- Elevance Health (Hanover, MD)
- Medical Coding Education Associate Sr (Hospital / Professional Claims) **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per ... considered for employment, unless an accommodation is granted as required by law._ The ** Medical Coding Education Associate S** r is responsible for the… more
- Elevance Health (Hanover, MD)
- Medical Coding Education Associate (JR176657) **Hybrid 1** : This role requires associates to be in-office **1 - 2** days per week, fostering ... employment, unless an accommodation is granted as required by law._ The ** Medical Coding Education Associate ** is responsible for comprehensive analysis… 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 ... 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)
- …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
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor reviews a variety of medical records and to ... procedural terminology and medical codes (eg, ICD-10-CM, CPT.) The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex… 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
- 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
- Sedgwick (Annapolis, MD)
- …Best Workplaces in Financial Services & Insurance Workers Compensation Claims Associate **PRIMARY PURPOSE** : To analyze reported lower-level workers compensation ... and industry best practices. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Adjusts medical -only claims and minor lost-time workers compensation claims under close… 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
- 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
- Harford Community College (Bel Air, MD)
- …calendar year._ **Required Education ** Candidates must have a certification as a medical assistant. A minimum of an associate 's degree is highly preferred. ... courses, candidates must have a minimum of two years of experience in medical billing and coding , including EHR. **Required Knowledge, Skills, & Abilities**… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… 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