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Medical Coder jobs at GBMC Healthcare

- 26 jobs
  • Health Information Management Specialist

    Greater Baltimore Medical Center 4.5company rating

    Medical coder job at GBMC Healthcare

    Under direct supervision, maintains a comprehensive medical record consistent with all federal, state and company policies and procedures, and performs general secretarial duties to support their assigned interdisciplinary team(s). Education: HS Diploma, GED or equivalent Experience: Experience in health care field is preferred 1 year's customer service or administrative experience; additional education beyond high school may be substituted for experience Skills: * Knowledge of medical terminology is preferred * General knowledge of office practices, procedures, and equipment; of business English, spelling, punctuation, grammar and basic arithmetic calculations * Skill in using a variety of office software applications, such as word processing, spreadsheets, presentation packages, and database applications to produce documents * Skill in understanding and following oral and written instructions and in communicating effectively both orally and in writing * Skill in accurate alphabetical and numeric filing * Able to multi-task and prioritize in a busy environment * Strong time management skills Patient & Workplace Safety: * Employee has knowledge and understanding of patient and workforce safety as it relates to job duties. Patient Population: * Demonstrates competency in the delivery of care and applies the knowledge to meet age-specific needs if applicable. Principal Duties and Responsibilities: * Generates and electronically files appropriate patient related information for the medical record consistent with company policy and regulatory requirements. * Prepares mailings to physicians and assures that all MD orders are received, signed and returned within 30 days receipt of the order. Works with staff to hand deliver these forms to physicians when necessary to meet established timelines. * Regularly runs Missing Plans of Care and Orders reports and works to obtain missing information. * Requests medical records from doctors' offices, hospitals, facilities and/or family members. Requested records may include, but are not limited to, history and physical, labs, tests, imaging, and other clinical documentation. * Prints patient care plans, medication order sheets and demographic information from the electronic medical record for patients being transferred to other facilities for treatment, (e.g. transfers to out of area facilities, patients being transferred upon request, or per policies and procedures) Responds to requests for records to facilitate treatment delivery by other related providers. * Supports and attends weekly interdisciplinary team meetings and updates EMR with interdisciplinary team documentations. * Prepares all documentation for all IDT members. Collects all documentation from clinical staff during IDT meeting and enters into the EMR. * Prepares all necessary paperwork for re-certifying patients for on-going care by the MD and Clinical Manager per regulatory guidelines. (Current guidelines require that forms be signed within 15 days of the patient's re-certification date or 2 days after said date). * Reviews documentation to ensure quality and accuracy. * Maintains IDT meeting attendance records in Homeworks. * Prepares agenda for IDT to ensure all patients are discussed within regulatory guidelines. * Conducts regulatory audits of patient charts while on service. * Reviews inactive patient medical records and closes the record within 30 days of the patient's discharge date. * Responsible for communicating with pharmacies and mailing/faxing prescriptions written during IDT to appropriate pharmacies. * Responds to record requests from outside sources and the billing department by coordinating and preparing the chart for release to the appropriate individuals for final review and mailing. * Identifies patient needs and regulatory requirements associated with their medical insurance. * Prints MTM assessment forms for review daily by the Clinical Managers. * Obtains Medical Director signature on MTM assessment forms and scans into EMR weekly. * Provides administrative support services preparing daily reports for the Clinical Manager. * Gathers data and information as directed. May use data to develop administrative and statistical reports. * Responds to phone calls, e-mails, and mailings timely. * Provides coverage for other teams as needed; assists other HIM Specialists as time permits. * Prepares for emergency events by accurately maintaining patient acuity scales in the EMR. * Attends all meetings designated by supervisor. Including, but not limited to, all staff, stand up, HIM meetings, IDT, joint clinical and town hall meetings. * Operates standard office machines and equipment such as calculators, word processors, scanners, and photocopiers. Other duties as assigned or delegated by Supervisor. * Prepares patient charts for review by Department of Appeals through Medicare after patient discharge. * Discharges patients in the EMR who have either discharged, revoked, or been transferred to another facility. * May process and respond to requests for radiology images following the HIPAA Guidelines and privacy regulations. All roles must demonstrate GBMC Values Respect I will treat everyone with courtesy. I will foster a healing environment. * Treats others with fairness, kindness, and respect for personal dignity and privacy * Listens and responds appropriately to others' needs, feelings, and capabilities Excellence I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. * Meets and/or exceeds customer expectations * Actively pursues learning and self-development * Pays attention to detail; follows through Accountability I will be professional in the way I act, look and speak. I will take ownership to solve problems. * Sets a positive, professional example for others * Takes ownership of problems and does what is needed to solve them * Appropriately plans and utilizes required resources for various job duties * Reports to work regularly and on time Teamwork I will be engaged and collaborative. I will keep people informed. * Works cooperatively and collaboratively with others for the success of the team * Addresses and resolves conflict in a positive way * Seeks out the ideas of others to reach the best solutions * Acknowledges and celebrates the contribution of others Ethical Behavior I will always act with honesty and integrity. I will protect the patient. * Demonstrates honesty, integrity and good judgment * Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers Results I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals. * Embraces change and improvement in the work environment * Continuously seeks to improve the quality of products/services * Displays flexibility in dealing with new situations or obstacles * Achieves results on time by focusing on priorities and manages time efficiently Pay Range $16.85 - $25.59 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. COVID-19 Vaccination All applicants must be fully vaccinated against Covid-19 or obtain a GBMC approved medical or religious exemption prior to starting employment at GBMC Healthcare, to include Gilchrist and GBMC Health Partners. Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
    $16.9-25.6 hourly Auto-Apply 60d+ ago
  • Inpatient Coder, Senior

