- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... guidelines are met (eg, ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied...opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent… more
- CareFirst (Baltimore, MD)
- …use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing, and contracting rules ... and respond to inquiries from providers. + Keeps up to date on coding rules and standards. **QUALIFICATIONS:** ** Education Level:** High School Diploma or… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical ... ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied...Associates will work on EST, regardless of where the associate resides. Work hours can vary, slightly, but all… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical ... and medical codes (eg, ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues… more
- CenterWell (Annapolis, MD)
- …required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years' progressive experience in medical coding operations + Minimum of 3 years' direct experience managing or ... degree preferred. **Knowledge, Skills, and Abilities** + Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and… more
- CareFirst (Baltimore, MD)
- …work experience. **Experience:** 3 years progressive work experience in a risk adjustment, medical coding or health insurance operations within a health plan or ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate coding strategy across Medicare… more
- Highmark Health (Annapolis, MD)
- …** EDUCATION ** **Required** + None **Substitutions** + None **Preferred** + Associate degree in medical billing/ coding , health insurance, healthcare ... using skills including but not limited to Hierarchical Condition Category (HCC) Coding , medical coding , clinical terminology and anatomy/physiology, Centers… more
- Humana (Annapolis, MD)
- …for timeliness, compliance and quality. + Will be a SME (Subject Matter Expert) medical coder with in-depth experience in inpatient coding audits (MSDRG/APDRG) + ... health first** The Senior Payment Integrity Professional - Inpatient Coding Disputes on the Disputes Team consults and collaborates...starting your FIRST day of employment. Benefits include: + Medical Benefits + Dental Benefits + Vision Benefits +… more
- Humana (Annapolis, MD)
- … record review knowledge + 2 or more years of risk adjustment provider education + Familiar with coding guidelines (ie ICD-9/ICD-10) + Comprehensive knowledge of ... of our caring community and help us put health first** The Senior Coding Educator identifies opportunities to improve provider documentation and creates an … more
- Georgetown Univerisity (Washington, DC)
- …this is central to achieving our goals in support of Georgetown's mission. The Associate Director is a key member of Advancement's Data & Analytics Group (DAG). In ... Services, as well as the broader Advancement Data Strategy & Operations team, the Associate Director oversees and serves as a lead, executes, and presents on a… more
- PwC IT Services Co. (Baltimore, MD)
- …Applicable **Specialism** IFS - Internal Firm Services - Other **Management Level** Senior Associate **Job Description & Summary** At PwC, our people in software and ... contribute to root cause analysis. Participate in architecture decisions, enforce coding standards, and promote development best practices. Required Skills &… more
- SitusAMC (Annapolis, MD)
- …equivalent from four-year College or technical school or equivalent combination of education and experience + Experienced professional with 5+ years of industry ... and/or relevant experience, typically with 1+ years in an Associate level role or external equivalent. + 5+ years...work environment. + Understanding of ADO, WLS, and SQL coding a plus + Ability to work in a… more
- CGI Technologies and Solutions, Inc. (Washington, DC)
- **Passport Support Associate III** **Category:** Administration **Main location:** United States, District of Columbia, Washington **Position ID:** J1225-2230 ... clerical steps performed in a prescribed or slightly varied sequence, such as coding and filing documents in an extensive alphabetical file; simple posting to… more
- Datavant (Annapolis, MD)
- …academic medical facility. + Experience with significant level of coding quality review feedback + Experience in computerized encoding and abstracting software ... for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to… more
- Datavant (Annapolis, MD)
- …educational needs related to coding quality, compliance assessments, external payer reviews, coding education , interim coding management, and coding ... Epic, 3M and Dolbey.** You Will: + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM,...will bring to the table: + 3+ years experience coding and auditing + Associate or Bachelor's… more
- Datavant (Annapolis, MD)
- …educational needs related to coding quality, compliance assessments, external payer reviews, coding education , interim coding management, and coding ... software experience strongly encouraged to apply **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- Humana (Annapolis, MD)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid, and Medicare Advantage requirements… more
- CareFirst (Baltimore, MD)
- …of and/or recuperation of losses to CareFirst through the clinical review of medical records and claims, resulting in the savings and/or recovery of funds. ... reviews and/or post-payment investigations. **ESSENTIAL FUNCTIONS:** + Review of medical records and claims. Investigate potential fraud and over-utilization by… more