Talent.com
CODING COMPLIANCE AUDITOR
CODING COMPLIANCE AUDITORUniversity of Maryland Medical System • Baltimore, Maryland
CODING COMPLIANCE AUDITOR

CODING COMPLIANCE AUDITOR

University of Maryland Medical System • Baltimore, Maryland
[job_card.30_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Description

I. General Summary

  • Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM / PCS coding and / or CPT-4 procedure coding classification systems.

II. Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

  • Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
  • Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research and compliance with federal and state regulations.
  • Audits complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG / SOI / ROM and POA assignment.

    • Company Description

    The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women's and children's health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you'll enjoy as a member of our team.

    Qualifications

    III. Education and Experience

  • High School graduate or equivalent. Formal ICD-10-CM, ICD-10-PCS, CPT-4 training. Associates or Bachelor's degree. Education will be considered in lieu of experience.
  • Minimum of two years ICD-10-CM / ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma hospital or 4 years of experience with coding inpatient hospital medical records. 2-3 Years Ambulatory coding experience.
  • One of the following : Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC)

    • IV. Knowledge, Skills and Abilities

  • Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability.

    • Additional Information

    All your information will be kept confidential according to EEO guidelines.

    [job_alerts.create_a_job]

    CODING COMPLIANCE AUDITOR • Baltimore, Maryland

    [internal_linking.similar_jobs]
    Night Auditor

    Night Auditor

    OTO Development • Baltimore, Maryland, United States, 21202
    [job_card.full_time]
    [filters_job_card.quick_apply]
    We are pleased to announce a wonderful opportunity for a.What will you be doing most days?.Execute guest reservation, check-in, check-out, payment, and service procedures in compliance with brand q...[show_more]
    [last_updated.last_updated_variable_days]
    Accounting Clerk (Towson, MD)

    Accounting Clerk (Towson, MD)

    Swift Staffing • Towson, Maryland, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Accounting Clerk needed for our education client in Towson, MD.The Accounting Clerk will process invoices, resolve discrepancies and make ledger / journal entries. One year contract position with poss...[show_more]
    [last_updated.last_updated_30]
    Loss Mitigation Underwriter, II

    Loss Mitigation Underwriter, II

    Carrington • Owings Mills, MD, United States
    [job_card.full_time]
    Come join our amazing team and work remote from home!.The Loss Mitigation Underwriter II will be responsible for underwriting loss mitigation applications in accordance with Treasury, Company and I...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Coding Specialist II (Oncology)

    Coding Specialist II (Oncology)

    Johns Hopkins University • Baltimore, Maryland, United States
    [job_card.full_time]
    Works closely with department management and coordinates with Clinical Practice Association and Office of Billing Quality Assurance to include review of documentation. Coordinates multi-faceted clin...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Inpatient Facility Auditor

    Inpatient Facility Auditor

    iMedX, a Rapid Care Group company • Edgewater, MD, US
    [job_card.full_time] +1
    [filters_job_card.quick_apply]
    MedX is looking for an Inpatient Facility Coding Auditor.This position requires proficiency in DRG-based auditing and a minimum of 5 years experience. at least 3 years inpatient production cod...[show_more]
    [last_updated.last_updated_30]
    Contracts and Compliance Manager

    Contracts and Compliance Manager

    J29, Inc • Millersville, MD, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Contracts & Compliance Manager Location : Hybrid.Minimum of two days, per calendar month, in J29’s office.This position will require travel to client offices, meeting locations, and other...[show_more]
    [last_updated.last_updated_variable_days]
    PT Associate Asset Protection - Security

    PT Associate Asset Protection - Security

    Giant Food • Glen Burnie, MD, United States
    [job_card.full_time]
    USA-MD-Pasadena-4315 Mountain Road.Born in the DMV, we've been here for over 88 years and counting.From our first store on Georgia Avenue to becoming the #1 grocer in the Baltimore-Washington area,...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Accounting Clerk Lead

    Accounting Clerk Lead

    The H and S Family of Bakeries • Baltimore, Maryland, United States, 21202
    [job_card.full_time]
    From humble beginnings, one small bakery in Baltimore has grown to become a staple in our community.Kneads combines H&S's history with the new age of artisan craft, creating a one-of-a-kind brand a...[show_more]
    [last_updated.last_updated_variable_days]
    PT Risk Management & Underwriting Intern

    PT Risk Management & Underwriting Intern

    Maryland Auto Insurance • Baltimore, MD, United States
    [job_card.part_time]
    PT Risk Management & Underwriting Intern.Maryland Auto Insurance seeks candidates to fill a part-time, contractual role in our Internship Program within the Underwriting Department.This is a part-t...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Biller

    Medical Biller

    Virtuous Wellness Center • Arnold, Maryland, United States
    [job_card.part_time]
    [filters_job_card.quick_apply]
    Join a team that values excellence, integrity, and compassion in patient care.At Virtuous Wellness, we’re looking for a detail-oriented and dedicated Medical Biller to ensure accurate and timely pr...[show_more]
    [last_updated.last_updated_30]
    Collection Manager All Levels with Security Clearance

    Collection Manager All Levels with Security Clearance

    Markesman Group • Fort Meade, MD, United States
    [job_card.full_time]
    Title Collection Manager All Levels Location Fort Meade Description Markesman Group is seeking Collection Manager - All Levels to join our team of qualified and diverse individuals.The qualified ap...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Home Inspector (Salary $50-$85k)

    Home Inspector (Salary $50-$85k)

    House Buyers • Glenn Dale, MD, United States
    [job_card.full_time]
    The Home Inspector is responsible for performing due diligence inspections on any properties acquired by House Buyers of America. Inspectors will also assist with construction and settlement tasks t...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Billing Supervisor

    Senior Billing Supervisor

    CGS Federal (Contact Government Services) • Baltimore, MD, United States
    [job_card.full_time]
    Employment Type : Full-Time, Mid-Level; Department : Financial.CGS is seeking a Senior Billing Specialist to join our team supporting our mission. This position will entail a wide range of duties incl...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Accounting Team Lead

    Accounting Team Lead

    Aston Carter • Baltimore, Maryland, US
    [job_card.full_time]
    Job Description Job Description Job Title : Accounting Team Lead Job Description As an Accounting Team Lead, you will oversee the administration and management of the company's global equity and o...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Accounting Clerk

    Accounting Clerk

    TradeJobsWorkforce • 21215 Baltimore, MD, US
    [job_card.full_time]
    Accounting Clerk Job Responsibilities : Supports accounting operations by filing documents, reconciling statements, and running software programs.Maintains account...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Service Billing Coordinator

    Service Billing Coordinator

    Peak Technologies • Linthicum Heights, Maryland, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    On-site in Linthicum, MD or Miami, FL.Will work in close partnership with our Field Service Team, Finance Team, Sales Administration, and Accounting Team to provide thorough oversight and administr...[show_more]
    [last_updated.last_updated_30]
    Accounting Clerk II / Cashier

    Accounting Clerk II / Cashier

    InsideHigherEd • Bowie, Maryland, United States
    [job_card.full_time]
    JR101168 Accounting Clerk II / Cashier (Open).Under general supervision, performs moderately complex accounting clerical or bookeeping tasks to support accounts payable / receivable, payroll, timekeepi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Premium Auditor

    Premium Auditor

    Davies Risk Services • Baltimore, MD, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Join Davies Risk Services as a Premium Auditor — No Experience Required!.Are you a self-starter who thrives on independence, loves working with numbers, and enjoys meeting new people?.Do you ...[show_more]
    [last_updated.last_updated_30]