    University of Maryland Medical System 4.3company rating

    Baltimore, MD jobs

    The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Job Description I. General Summary Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS 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. Analyzes, codes and abstracts 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. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Collaborates with other senior coders (and the other coding staff) with sharing coding information and providing coding advice to colleagues regarding complex cases to be coded. Qualifications III. Education and Experience High School graduate or equivalent. Formal ICD-10-CM and CPT training Associates or Bachelor's degree preferred. Minimum of three years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma and Rehab hospital or 4 years of experience with coding inpatient hospital medical records required. One of the following required: 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. Compensation: Pay Range:$30.26- $42.37 Other Compensation (if applicable): 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 ****************.
    $30.3-42.4 hourly 5d ago
  • Coding Specialist II, General/Multi-Specialty Surgery

    University of Maryland Medical System 4.3company rating

    Linthicum, MD jobs

    The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Job Description Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions Assigns specified codes to medical diagnoses with some coding of specific clinical procedures. Qualifications High School Diploma or equivalent (GED) is required Certification as a CPC or CCS-P required. Three (3) years' experience in production coding in a surgical setting or in a physician practice environment required. Outpatient professional fee revenue cycle management experience preferred Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $24.89-$34.84 Other Compensation (if applicable): Review the 2025-2026 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 ****************.
    $24.9-34.8 hourly 5d ago
  • HIM Clinical Documentation Specialist, PRN (Weekends)

    University of Maryland Medical System 4.3company rating

    Towson, MD jobs

    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. Overview Job Description Under the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program, the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding and reporting of high-quality healthcare data. The CDS is guided by the Association of Clinical Documentation Integrity Specialists (ACDIS) “Code of Ethics” and the American Health Information Management Association's (AHIMA) “Ethical Standards for Clinical Documentation Integrity Professionals” and the Official Guidelines for Coding and Reporting as approved by the Cooperating Parties. Qualifications Qualifications Education Registered Nurse (RN), Physician (MD), Physician Assistant (PA) , Certified Registered Nurse Practitioner (CRNP), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience Minimum of 2 years of experience reviewing Inpatient medical records as a Clinical Documentation Integrity Specialist, Coder/DRG Analyst with a clinical background, Care Manager, Utilization Review Specialist, or Quality Review Specialist or Strong Clinical Background Minimum of 3 years chart abstraction/chart review experience Licensures/Certifications Must obtain certification as a Certified Clinical Documentation Specialist (CCDS) via ACDIS or a Certified Documentation Integrity Practitioner (CDIP) via AHIMA within 2 years of hire or eligibility. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $38.67-$58.05 Other Compensation (if applicable): Review the 2025-2026 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 ****************.
    $38.7-58.1 hourly 5d ago
  • HIM Specialist

