Current jobs related to Coding Compliance Specialist - Baltimore Maryland - University of Maryland Medical System


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

    Job SummaryThe University of Maryland Medical System is seeking a highly skilled Coding Compliance Auditor Team Lead to oversee the internal and external auditing function. This role requires a strong background in ICD-10-CM/ICD-10-PCS coding and abstracting, as well as experience in managing time and attendance approvals.Key ResponsibilitiesProvide...


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

    Job SummaryWe are seeking a skilled Inpatient Coding Specialist to join our team at the University of Maryland Medical System. As a key member of our coding team, you will be responsible for accurately coding hospital inpatient accounts for reimbursement, research, statistics, and compliance with federal and state regulations.Key ResponsibilitiesAnalyze and...


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

    Job Title: Clinical Coding SpecialistUniversity of Maryland Medical System is seeking a highly skilled Clinical Coding Specialist to join our team.Job SummaryThe Clinical Coding Specialist will be responsible for accurately coding hospital inpatient accounts for reimbursement, research, statistics, and compliance with federal and state regulations.Key...


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

    Medical Coding Specialist Position at the University of Maryland Medical SystemI. Job SummaryThe University of Maryland Medical System is seeking a highly skilled Medical Coding Specialist to join our team. As a Medical Coding Specialist, you will be responsible for accurately coding hospital inpatient accounts for reimbursement, research, statistics, and...

  • Coding Specialist III

    2 weeks ago


    Baltimore, Maryland, United States MedStar Health Full time

    Job SummaryMedStar Health is seeking a highly skilled Coding Specialist III to join our team. As a key member of our coding team, you will be responsible for ensuring accurate and complete coding of medical-professional services, based on extensive knowledge of regulatory and payer requirements.Key ResponsibilitiesAbstract and ensure accuracy of diagnosis,...

  • Coding Specialist III

    2 weeks ago


    Baltimore, Maryland, United States Medstar Full time

    Job SummaryWe are seeking a highly skilled Coding Specialist III with expertise in orthopedics coding to join our MedStar Physicians Billing Services coding team.This is a remote, full-time, day-shift position that requires a strong understanding of regulatory and payer requirements, as well as excellent communication and organizational skills.Key...


  • Baltimore, Maryland, United States Three Point Solutions Full time

    Job Title: Medical Coding SpecialistAbout the Role: We are seeking a highly skilled Medical Coding Specialist to join our team at Three Point Solutions. As a Medical Coding Specialist, you will play a critical role in supporting our value-based reimbursement and medical policy models. Key Responsibilities: Act as an internal expert to provide guidance on...


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

    Job OverviewThe University of Maryland Medical System is a leading healthcare provider with a strong commitment to quality and excellence. We are seeking a skilled Clinical Coding Specialist to join our team.Key ResponsibilitiesAudit hospital inpatient, ambulatory surgery, observation, and outpatient encounter visits to ensure accurate reimbursement,...


  • Baltimore, Maryland, United States MedStar Health Full time

    Job SummaryMedStar Health is seeking a skilled Coding Specialist III to join our team. This role requires a strong background in medical coding, with a focus on orthopedics. The ideal candidate will have 5-7 years of experience in medical-professional coding and hold certifications such as CPC and COSC.Key Responsibilities Abstract and ensure accuracy of...

  • Coding Specialist III

    2 weeks ago


    Baltimore, Maryland, United States Medstar Full time

    Job SummaryWe are seeking a highly skilled Coding Specialist III to join our team at MedStar Health. As a key member of our coding team, you will be responsible for ensuring that our medical-professional services are coded correctly and completely, based on extensive knowledge of regulatory and payer requirements.Key Responsibilities:Abstract and ensure...


  • Baltimore, Maryland, United States CareFirst BlueCross BlueShield Full time

    Job SummaryWe are seeking a highly skilled Medical Coding Specialist to join our Special Investigations Unit at CareFirst BlueCross BlueShield. As a key member of our team, you will play a critical role in ensuring that reimbursement and medical policy guidelines are adhered to, providing expert knowledge to support effective guidance on the appropriate...


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

    Job SummaryWe are seeking a highly skilled Inpatient Coder to join our team at the University of Maryland Medical System. As a key member of our coding team, you will be responsible for accurately coding hospital inpatient accounts for reimbursement, research, and compliance purposes.Key ResponsibilitiesUtilize critical thinking to analyze and evaluate...

