Medical Coding Specialist
5 days ago
We are seeking a Medical Coding Specialist to contribute to our team's success. This role involves reviewing, approving, and translating medical documentation into accurate codes to ensure patient billing aligns with services provided at CoreLife's medical practices.
About the RoleThis position will involve coding based on provider documentation, contributing to reports for quality assessment, audits, and billing purposes. The candidate will also support providers in educating them on proper coding and documentation practices as needed.
Key Responsibilities:- Coding and Compliance: Review office notes and other documentation to assign appropriate diagnoses (ICD-10), procedure codes (CPT), and other necessary coding items (HCPCS) for final billing.
- Invoice Corrections: Research and process invoice corrections related to coding discrepancies.
- Coding/Billing Procedures: Analyze and review coding/billing procedures.
- Training and Feedback: Provide training and feedback to physicians and providers regarding medical coding, compliance, and reimbursement.
- Trend Analysis: Report trends and coordinate reimbursement improvement activities with management.
- Payer Policy Documentation: Create and maintain payer policy documentation as required.
- Chart Audits: Perform chart audits to ensure accuracy and compliance with coding standards.
- Confidentiality: Maintain confidentiality of all client, patient, caregiver, and team member information in accordance with HIPAA regulations.
To be successful in this role, you will need:
- Education: High School Diploma or GED.
- Experience: Minimum of 1 year as a certified coder.
- Certification: CPC (Certified Professional Coder) or similar certification is required.
- Knowledge:
- Familiarity with E/M coding is required; experience with Obesity management and nutritional management coding is a plus.
- Strong knowledge of Medicare, Commercial, and Medicaid Risk Adjustment programs.
- In-depth knowledge of Quality Concepts such as HEDIS, Medication Adherence, CAHPS, and HOS.
- Ability to navigate member benefits across multiple product lines (Commercial, Medicaid, and Medicare Advantage).
- Knowledge of medical terminology, provider reimbursement payer policies, ICD-10, HCPCS, and CPT-4 coding.
As a CoreLife teammate, you can expect:
- A competitive salary based on experience ($20 - $23 an hour)
- Medical, dental, and vision insurance
- Wide selection of ancillary benefits
- Paid time off
- 7 paid holidays
- Retirement plan
CoreLife is an Equal Opportunity Employer.
-
Clinical Coding Specialist
5 days ago
Linthicum Heights, Maryland, United States University of Maryland Medical Center Baltimore Washington Full timeThe University of Maryland Medical Center Baltimore Washington seeks a skilled Clinical Coding Specialist to join their team. In this role, you will ensure accurate and efficient coding practices in surgical settings.Key Responsibilities:Coding medical records for surgical practices using ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventionsAssigning...
-
Medical Billing Operations Manager
1 day ago
Linthicum Heights, Maryland, United States Anne Arundel Dermatology Full timeOverviewAnne Arundel Dermatology is a leading dermatology practice in the Mid-Atlantic and Southeastern states, providing exceptional care to patients and opportunities for growth to our team members.About the RoleWe are seeking a highly experienced Medical Billing Operations Manager to oversee all aspects of our billing process, ensuring accurate and timely...
-
Compliance Education and Training Specialist
5 days ago
Linthicum Heights, Maryland, United States University of Maryland Medical System Full timeJob SummaryWe are seeking a highly skilled Compliance Education and Training Specialist to join our team at the University of Maryland Medical System.This role will be responsible for coordinating education and training initiatives, reviewing existing content, and creating new content as needed. The ideal candidate will have a strong background in...
-
Medical Professional
7 days ago
Linthicum Heights, Maryland, United States DAVITA Full timeWe are seeking a highly skilled Medical Professional to join our team as a Dialysis Care Specialist at DaVita, a leading provider of kidney care services. Our mission is to provide quality service to patients, partners, and teammates, while being the Provider, Partner, and Employer of Choice.As a Dialysis Care Specialist, you will work in an outpatient...
-
Clinical Revenue Operations Specialist
4 days ago
Linthicum Heights, Maryland, United States University of Maryland Medical System Full timeAbout the RoleWe are seeking a highly skilled Clinical Revenue Operations Specialist to join our team at the University of Maryland Medical System.
-
Clinical Trial Compliance Specialist
4 days ago
Linthicum, Maryland, United States University of Maryland Medical System Full timeJob OverviewThe University of Maryland Medical System seeks a skilled Clinical Trial Compliance Specialist to ensure seamless execution of clinical trials. This role is pivotal in maintaining compliance with federal, state, and institutional regulations.Salary Range: $38.21-$45.9 per hour, commensurate with experienceKey ResponsibilitiesBilling Analysis:...
-
Cyber Security Integration Specialist
7 days ago
Linthicum Heights, Maryland, United States Leidos Full timeAt Leidos, we are seeking an experienced Cyber Security Integration Specialist to join our team near Ft. Meade, MD.This challenging role supports a complex, mission-critical program and involves the installation, integration, and test of operational equipment/software to verify compliance with system design, requirements, and standards.About the RoleThe...