    University of Maryland Medical System 4.3company rating

    Largo, MD jobs

    At UM Capital Region Health, we're about to change UP everything with the opening of our new hospital in Spring 2021! Located in Largo in the heart of Prince George's County, our new state-of-the-art regional medical center (UM Capital Region Medical Center) will provide improved access to primary and ambulatory care services, and serve as a tertiary care center for critically ill patients. In addition, our new space will allow us to expand our offerings as a community partner to help improve the health status of Prince George's County residents. Job Description NOTE: The hours for this role Monday-Friday from 8am-4:30pm. Position Summary Under regular supervision of the HIM Supervisor the HIM Specialist analyzes electronic medical records to ensure they are complete and accurate ensuring the quality of health information in various systems for timely retrieval. Principal Duties: Uses of HIM EMR applications to identify and process incomplete electronic medical records. Assigns chart deficiencies for completion of specific documents to the appropriate physician according to established policies and procedures in the electronic medical record. Generates and prints reports for physicians based on required criteria in paper and electronic formats. Demonstrates thorough knowledge of the workflows in the electronic system in order to follow the flow of the medical record and to assure completion of documentation in the electronic record. Monitors and responds to physician message center box located within the electronic record system. Assists with physician suspension, generating and notifying of alert/suspension letters and other necessary written communications. Performs analysis and reanalysis of records as required and update-required system to reflect status changes to the record. Abstracts data and information electronically to complete the following functions ie: operative report monitoring, Cerbatch application monitoring, 3808 process, death and birth certificate process. Monitors dictation and transcription processes and systems Ensures charts/documents are in the correct folder in the EMR. Performs related work as assigned. Ensures charts/documents are in the correct folder in the EMR. Performs related work as assigned. Commitment to Co-Workers: Offers assistance to colleagues and other departments when needed. Takes responsibility for solving problems regardless of origin; completes assignments, and respects deadlines. Resolves conflict directly with colleagues and seeks assistance from others if the issue cannot be resolved. Refrains from criticism in public. Mindful and respectful of others' time and schedules. Attends meetings on time and communicates any absences. Provides co-workers with a status report for continuity of workflow when planning to be out of the office off the unit, or away from the department Communication Standards: Respectful, courteous and professional in all forms of communication and follows facility's service communication protocol in all interactions. Refrains from use of personal cell phone in HIM department Makes every effort to answer telephone calls within three rings, introducing himself/herself, department and title (if appropriate). Asks permission before placing the caller on hold or using the speakerphone. If caller is transferred, gives the caller the extension number of the person he or she is being transferred to. Offers further assistance to the caller upon completing the conversation. Returns email and voicemail messages promptly but no later than within one business day (24 hours). Always mindful of voice and language in public. Excellent customer assistance and relations with all customers, patients/clients and, physicians Self-Management: Reports to work appropriately groomed and in compliance with the Hospital's dress code. Wears identification badge at all times at chest level and facing outwards so identification is clearly visible. Complete all assignments within deadlines or negotiates alternative actions and time frames in order to achieve desired outcomes. Completes mandatory annual education and competency requirements. Follows UM Capital's safety, infection control and employee health standards. Demonstrates responsibility for personal growth, development and professional knowledge and competency. Adheres to all UM Capital 'sand department policies and procedures, including Code of Conduct and professional behavior standards. Does not exceed Hospital guidelines in reference to attendance, punctuality, and use of sick and unplanned absences. Provides notification of absences, lateness and vacation requests according to department guidelines. Respects length of time for lunch and break times. Reviews, signs, and adheres to UM Capital's and/or departmental confidentiality statement. Qualifications Licensure/Certification/Registration: Accredited/Registered Health Information Technician or Administrator (RHIT/RHIA) or other American Health Information Management Association (AHIMA) certifications will be considered or the ability to obtain within 6 months of appointment. Required Education/Knowledge: AA in Health Information Technology or related field; a Bachelor's degree is preferred or one year of significant experience with acute care inpatient and or outpatient health information management in lieu of an academic year, e.g., 4 or more years of acute care electronic medical record experience will be considered equivalent to a bachelor's degree. Recognizes medical record documentation required content. Skills: Detail-oriented/analytical abilities with the EMR applications, e.g., Cerner, SMS, EPIC, Meditech, Onbase,EDM/PICIS. Understanding of chart analysis and records flow and completion in a paper and in electronic formats. Ability to identify incomplete documents such as operative reports, verbal orders, history and physicals. Knowledgeable of HIM industry standards as it pertains to: Joint Commission, HIPAA,HIE/RHIO. Preferred Proficiency and knowledge with Microsoft Office Word and Excel applications, PowerPoint. Competent knowledge and working experience with Medical Terminology. Good interpersonal skills with ability to work and communicate (verbally and written) with all levelsof hospital personnel, including physicians, clinicians, and patients. Good organizational and time management skills to meet tight deadlines and shifting schedules. Understands and practices confidentiality policies and procedures. Computer literacy and possess hardware/software troubleshooting knowledge and capabilities. Standard Office Equipment knowledge of: fax machine, copy machine, computer keyboard; scanning Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $20.38- $26.00 Other Compensation (if applicable): 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 ****************.
    $20.4-26 hourly 5d ago
  • Lead Coding Specialist I (CCS, CPC, RHIT)

