Medical Coding Specialist
1 week ago
CareFirst BlueCross BlueShield is seeking a highly skilled Medical Coding Specialist to join our Special Investigations Unit. As a key member of our team, you will utilize your expertise in risk adjustment coding, ambulatory coding, and CRC coding to ensure accurate and compliant billing and code submissions.
Key Responsibilities:
- Provide expert guidance on proper coding rules and regulations to ensure accurate and compliant billing and code submissions.
- Consult with various teams, including medical policy and colleagues, to interpret coding and documentation language and respond to inquiries from providers.
- Stay up-to-date on coding rules and standards, and apply this knowledge to ensure compliance and accuracy in billing and code submissions.
- Collaborate with the team to develop and refine effective guides and resources for providers on expected methodologies for billing and code submissions.
Requirements:
- High School Diploma or GED.
- CCS-Certified Coding Specialist or Certified Coder (CCS or CPC)-AHIMA or AAPC.
- 3 years experience in risk adjustment coding, ambulatory coding, and/or CRC coding experience in managed care; state or federal healthcare programs; or health insurance industry experience.
Preferred Qualifications:
- Bachelor's degree in a related discipline.
- Experience in medical auditing.
- Experience in training/education/presenting to large groups.
- Experience in revenue cycle management and value-based reimbursement/contracting models and methodologies.
Knowledge, Skills, and Abilities:
- Knowledge of billing practices for hospitals, physicians, and/or ancillary providers.
- Knowledge of contracting and claims processing.
- Knowledge and understanding of medical terminology to address codes and procedures.
- Excellent communication skills, both written and verbal.
- Detail-oriented with the ability to manage multiple projects simultaneously.
- Demonstrated ability to effectively analyze and present data.
- Experience in using Microsoft Office (Excel, Word, PowerPoint, etc.) and demonstrated ability to learn/adapt to computer-based tracking and data collection tools.
Salary Range: $53,928 - $107,107
Salary Range Disclaimer: The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed.
-
Medical Coding Specialist
2 months ago
Baltimore, Maryland, United States University of Maryland Medical System Full timeMedical 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...
-
Medical Coding Specialist
4 weeks ago
Baltimore, Maryland, United States Zolon Tech Solutions, Inc. Full timeJob 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...
-
Medical Coding Specialist
1 month ago
Baltimore, Maryland, United States Zolon Tech Solutions, Inc. Full timeJob 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...
-
Medical Coding Specialist
2 weeks ago
Baltimore, Maryland, United States Three Point Solutions Full timeJob 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...
-
Medical Coding Specialist
6 days ago
Baltimore, Maryland, United States TEKsystems Full timeJob 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...
-
Medical Coding Specialist
4 weeks ago
Baltimore, Maryland, United States CareFirst BlueCross BlueShield Full timeJob 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...
-
Medical Coding Specialist
1 month ago
Baltimore, Maryland, United States Medstar Full timeMedStar Health is seeking a skilled Inpatient Medical Coder to join our team. As a key member of our coding team, you will be responsible for accurately coding and abstracting inpatient acute care records using ICD-10-CM/PCS and other applicable patient classification schemes. **Key Responsibilities:** * Code and abstract inpatient acute care records with...
-
Medical Coding Specialist
1 month ago
Baltimore, Maryland, United States MedStar Health Full timeMedical Coder Job SummaryMedStar Health is seeking an experienced Inpatient Medical Coder to join our team. As a Medical Coder, you will be responsible for coding and abstracting primarily Inpatient acute care records using ICD10CM/PCS and other applicable patient classification schemes.Key Responsibilities:Coding and abstracting Inpatient acute care...
-
Medical Coding Specialist
2 weeks ago
Baltimore, Maryland, United States MedStar Health Full timeMedical Coder Job DescriptionMedStar Health is seeking a skilled Inpatient Medical Coder to join our team. As a Medical Coder, you will be responsible for accurately coding and abstracting inpatient acute care records using ICD-10-CM/PCS and other applicable patient classification schemes.Key Responsibilities:Coding and abstracting inpatient acute care...
-
Medical Coding Specialist
4 weeks ago
Baltimore, Maryland, United States MedStar Health Full timeJob SummaryMedStar Health is seeking an experienced Inpatient Medical Coder to join our team. As a key member of our coding team, you will be responsible for coding and abstracting primarily Inpatient acute care records using ICD10CM/PCS and other applicable patient classification schemes.Key ResponsibilitiesCoding and abstracting Inpatient acute care...
-
Medical Coding Specialist
1 month ago
Baltimore, Maryland, United States Medstar Full timeMedical Coder Job SummaryMedStar Health is seeking an experienced Inpatient Medical Coder to join our team. As a Medical Coder, you will be responsible for coding and abstracting primarily Inpatient acute care records using ICD10CM/PCS and other applicable patient classification schemes.Key Responsibilities:Coding and abstracting Inpatient acute care...
-
Medical Coding Specialist
4 weeks ago
Baltimore, Maryland, United States Medstar Full timeMedical Coder Job SummaryWe are seeking an experienced Medical Coder to join our team at MedStar Health. As a Medical Coder, you will be responsible for coding and abstracting inpatient acute care records using ICD10CM/PCS and other applicable patient classification schemes.Key Responsibilities:Coding and abstracting inpatient acute care recordsUsing...
-
Medical Coding Specialist
1 week ago
Baltimore, Maryland, United States Medstar Full timeMedical Coder Job SummaryWe are seeking an experienced Medical Coder to join our team at MedStar Health. As a Medical Coder, you will be responsible for coding and abstracting inpatient acute care records using ICD10CM/PCS and other applicable patient classification schemes.Key Responsibilities:Coding and abstracting inpatient acute care recordsUsing...
-
Medical Coding Specialist
6 days ago
Baltimore, Maryland, United States MedStar Health Full timeJob Summary:MedStar Health is seeking experienced Inpatient Medical Coders to join our team. As a Medical Coder, you will be responsible for coding and abstracting primarily Inpatient acute care records using ICD10CM/PCS and other applicable patient classification schemes.Key Responsibilities:Coding and abstracting Inpatient acute care recordsUsing...
-
Clinical Coding Specialist
2 weeks ago
Baltimore, Maryland, United States University of Maryland Medical System Full timeJob 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...
-
Medical Coding Specialist
1 week ago
Baltimore, Maryland, United States Three Point Solutions Full timeJob 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,...
-
Medical Coding Specialist
2 weeks ago
Baltimore, Maryland, United States CareFirst BlueCross BlueShield Full timePurpose 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...
-
Inpatient Coding Specialist
6 days ago
Baltimore, Maryland, United States University of Maryland Medical System Full timeJob 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...
-
Clinical Coding Specialist
2 weeks ago
Baltimore, Maryland, United States University of Maryland Medical System Full timeJob 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,...
-
Inpatient Coding Specialist
1 month ago
Baltimore, Maryland, United States University of Maryland Medical System Full timeJob 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...