-
Vascular Ultrasound Specialist
4 days ago
Linthicum Heights, Maryland, United States Life Line Screening Full timeDeliver preventative healthcare services to adults nationwide as a skilled Vascular Ultrasound Specialist with Life Line Screening. This exciting role offers opportunities for career advancement, competitive compensation, and comprehensive benefits.Estimated Annual Salary: $55,000 - $75,000Company OverviewLife Line Screening is the industry-leading...
-
Medical Imaging Specialist
1 day ago
Capitol Heights, Maryland, United States Rhino Medical Services Full timeRhino Medical Services OpportunityRhino Medical is a leading healthcare provider seeking an experienced Medical Imaging Specialist to join our team in Capitol Heights, MD.Estimated Salary: $75,000 per yearAbout the RoleWe are looking for a skilled Radiologic Technologist to perform radiological diagnostic examinations and provide exceptional patient care. As...
-
Compliance and Regulatory Affairs Specialist
5 days ago
Linthicum, Maryland, United States University of Maryland Medical System Full timeJob OverviewThe University of Maryland Medical System (UMMS) is seeking a highly skilled Compliance and Regulatory Affairs Specialist to join its team. This role will play a critical part in ensuring the medical system's compliance with federal, state, and local laws and regulations.About UsAs a leading academic teaching hospital located in downtown...
-
Senior Care Specialist
7 days ago
Linthicum Heights, Maryland, United States BAYADA Home Health Care Full timeBayada Home Health Care - A Committed Partner in Home HealthcareAt Bayada Home Health Care, we're dedicated to providing high-quality, patient-centered care that empowers individuals to live their lives to the fullest. As a Senior Care Specialist, you'll play a vital role in our mission by delivering exceptional care to seniors in the comfort of their own...
-
Home Health Care Nurse Specialist
7 days ago
Linthicum Heights, Maryland, United States BAYADA Home Health Care Full timeAbout the RoleAs a dedicated Home Health Care Nurse Specialist, you will play a vital role in delivering high-quality patient care and support to individuals in their own homes. With a strong focus on rehabilitation and skilled nursing, you will be an integral part of a multidisciplinary healthcare team that strives to provide exceptional care and...
-
Critical Care Nurse Specialist
24 hours ago
Linthicum Heights, Maryland, United States LifeBridge Health Full timeLifeBridge Health OverviewWe are a comprehensive healthcare provider in Maryland, serving over 1 million patients annually with 13,000 team members across multiple locations. Our commitment to CARE BRAVELY drives our mission to deliver exceptional patient care.Career Advancement OpportunitiesOur nursing career ladder offers opportunities for growth and...
-
Diagnostic Imaging Specialist
4 days ago
Linthicum Heights, Maryland, United States Life Line Screening Full timeLife Line Screening is the industry-leading preventive healthcare company, providing screenings to over 650,000 people every year. We leverage best-in-class service and innovative technologies to provide the most comprehensive information to every Life Line Screening customer.We're seeking a skilled Diagnostic Imaging Specialist - Vascular Technologist to...
-
Purchasing Specialist, Supply Chain Manager
4 days ago
Linthicum, Maryland, United States University of Maryland Medical System Full timeAbout University of Maryland Medical System">As a leading academic private health system, we are committed to delivering compassionate, high-quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing, and University of Maryland,...
-
Compliance Auditor
5 days ago
Linthicum, Maryland, United States University of Maryland Medical System Full timeJob OverviewWe are seeking a skilled Compliance Auditor to join our team at the University of Maryland Medical System.Responsibilities and TasksDevelop and execute audit plans for UMMS Member Organizations, ensuring compliance with federal and state program guidelines.Analyze claims data, medical records, and billing information to identify trends and areas...
-
HVAC Systems Specialist
5 days ago
Linthicum, Maryland, United States Johnson Controls Full timeJob SummaryWe are seeking an experienced HVAC systems specialist to join our team at Johnson Controls. In this role, you will work with advanced commercial and industrial equipment, providing expert service and repair to ensure facility efficiency.About the RoleThis is a bargaining unit position that requires a strong background in commercial and industrial...
-
Medical Imaging Specialist
4 days ago
Hillcrest Heights, Maryland, United States Aya Healthcare Full timeAya Healthcare is a leading healthcare staffing company with a strong presence in Washington, DC. We are currently seeking a skilled Medical Imaging Specialist to join our team.Salary: $2530/week - $2760/weekJob Description:We are looking for a detail-oriented and experienced Medical Imaging Specialist to work as a CT Tech in Washington, DC. As a key member...
-
Construction Development Project Manager
6 days ago
Linthicum Heights, Maryland, United States CPH Full timeJob OverviewCreatively collaborate with cross-functional teams to deliver exceptional construction development projects. Leverage 3+ years of experience in designing and permitting civil/land development projects in Maryland, utilizing expertise in stormwater modeling, project scheduling, and budget management.About CPHCPH is a reputable engineering and...
-
Medical Oncology Specialist
3 days ago
District Heights, Maryland, United States Chesapeake Oncology Hematology Associates Full timeChesapeake Oncology Hematology Associates is seeking a highly skilled Medical Oncology Specialist to join our team.About the RoleWe are looking for an experienced Certified Nurse Practitioner/Physician Assistant to work in our outpatient office practice. As a Medical Oncology Specialist, you will be responsible for providing high-quality patient care,...