    Johns Hopkins Medicine 4.5company rating

    Baltimore, MD jobs

    YOU BELONG HERE What Awaits You? Career growth and development Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: ******************************** Summary: The Lead for Coding Specialist I (CS I) assists the Outpatient Coding Supervisor, Clinic and Outpatient with oversight of daily coding operations. This may include work volume and distribution, workflow evaluations and testing. This position may also include reviewing and reconciling reports, providing coding training within the Outpatient Coding Division and performing research on coding issues. In addition, the Lead CS I analyzes and interprets documentation in the patient record to accurately code and abstract data for diagnostic and clinic patient records as well as provides coverage to Emergency Department (ED) diagnosis and procedure coding (no charging) for the JHHS enterprise. The Lead Coding Specialist I will also be responsible for using revenue management software to identify and resolve coding and claim edits. Utilizing a computerized encoder and multiple databases, abstracts data from clinical documentation in the electronic health record, and assigns classification codes in accordance with Federal, State, and organizational guidelines to ensure accurate and timely billing and reporting. Queries physicians as needed to clarify documentation necessary to ensure accurate code assignment. Organizes and prioritizes work to meet goals and timelines. Maintains and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Education: High school diploma or GED required. Associates or higher degree in health information management or healthcare related field preferred. Required Licensure, Certification, On-going Training: Active approved coding credential from AAPC or AHIMA upon hire. Work Experience: Two years coding experience Salary Range: Minimum $0/hour - Maximum $0/hour. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    $39k-47k yearly est. 12d ago
  • Senior Inpatient Coder-CCS

    Johns Hopkins Medicine 4.5company rating

    Baltimore, MD jobs

    YOU BELONG HERE What Awaits You? Career growth and development Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: ******************************** Position Summary: The Coding Specialist IV, under the supervision of the Coding Supervisor, Inpatient Coding analyzes and interprets the most complex clinical electronic health documentation by physician and applicable clinical support in compliance with AHA Coding Guidelines for purposes of reporting. Accurately applies federal, state and organizational regulatory guidelines for coding and abstraction of inpatient accounts. Maintains and increases personal knowledge and education for purposes of applying the guidelines. Utilizes computerized encoder and other systems to access multiple data bases in performance of duties. Ensures accurate and timely billing and reporting. Identifies and authors physician queries as required to clarify documentation for accurate code assignment and archiving of the physician responses to the electronic health record. Organizes and prioritizes work to meet deadlines and organizational goals. Participates in organizational activities to assess the quality of information captured and reported through the coding process. Able to apply coding practices across all facilities in accordance with regulatory guidelines and which may differ between states. Education: High school diploma or GED required. Associates or higher degree in health information management or healthcare related field preferred Required Licensure, Certification, On-going Training: • Active approved coding credential from AHIMA upon hire. • Successful Completion of Pre-employment coding assessment. Work Experience: External Applicants 5 years inpatient coding experience, academic experience preferred. Internal Applicants 5 years acute hospital inpatient coding experience, academic experience preferred, and at the discretion of leadership. Salary Range: Minimum 25.73 per hour - Maximum 42.48 per hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    $39k-47k yearly est. 60d+ ago
  • Lead Coding Specialist I (CCS, CPC, RHIT)

    Johns Hopkins Medicine 4.5company rating

    Baltimore, MD jobs

    YOU BELONG HERE What Awaits You? * Career growth and development * Employee and Dependent Tuition Assistance * Diverse and collaborative working environment * Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: ******************************** Summary: The Lead for Coding Specialist I (CS I) assists the Outpatient Coding Supervisor, Clinic and Outpatient with oversight of daily coding operations. This may include work volume and distribution, workflow evaluations and testing. This position may also include reviewing and reconciling reports, providing coding training within the Outpatient Coding Division and performing research on coding issues. In addition, the Lead CS I analyzes and interprets documentation in the patient record to accurately code and abstract data for diagnostic and clinic patient records as well as provides coverage to Emergency Department (ED) diagnosis and procedure coding (no charging) for the JHHS enterprise. The Lead Coding Specialist I will also be responsible for using revenue management software to identify and resolve coding and claim edits. Utilizing a computerized encoder and multiple databases, abstracts data from clinical documentation in the electronic health record, and assigns classification codes in accordance with Federal, State, and organizational guidelines to ensure accurate and timely billing and reporting. Queries physicians as needed to clarify documentation necessary to ensure accurate code assignment. Organizes and prioritizes work to meet goals and timelines. Maintains and expands knowledge of coding and sequencing guidelines to ensure coding compliance and accuracy. Education: High school diploma or GED required. Associates or higher degree in health information management or healthcare related field preferred. Required Licensure, Certification, On-going Training: * Active approved coding credential from AAPC or AHIMA upon hire. Work Experience: * Two years coding experience Salary Range: Minimum $0/hour - Maximum $0/hour. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    $39k-47k yearly est. 17d ago
  • Inpatient Coder, Senior

