- Ascension Health (Halethorpe, MD)
- …Perform periodic and ongoing audits of claims to ensure accuracy of coding and billing, and sufficiency of supporting documentation. + Audit specified number ... of records per coder as defined in the system coding audit plan. + Prepare audit reports that are...+ Develop corrective action plans to address opportunities for coding , billing and documentation improvement. + Identify trends and… more
- Johns Hopkins University (Baltimore, MD)
- …other clinical information systems. + Seven years of experience. + Additional coding certifications. Classified Title: Sr. Billing Compliance Auditor Job Posting ... We are seeking a **Sr. Compliance Auditor ** **Trainer** who will provide on-going training and...analysis techniques, determines the adequacy of medical records documentation, coding and billing for all providers across all clinical… more
- Elevance Health (Hanover, MD)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Elevance Health (Hanover, MD)
- **Clinical Provider Auditor I** **Supports Payment Integrity & Behavioral Health** _Lo_ _cation: This is a field position expected to be in clinic 60% of the time ... and insightful analytics to improve the delivery of care. The **Clinical Provider Auditor I** is responsible for identifying issues and/or entities that may pose… more
- Johns Hopkins University (Middle River, MD)
- …Professional Coding (CPC) certification required, with additional certification as Auditor (CPMA), Approved Instructor or other specialty (CANPC, CEMC, CIC, COC) ... Assist the Sr. PUM with problem-solving issues and concerns that will impact the coding workflow of the department. + Responsible for answering coding denials,… more
- TEKsystems (Towson, MD)
- …the Baltimore area! + MUST HAVE: 1-2+ years related experience in a Medical Coding role + Must have outpatient coding experience + Auditing experience preferred ... the patient and assigns ICD-10CM/PCS codes to those diagnoses/procedures for outpatient coding . Tasks: * Reviews the entire medical record for codeable information.… more
- TEKsystems (Baltimore, MD)
- …the patient and assigns ICD-10CM/PCS codes to those diagnoses/procedures for outpatient coding . Tasks: + Review the entire medical record for codable information. + ... appropriate and adheres to the query policy. Follows up on queries and updates coding and the query as appropriate and promptly. + Assign the appropriate APR/DRG. +… more
- DCCA (Columbia, MD)
- …organizational goals and risk tolerance. . (DESIRED) Develop and maintain secure coding standards, security checkpoints, and automated security controls that can be ... Security Manager (CISM) required. . (DESIRED) Certified Information Systems Auditor (CISA) desired. Education Requirements: (REQUIRED) Computer Science degree or… more