  • Coding Specialist

    2 weeks ago


    Baltimore, Maryland, United States Johns Hopkins University Full time

    Job SummaryWe are seeking a skilled Coding Specialist to join our team at Johns Hopkins University. The successful candidate will be responsible for diagnosis and CPT coding within various department billing offices.Key ResponsibilitiesGather and verify all information required to produce a clean claim, including special billing procedures defined by payers...


  • Baltimore, Maryland, United States Three Point Solutions Full time

    Job Title: Medical Coding Specialist Client: Healthcare Organization Job Description: Purpose:Provides expert support for value-based reimbursement and medical policy models. Offers advanced knowledge for effective provider partnerships and guidance on quality measure capture and CPT/ICD 10 code use in claims submissions. Utilizes extensive coding knowledge,...


  • Baltimore, United States Three Point Solutions Full time

    Job Title: Medical Coding Specialist Client: Health Care Insurance Company Duration: 4 Months Location: Baltimore, MD 21224 Job Description: Purpose: Acts as an internal expert to support value-based reimbursement and medical policy models. Provides advanced knowledge for effective provider partnerships and guidance on quality measure capture and CPT/ICD 10...


  • Baltimore, Maryland, United States Zolon Tech Solutions, Inc. Full time

    Job Title: Medical Coding Specialist Job Summary: We are seeking a skilled Medical Coding Specialist to join our team at Zolon Tech Solutions, Inc. Key Responsibilities: * Collaborate with internal experts to develop and implement value-based reimbursement and medical policy models * Provide advanced knowledge to support effective implementation * Ensure...


  • Baltimore, Maryland, United States Zolon Tech Solutions, Inc. Full time

    Job Title: Medical Coding Specialist Job Summary: We are seeking a skilled Medical Coding Specialist to join our team at Zolon Tech Solutions, Inc. Key Responsibilities: * Collaborate with internal experts to develop and implement value-based reimbursement and medical policy models * Provide advanced knowledge to support effective implementation * Ensure...


  • Baltimore, Maryland, United States CareFirst BlueCross BlueShield Full time

    Purpose and ResponsibilitiesThe Medical Coding Specialist will serve as an internal expert to ensure adherence to reimbursement and medical policy guidelines. This role requires expertise in coding, medical policy, credentialing, and claim processing rules to determine appropriate billing and code submissions while maintaining payment integrity.Key...

  • Coding Specialist III

    2 months ago


    Columbia, Maryland, 21044, Howard County, MD, United States MEDSTAR HEALTH Full time

    General Summary of PositionMedStar Health is looking for a Coding Specialist III with experience in Transplant Surgery coding to join our REMOTE team with the MedStar Medical Group! To qualify for a level III Coding Specialist, you must have 5-7 years medical-professional coding experience and your CPC certification. As a Coding Specialist III you will...


  • Baltimore, Maryland, United States TEKsystems Full time

    Job Summary:We are seeking a skilled Medical Coding Specialist to join our team at TEKsystems. As a Medical Coding Specialist, you will be responsible for coding procedures, working with ICD10 codes, and making edits and corrections to payments as needed. You will also be working with insurance companies and clinics to determine proper codes and billing for...

Coding Compliance Specialist

2 months ago


Baltimore Maryland, United States University of Maryland Medical System Full time
Job Summary

We are seeking a skilled Coding Compliance Specialist to join our team at the University of Maryland Medical System. As a key member of our coding team, you will be responsible for ensuring the accuracy and compliance of our coding practices.

Key Responsibilities
  • Audit and analyze medical records to ensure accurate coding and compliance with federal and state regulations.
  • Utilize critical thinking and clinical expertise to resolve coding discrepancies and ensure accurate reimbursement and research data.
  • Collaborate with medical and clinical staff to ensure accurate and compliant coding practices.
  • Audit complex inpatient cases, including trauma, rehab, neurology, and critical care, to ensure accurate APR-DRG/SOI/ROM and POA assignment.
Requirements
  • Strong knowledge of ICD-10-CM/PCS and CPT-4 coding systems.
  • Excellent analytical and problem-solving skills.
  • Ability to work independently and as part of a team.
  • Strong communication and interpersonal skills.
Preferred Qualifications
  • Experience in coding and compliance in a healthcare setting.
  • Knowledge of federal and state regulations related to coding and compliance.
  • Certification in coding and compliance, such as CPC or CCS.