    University of Maryland Medical Center Baltimore Washington 4.3company rating

    Baltimore, MD jobs

    * Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS 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. * Analyzes, codes and abstracts 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. * Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. * Collaborates with other senior coders (and the other coding staff) with sharing coding information and providing coding advice to colleagues regarding complex cases to be coded. Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Qualifications III. Education and Experience * High School graduate or equivalent. Formal ICD-10-CM and CPT training Associates or Bachelor's degree preferred. * Minimum of three years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma and Rehab hospital or 4 years of experience with coding inpatient hospital medical records required. * One of the following required: 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. Compensation: Pay Range:$30.26- $42.37 Other Compensation (if applicable): 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 ****************.
    $30.3-42.4 hourly 57d ago
  • Coding Specialist

    Johns Hopkins Medicine 4.5company rating

    Odenton, MD jobs

    YOU BELONG HERE What Awaits You? Career growth and development opportunities Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package Summary: The Certified Professional Coder is responsible for coding and billing duties within ENTAA Care, a practice pod of Johns Hopkins Regional Physicians LLC. This includes accurate coding of surgical cases, insurance claim processing, follow-up with insurance companies, resolving errors, and responding to patient inquiries. The CPC provides training for providers on compliant documentation, assists in audits, maintains confidentiality, and supports the billing department in delivering efficient and accurate services. Location: Odenton, Maryland. Hybrid work option: Eligible to work 2-3 days from home per week after successful completion of 90 days. Education / Work Experience: Minimum High school diploma or GED. Minimum two (2) years of insurance billing experience in a healthcare organization. Current CPC Certification required. Knowledge of CPT coding, ICD-10, medical terminology, and insurance billing processes. Salary Range: Minimum 25.00/hour - Maximum 30.00/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    $39k-47k yearly est. 60d+ ago
  • Outpatient Coder

    University of Maryland Medical System 4.3company rating

    Baltimore, MD jobs

    The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Job Description General Summary Under direct supervision, codes hospital Emergency Department and ancillary visit records for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10 diagnostic coding and CPT-4 procedure coding classification systems. 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. Identifies and assigns ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient visits including ED, clinic, recurring rehabilitation, recurring psychiatry and other recurring visit locations for the purpose of reimbursement, research and compliance with federal and state regulations. Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within timeframes established for each patient type. Maintains coding quality accuracy rate of 90%. Maintains productivity rate of 95%. Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details. Complies with AHIMA standards of ethical coding and coding compliance guidelines. Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager. Qualifications Education and Experience High School graduate or equivalent. Formal ICD-10-CM and CPT training required. Associates or Bachelor's degree preferred. 6 months - 1 year outpatient coding experience in a health care setting. 1-2 Years coding experience in an acute health care setting preferred. One of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC). 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. Compensation: Pay Range: $25.24-$36.59 Other Compensation (if applicable): Review the 2025-2026 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 [email protected].
    $25.2-36.6 hourly 16d ago
  • Coding Specialist II, OB/GYN

    University of Maryland Medical Center Baltimore Washington 4.3company rating

    Linthicum, MD jobs

    Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions Assigns specified codes to medical diagnoses with some coding of specific clinical procedures. Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Qualifications * High School Diploma or equivalent (GED) is required * Certification as a CPC or CCS-P required. * Three (3) years' experience in production coding in Outpatient and Inpatient OB/GYN environment required. Outpatient professional fee revenue cycle management experience preferred Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: * Pay Range: $24.89-$34.84 * Other Compensation (if applicable): * Review the 2025-2026 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 ****************.
    $24.9-34.8 hourly 23d ago
  • HIM Manager, RHIA/RHIT

    Johns Hopkins Medicine 4.5company rating

    Baltimore, MD jobs

    YOU BELONG HERE What Awaits You? Career growth and development Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: ******************************** Summary The Site Manager, HIM Operations under the leadership of the Director of HIM Operations, is responsible for providing daily operational leadership for the HIM Department in one or more hospitals. The Manager will be responsible for the following: Assessing work volumes, and ensuring the staff schedule supports turnaround time requirements, and organizational performance expectations; Set employee performance expectations, and monitor individual quality and productivity; Manage timekeeping and attendance; Perform mid-year and annual performance appraisals. This position will serve as the HIM Representative at local hospital leadership meetings, will manage Joint Commission and State Board of health surveys, and will be the functional Manager for Scanning, Release of Information (ROI), Deficiency Management and Record Integrity Audits This position requires the knowledge and experience necessary to independently support HIM Operations in a hospital environment, while operating within a complex multihospital health system, through a shared services model. The Manager is responsible for compliance with all federal and state regulations as they apply to HIM operations, as well as Joint Commission Record of Care standards. The Manager will demonstrate strong customer service and collaboration skills. The Site Manager, HIM Operations, will participate in the Enterprise Forms Management Committee, and support the goal of standardized forms across all hospitals. The Site Manager must understand the direct relationship of clinical forms, barcoding, and Document Types, to the Scanning Operation, to ensure alignment with that practice. Education: Bachelor's degree in Health Information Management preferred, or work experience equivalent to two years of HIM leadership experience, for one year of education experience, i.e. 8 years. Required Licensure Certification, etc. RHIT Credential required. RHIA Credential preferred. Track 1: RHIA credential, with three years of progressive HIM experience. Track 2: RHIT credential, with five years of progressive HIM experience. Work Experience: HIM Department Director experience in a hospital preferred, with the ability to independently manage Joint Commission and State Board of Health surveys, and represent HIM in local leadership meetings. Must demonstrate team-building experience, and process improvement concepts, to positively influence the work environment. Salary Range: Minimum 37.87/hour - Maximum 66.28/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    $66k-91k yearly est. 22d ago
  • HIM Manager, RHIA/RHIT

