the sales...


  • Linthicum Heights, Maryland, United States TEKsystems Full time

    Remote General Surgery Coder **About the Role** We are seeking a skilled Medical Coding Specialist to join our team as a Remote General Surgery Coder. As a key member of our healthcare organization, you will play a vital role in ensuring accurate and efficient coding practices. **Responsibilities** * Accurately code hospital outpatient accounts using...


  • Linthicum Heights, Maryland, United States LifeBridge Health Full time

    Position Overview:The Senior Clinical Nurse Specialist (CNS) plays a pivotal role in enhancing healthcare delivery within the Long-Term Care (LTC) setting. Operating under minimal supervision, the CNS influences patient care, staff development, and systemic improvements to ensure high-quality healthcare outcomes.Key Responsibilities:Utilizes evidence-based...


  • Linthicum, Maryland, United States University of Maryland Medical System Full time

    Job OverviewCompany Overview:The University of Maryland Medical System (UMMS) is a leading academic private health system dedicated to providing compassionate, high-quality healthcare while fostering innovation and discovery in clinical practice. Collaborating with the University of Maryland School of Medicine and other educational institutions, UMMS serves...


  • Linthicum, Maryland, United States University of Maryland Medical System Full time

    Job OverviewCompany Overview:The University of Maryland Medical System (UMMS) is a distinguished academic private health system dedicated to providing compassionate, high-quality healthcare while integrating discovery and innovation into patient care. Collaborating with the University of Maryland School of Medicine, School of Nursing, and University of...


  • Linthicum, Maryland, United States Johnson Controls International Full time

    Job OverviewWe are seeking a skilled Fire Sprinkler Installation Specialist to join our team at Johnson Controls International. As a key member of our fire protection team, you will be responsible for the installation, service, and repair of fire protection systems, including wet, dry, pre-action, deluge, and foam suppression systems, as well as fire pumps...


  • Linthicum, Maryland, United States University of Maryland Medical System Full time

    Job SummaryWe are seeking a highly skilled Ambulatory Informatics Training and Support Analyst to join our team at the University of Maryland Medical System. This role will be responsible for providing training and support to users and application developers for clinical and business applications, as well as coordinating and providing support in evaluation,...


  • Linthicum, Maryland, United States Johnson Controls International Full time

    Job OverviewWe are seeking a skilled Fire Sprinkler Installation Specialist to join our team at Johnson Controls International. As a key member of our fire protection systems team, you will be responsible for the installation, service, and repair of fire protection systems, including wet, dry, pre-action, deluge, and foam suppression systems, as well as fire...