Coding Compliance Auditor, OutpatientUniversity of Maryland Medical System • Baltimore, MD, US
Coding Compliance Auditor, Outpatient
University of Maryland Medical System • Baltimore, MD, US
[job_card.30_days_ago]
[job_preview.job_type]
- [job_card.full_time]
[job_card.job_description]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. 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) 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.
Job Description
Job Description
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.
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.
Qualifications
III. Education and Experience
IV. Knowledge, Skills and Abilities
Additional Information
All your information will be kept confidential according to EEO guidelines.
Compensation :
Pay Range : $36.61-$45.71
Other Compensation (if applicable) : N / A
Review the 2024-2025 UMMS Benefits Guide
Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud, please contact us at careers@umms.edu.
[job_alerts.create_a_job]
Coding Compliance Auditor • Baltimore, MD, US
[internal_linking.similar_jobs]
Earn big and work on your own time and terms as a Grubhub delivery partner! Grubhub is looking for drivers and bikers like you to hit the road quick and start delivering from restaurants, liquor st...[show_more]
Aggtrans &The Stone Store; immediate opening for full-time Billing Specialist.Basic math, bookkeeping and accounting skills.
Must have 2 years of billing experience and knowledge of accounts rec...[show_more])
Under direct supervision, performs all billing and collection functions on account balances within assigned financial classes.
Ensures timely submission of all claims and timely follow up.Perform el...[show_more]
Position Summary The Coding Compliance Specialist is responsible for overseeing and evaluating assigned Risk Adjustment Data Validation (RADV) medical record review (...[show_more]
A company is looking for an Autonomous Coding Implementation Analyst and Auditor.Key Responsibilities Support and monitor the implementation, accuracy, and optimization of the autonomous coding s...[show_more]
We are seeking a Coding Specialist II.Federal payer documentation guidelines.Works closely with departmental management and coordinates with the Clinical Practice Association, Office of Billing Qua...[show_more]
Federal payer documentation guidelines.Works closely with departmental management and coordinates with the Clinical Practice Association, Office of Billing Quality Assurance to include review of do...[show_more]
Must have 2+ years of experience.This contract pays approximately $11,879 / month gross.Guaranteed Pay : Never worry about canceled shifts.
Premium Overtime : 2x hourly rate for overtime on travel assig...[show_more]
Earn big and work on your own time and terms as a Grubhub delivery partner! Grubhub is looking for drivers and bikers like you to hit the road quick and start delivering from restaurants, liquor st...[show_more]
We have immediate openings for part-time Certified Medical Coder's with strong experience in multi-specialty outpatient facility and inpatient / outpatient pro fee coding.
Ideal candidates will have e...[show_more]
At Stout, we're dedicated to exceeding expectations in all we do - we call it Relentless Excellence.Both our client service and culture are second to none, stemming from our firmwide embrace of our...[show_more]
Job Address : 9299 Market Place Broadview Heights, OH 44147.Job Type : Full-Time Remote Pharmacies : West Virginia, Ohio, Indiana and Maryland.
Position Overview : Manage the day to day operation of t...[show_more]
Dual Modality Rad Tech (CT / Xray Tech).Fulltime Dayshift and 2 Fulltime Nightshift Openings.OT rate) + $1,246 nontaxable stipends = $3,598 gross on 48 hours.
The purpose of this position is to perfor...[show_more]
Locum Infectious Disease NP / PA Job in Maryland Urgently seeking a Nurse Practitioner or Physician Assistant for a locum Infectious Disease job near Baltimore, MD.
Find out more about the daily tasks...[show_more]
Cryptologic Computer Scientist.National Security Sector's (NSS) Cyber & Analytics Business Area (CABA).Our talented team is at the forefront in Security Engineering, Computer Network Operations (CN...[show_more]
Title : Senior Information Assurance (IA) Analyst.Certification required by project : IAT Level 2.Examine internal IT controls, evaluate the design and operational effectiveness, determine exposure t...[show_more]
The hiring range for this role is : .This is the lowest to highest salary we.A candidate's position within the.Note : No amount of pay is considered to be wages or compensation until such amount is ea...[show_more]
Compliance Officer - Brokerage - Securities Admin.Bowie, Maryland, United States.The employee is split between remote and office work on a formalized schedule.
Consideration for location will be Bow...[show_more]
Grubhub Driver - Baltimore (Towson-Hampton), MD - Fast Cash, Flexible Work!
Grubhub • Phoenix, MD, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Billing Specialist
AGGTRANS & The Stone Store • Hanover, MD, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Billing Specialist I
Greater Baltimore Medical Center (GBMC) • Hunt Valley, MD, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Coding Compliance Specialist
J29, Inc • Millersville, MD, US
[job_card.part_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_variable_days]
Certified Coding Auditor
VirtualVocations • Baltimore, Maryland, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Coding Specialist II
InsideHigherEd • Baltimore, Maryland, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Coding Specialist II
Johns Hopkins University • Baltimore, MD, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Travel Ultrasound Tech Job in New Freedom, PA - $11,879 per Month (2 Years Experience Needed)
Vetted Health • New Freedom, PA, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Grubhub Driver - Baltimore (Towson-Hampton), MD - Fast Cash, Flexible Work!
GrubHub • Phoenix, Maryland, US
[job_card.permanent]
[last_updated.last_updated_variable_days] • [promoted]
Multi-Specialty Surgery Coding Specialist
iMedX, a Rapid Care Group company • Edgewater, MD, US
[job_card.part_time]
[filters_job_card.quick_apply]
[last_updated.last_updated_30]
Analyst, Healthcare Medical Coding - Disputes, Claims & Investigations
Stout • Baltimore, Maryland, United States
[job_card.full_time]
[last_updated.last_updated_1_day] • [promoted]
Pharmacy Billing Manager
CommuniCare Corporate • Linthicum Heights, MD, US
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
CT Technologist Contract
Bluebird Staffing • New Freedom, PA, US
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted] • [new]
Locums / NP-PA / Job / Maryland
Hayman Daugherty Associates • Maryland Line, Maryland, US
[job_card.full_time]
[last_updated.last_updated_variable_hours] • [promoted]
Cryptologic Computer Scientist-2
Leidos Inc • Odenton, MD, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Information Assurance (IA) Analyst
CompQsoft • Fort George G Meade, MD, United States
[job_card.full_time]
[last_updated.last_updated_variable_days] • [promoted]
Sr Director Rebate Invoice and Audit - Synergie Medication Collective
Blue Cross Blue Shield Association • Baltimore, MD, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]
Compliance Officer - Brokerage - Securities Admin - Bowie, MD
WesBanco Bank Inc. • Bowie, MD, United States
[job_card.full_time]
[last_updated.last_updated_30] • [promoted]