    Johns Hopkins Medicine 4.5company rating

    Baltimore, MD jobs

    YOU BELONG HERE What Awaits You? * Career growth and development * Employee and Dependent Tuition Assistance * Diverse and collaborative working environment * Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: ******************************** Summary The Site Manager, HIM Operations under the leadership of the Director of HIM Operations, is responsible for providing daily operational leadership for the HIM Department in one or more hospitals. The Manager will be responsible for the following: Assessing work volumes, and ensuring the staff schedule supports turnaround time requirements, and organizational performance expectations; Set employee performance expectations, and monitor individual quality and productivity; Manage timekeeping and attendance; Perform mid-year and annual performance appraisals. This position will serve as the HIM Representative at local hospital leadership meetings, will manage Joint Commission and State Board of health surveys, and will be the functional Manager for Scanning, Release of Information (ROI), Deficiency Management and Record Integrity Audits This position requires the knowledge and experience necessary to independently support HIM Operations in a hospital environment, while operating within a complex multihospital health system, through a shared services model. The Manager is responsible for compliance with all federal and state regulations as they apply to HIM operations, as well as Joint Commission Record of Care standards. The Manager will demonstrate strong customer service and collaboration skills. The Site Manager, HIM Operations, will participate in the Enterprise Forms Management Committee, and support the goal of standardized forms across all hospitals. The Site Manager must understand the direct relationship of clinical forms, barcoding, and Document Types, to the Scanning Operation, to ensure alignment with that practice. Education: Bachelor's degree in Health Information Management preferred, or work experience equivalent to two years of HIM leadership experience, for one year of education experience, i.e. 8 years. Required Licensure Certification, etc. RHIT Credential required. RHIA Credential preferred. Track 1: RHIA credential, with three years of progressive HIM experience. Track 2: RHIT credential, with five years of progressive HIM experience. Work Experience: HIM Department Director experience in a hospital preferred, with the ability to independently manage Joint Commission and State Board of Health surveys, and represent HIM in local leadership meetings. Must demonstrate team-building experience, and process improvement concepts, to positively influence the work environment. Salary Range: Minimum 37.87/hour - Maximum 66.28/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    $66k-91k yearly est. 27d ago
  • Release of Information Specialist I

    Johns Hopkins Medicine 4.5company rating

    Baltimore, MD jobs

    YOU BELONG HERE What Awaits You? * Career growth and development * Employee and Dependent Tuition Assistance * Diverse and collaborative working environment * Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: ******************************** Summary: The Release of Information (ROI) Specialist I, under the leadership of the ROI Supervisor, is responsible for performing basic ROI functions. This includes fulfilling basic medical record requests requiring minimal electronic documents while adhering to HIPAA privacy policies. The ROI Specialist I will greet all internal and external customers upon their arrival in the ROI Area including, but not limited to, patient's, attorneys, providers and other hospital employees. The ROI Specialist I will answer all phone calls promptly and provide the caller with the appropriate information including the process for obtaining medical records and the required elements to be included in the request. The ROI Specialist I will ensure all voice mail messages are retrieved and appropriate responses are provided. The ROI Specialist I is responsible for the for the appropriate distribution of all incoming requests for medical records received via paper, fax or electronic fax . The ROI Specialist I will apply controls to accurately identify the correct patient, using all available patient identifiers in the electronic Master Patient Index. The ROI Specialist I is responsible for limiting copies of clinical documentation, based on the specifics of the request, in compliance with the Minimum Necessary Rule in the HIPAA Regulations. The ROI Specialist will safeguard and protect patient privacy by identifying protected health information, ensuring only authorized individuals are granted access to the information, and will abide with all relevant hospital policies, applicable state and 21st Century Cures Act, , and HIPAA regulations Education: High School or equivalent. Work Experience: One year of experience in a customer service environment preferred. Salary Range: Minimum 16.40/hour - Maximum 27.09/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority. JHM prioritizes the health and well-being of every employee. Come be healthy at Hopkins! Diversity and Inclusion are Johns Hopkins Medicine Core Values. We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. Johns Hopkins Health System and its affiliates are drug-free workplace employers.
    $39k-70k yearly est. 3d ago
  • HIM Clinical Documentation Specialist

    University of Maryland Medical System 4.3company rating

    Baltimore, MD jobs

    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 Overview Under the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program, the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding and reporting of high-quality healthcare data. The CDS is guided by the Association of Clinical Documentation Integrity Specialists (ACDIS) “Code of Ethics” and the American Health Information Management Association's (AHIMA) “Ethical Standards for Clinical Documentation Integrity Professionals” and the Official Guidelines for Coding and Reporting as approved by the Cooperating Parties. Qualifications Qualifications Education · Registered Nurse (RN), Physician (MD), Physician Assistant (PA) , Certified Registered Nurse Practitioner (CRNP), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience · Licensures/Certifications · Must obtain certification as a Certified Clinical Documentation Specialist (CCDS) via ACDIS or a Certified Documentation Integrity Practitioner (CDIP) via AHIMA within 2 years of hire or eligibility. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $38.67-$58.05 Other Compensation (if applicable): Review the 2025-2026 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 [email protected].
    $38.7-58.1 hourly 1d ago
  • HIM Clinical Documentation Specialist, PRN (Weekends)

    University of Maryland Medical System 4.3company rating

    Towson, MD jobs

    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 Overview Under the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program, the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding and reporting of high-quality healthcare data. The CDS is guided by the Association of Clinical Documentation Integrity Specialists (ACDIS) “Code of Ethics” and the American Health Information Management Association's (AHIMA) “Ethical Standards for Clinical Documentation Integrity Professionals” and the Official Guidelines for Coding and Reporting as approved by the Cooperating Parties. Qualifications Qualifications Education · Registered Nurse (RN), Physician (MD), Physician Assistant (PA) , Certified Registered Nurse Practitioner (CRNP), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience · Minimum of 2 years of experience reviewing Inpatient medical records as a Clinical Documentation Integrity Specialist, Coder/DRG Analyst with a clinical background, Care Manager, Utilization Review Specialist, or Quality Review Specialist or Strong Clinical Background Minimum of 3 years chart abstraction/chart review experience Licensures/Certifications · Must obtain certification as a Certified Clinical Documentation Specialist (CCDS) via ACDIS or a Certified Documentation Integrity Practitioner (CDIP) via AHIMA within 2 years of hire or eligibility. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $38.67-$58.05 Other Compensation (if applicable): Review the 2025-2026 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 ****************.
    $38.7-58.1 hourly 28d ago
  • HIM Clinical Documentation Specialist, PRN (Weekends)

    University of Maryland Medical System 4.3company rating

    Towson, MD jobs

    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 Overview Under the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program, the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding and reporting of high-quality healthcare data. The CDS is guided by the Association of Clinical Documentation Integrity Specialists (ACDIS) “Code of Ethics” and the American Health Information Management Association's (AHIMA) “Ethical Standards for Clinical Documentation Integrity Professionals” and the Official Guidelines for Coding and Reporting as approved by the Cooperating Parties. Qualifications Qualifications Education · Registered Nurse (RN), Physician (MD), Physician Assistant (PA) , Certified Registered Nurse Practitioner (CRNP), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience · Minimum of 2 years of experience reviewing Inpatient medical records as a Clinical Documentation Integrity Specialist, Coder/DRG Analyst with a clinical background, Care Manager, Utilization Review Specialist, or Quality Review Specialist or Strong Clinical Background Minimum of 3 years chart abstraction/chart review experience Licensures/Certifications · Must obtain certification as a Certified Clinical Documentation Specialist (CCDS) via ACDIS or a Certified Documentation Integrity Practitioner (CDIP) via AHIMA within 2 years of hire or eligibility. Additional Information All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $38.67-$58.05 Other Compensation (if applicable): Review the 2025-2026 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 [email protected].
    $38.7-58.1 hourly 27d ago
  • HIM Document Imaging Technician

    University of Maryland Medical System 4.3company rating

    Baltimore, MD jobs

    The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state's future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System's anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit ************* Job Description Overview Responsible for timely retrieval and processing of appropriate patient charts from patient care areas. Prepares charts for scanning and indexing. Performs quality review to ensure that all patient records and loose documents are scanned with the highest level of quality possible. Performs activities associated with the completion, registration, and timely filing of death certifications in accordance with state regulations. Acts in the capacity of other non-professional positions within the department when needed. Qualifications Principal Responsibilities and Tasks The following statements 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. Performs chart preparation and scanning functions as outlined in the HIM Prep/Scan Guidelines. Review images scanned for accuracy after initial scanning. Identifies documents that are of poor quality and rescans them as necessary. Ensures that all scanned documents are positioned correctly and adjust those that are not correct. Performs indexing process with accuracy by ensuring documents are indexed to the correct patient contact serial number (CSN), and correct document location within the EMR. Assign each document to the correct document type and verify that bar-coded documents are correctly indexed. Identifies when it is appropriate to split and merge documents. Performs the splits and merges correctly. Appends and inserts pages/documents when and where appropriate, and according to UMMS indexing guidelines. Reviews assigned electronic work lists daily and ensures timely processing of all work items on work lists. Validate completion and submit death certificates in accordance with state regulations. When needed, facilitate the completion of the death certificate by the appropriate physician. Communicate with funeral homes and coordinate the release of remains. Perform technical processing tasks to include Release of Information coverage. Maintains expected productivity and quality standards. Completes and submits productivity reports on a weekly basis. Communicate any issues/concerns to the Team Leader or appropriate up-line timely and with clear detail. Assists in training new staff. Qualifications Education and Experience High school graduate or equivalent required. Preferred One year of previous experience in hospital medical record department or similar medical office setting with additional experience in quality analysis or similar position. Two years performing document imaging in a hospital medical record department preferred. Additional Information Knowledge, Skills and Abilities Strong leadership, 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; familiar with dictation/transcription systems; familiar with state requirement regarding birth certificate processing. All your information will be kept confidential according to EEO guidelines. Compensation: Pay Range: $17-$22.47 Other Compensation (if applicable): Review the 2025-2026 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 [email protected].
    $17-22.5 hourly 15d ago
  • Surgical Coordinator

    Greater Baltimore Medical Center 4.5company rating

    Medical coder job at GBMC Healthcare

    Under general supervision, performs complex computer operation duties involving the scheduling of operating room and related equipment, and the posting of patients for operative procedures Education: High School Medical terminology course training or relevant experience in the field. Licensures/Certifications: N/A Experience: 2 years' prior experience in hospital setting, previous surgical scheduling experience preferred Skills: * Interpersonal skills required in order to effectively and cordially interact with physicians, patients and other hospital personnel * Analytical skills necessary to prioritize requests according to established procedures often under pressure and with frequent interruptions Principal Duties and Responsibilities: * Reserves all operating rooms; schedules related equipment and posts patients for all operative procedures, inpatient and outpatient * Cancels scheduled cases in a timely manner * Notifies affected individuals of all changes in surgery such as date, time or cancellations * Prepares and assures the reproduction of master operating room. Collates OR schedules and delivers copies to designated hospital areas * Maintains files of necessary records, such as requests pertaining to admission and/or surgery. Maintains filing system on each patient posted for admission or surgery * Informs physicians' representatives and secretaries of allied hospital services and pertinent related information; i.e., compliance and insurance requirements. Informs secretaries of prerequisites needed to ensure smooth flow of admission of patient * Seeks assistance from managers when unable to accommodate requests from physician offices and/or operating room Charge Nurse/Managers * May input patient charges within the designated bill drop day If in GBMC Perinatal Associates Department (578), will also: * Contact insurance companies and obtain surgical authorizations as needed. Obtain referrals for surgical procedures from PCPs if needed. Obtain all pre-testing results on patients and forward to Pre-Admissions Testing Department in the requested timeframe. All roles must demonstrate GBMC Values: Respect I will treat everyone with courtesy. I will foster a healing environment. * Treats others with fairness, kindness, and respect for personal dignity and privacy * Listens and responds appropriately to others' needs, feelings, and capabilities Excellence I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. * Meets and/or exceeds customer expectations * Actively pursues learning and self-development * Pays attention to detail; follows through Accountability I will be professional in the way I act, look and speak. I will take ownership to solve problems. * Sets a positive, professional example for others * Takes ownership of problems and does what is needed to solve them * Appropriately plans and utilizes required resources for various job duties * Reports to work regularly and on time Teamwork I will be engaged and collaborative. I will keep people informed. * Works cooperatively and collaboratively with others for the success of the team * Addresses and resolves conflict in a positive way * Seeks out the ideas of others to reach the best solutions * Acknowledges and celebrates the contribution of others Ethical Behavior I will always act with honesty and integrity. I will protect the patient. * Demonstrates honesty, integrity and good judgment * Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers Results I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals. * Embraces change and improvement in the work environment * Continuously seeks to improve the quality of products/services * Displays flexibility in dealing with new situations or obstacles * Achieves results on time by focusing on priorities and manages time efficiently Pay Range $16.79 - $24.37 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. Equal Employment Opportunity Gilchrist Inova and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
    $16.8-24.4 hourly Auto-Apply 13d ago

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