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Medical Coder jobs in Bethesda, MD

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Medical Coder
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  • Medical Coder

    Ntech Workforce

    Medical Coder job 7 miles from Bethesda

    Terms of Employment: • W2, Contract • 3 Months with possible extension • Predominantly remote. There will be occasional onsite visits to our client's office in either: Canton, MD, Washington D.C., Owings Mills, MD or Columbia, MD. Candidates must reside within the Maryland, DC, Virginia or Delaware area. Overview & Responsibilities Join our client's Special Investigations Unit (SIU) as a Medical Coder, leveraging your medical coding expertise to combat fraud, waste, and abuse in healthcare claims. This vital role involves the prepayment review of medical records to ensure accurate billing per industry standards and internal policies. You will be instrumental in clearing a significant backlog of claims and contributing to the integrity of the claims process. This is an excellent opportunity for a certified medical coder seeking a high-impact role with potential for long-term employment. Key responsibilities include: • Review medical records and claims for fraudulent indicators and coding accuracy. • Determine if claims are accurately billed per industry standards (e.g., AMA guidance, AAPC guidance) and internal payment/medical policies. • Render determinations on claims, which may include denying or paying them based on review findings. • Utilize coding software (e.g., Codify, Optum Encoder Pro) or CPT manuals to aid in code review and ensure all required components of office visits are met. • Manage a high volume of claim reviews, contributing to the reduction of a significant backlog. Required Qualifications: • High School Diploma or GED. • Active and validated Certified Professional Coder (CPC) certification or equivalent accreditation (e.g., CPMA, COC, or AHIMA accreditation) without Apprentice tag. • 3 years of experience in risk adjustment coding, ambulatory coding, and/or CRC coding experience in managed care, state or federal healthcare programs, or the health insurance industry. • Experience in physician coding, specifically reviewing office visits and services rendered in a physician's office. • Proficiency in reviewing medical records and claims for coding accuracy. • Detail oriented. Preferred Qualifications: • Experience using coding software such as Codify (AAPC) or Optum Encoder Pro.
    $44k-68k yearly est. 9d ago
  • Records Management Specialist

    Aetos 4.2company rating

    Medical Coder job 7 miles from Bethesda

    AETOS LLC is a Minority Owned CVE Certified Service Disabled Veteran Owned Small Business (SDVOSB) providing information technology solutions focused on building a business that is customer-centered and performance-oriented. At Aetos, we specialize in developing IT solutions to optimize functionality and efficiencies for government and commercial clients to meet their business needs. Job Description Records Management Position Requirements: The candidate will be responsible for maintaining and enhancing an established compliant Records Management System (RMS) in M365 SharePoint environment. The candidate must be knowledgeable of the capabilities inherent to an M365 platform, to include Purview, that apply to creating a compliant records management environment. Candidate must have knowledge of the following : Metadata and how to effectively apply this in SharePoint The creation and management of a taxonomy of Record Series Codes (RSC) Security access controls The organization of Case Files The application of records retention rules and disposition policies. Candidate must be able to design and implement the configuration of the RMS in regard to how records are ingested and how security controls will be applied. Candidate must have a working knowledge of DOD 5015.02 standards as criteria for establishing a compliant records management environment and must also understand the concept of litigation hold requests, FOIA, and audit and business need hold requests. Candidate must also understand the concept of communicating with NARA to align with NARA policies. Candidate will be required to create and respond to communications for and from all types of functional and technical customers through a variety of formats such as conference calls, emails, NARA taskers and directives, Service Hold Requests, File Plans and annual NARA requests regarding records managed by and for the client. An example would be addressing the NARA directive to perform an annual Records Management Program (RMP) assessment survey and submit to NARA’s ePortal. Candidate will be responsible for maintaining a Record Maintenance Support process and System Maintenance Support process that provides ongoing RM support to assess problems, seek process improvements and adhere to Federal Regulations. Candidate will work with client to establish internal policy and other governance to ensure the following are addressed in the time and/or manner specified/acceptable by the appropriate authority: Advise in Agency-wide Annual RM Training. Assess and embed RM capabilities in the design of current, or new systems. Create and maintain RM Governance Policy and Guidance. Respond to RM related inquiries (24 hours). Respond and support any requests for information needed because of audit or internal or external analysis. Respond to NARA inquiries and surveys. Implement revisions to records retention schedule. Provide support to incidents or inquiries related to various matters related to the Agency’s RM program to include but not limited to records security, records transitioning, incidents-damaged, lost-spillage, RMS, and archiving. Provide administrative support and guidance for creating and maintain current file plans and associated taxonomy to better enable configuration of systems retaining Agency’s records. The candidate will work closely with the client’s Record Manager and/or Records Owners the following actions will be implemented to maintain system support: Implement steps that include identifying and maintaining a current list of staff responsible completing files, training designated staff how to complete records file plan, tracking designated staff for ongoing reference. Refer to completed Files Plans or like documents to assess how best to configure/automate SharePoint Purview and SharePoint collaboration sites to manage recordkeeping and non-recordkeeping records in a secure manner, and when applicable the routing of permanent records to NARA. Identify and prioritize records for transition to SharePoint such as Finance, Personnel and Audit related supporting documents. Develop an Agency-wide RM awareness training program. Establish forums that enables Records Liaisons, Records Custodians or staff in similar roles to communicate in a practical/efficient manner. For example, FAQ Web Site, and Brown Bag Meetings. Issue taskers or similar requests periodically (at a minimum every 12 month) to Process Owners/Records Liaisons to review if information applicable to them in the Agency’s Records Retention Schedule-and Records File Plans is accurate/relevant/current. Hold weekly meetings (at a minimum) with Records Management Office to discuss issuances/changes from NARA or other authorities within DoD Ensure client record support system is on NARA’s notification list to be kept informed of any activity that impacts clients RM program to include but not limited to training, updates to NARA tools for submission of SF115s and SF135s. Attend meetings and/or training as required to stay abreast of changes to clients record management system, NARA record management guideline Help implement the findings from NARA Self-Assessments where clients Record Management Program needs to improve such as with implementation of a RM training program; in-out processing protocol to ensure key records especially at the senior level are preserved; embedding RM in the Agency’s vital records program; web site RM, email management and when applicable social media. Qualifications Bachelors degree in related field from an accredited institution Must be able to pass DoD Public Trust background check Preference to candidates who have an active CAC or have possessed one in the last few years Must be available to work M-F 800 am to 500 pm EST Must be available for possible travel up to 1 week per year. Minimum five (5) years’ experience managing records management programs. Additional Information Applicants must be authorized to work for any employer in the U.S. and reside in the U.S. All your information will be kept confidential according to EEO guidelines.
    $39k-59k yearly est. 14d ago
  • Records Managements Specialist

    Toomey Technologies

    Medical Coder job 7 miles from Bethesda

    Founded in 2017 and headquartered in Manassas, Virginia, Toomey Technologies is a SBA certified HUBZone, and Woman Owned Small Business experienced in Program Management and Solution Implementation support services. Our diverse and talented personnel provide structure to develop and execute strategies to maximize mission success and have an established track record supporting critical initiatives across a wide range of federal clients. We develop and execute strategies to maximize mission success and apply in-depth industry knowledge, analytics and expertise to design the right solution. Once the strategy is in place, we help communicate the changes and promote adoption among stakeholders. Job Description Toomey is accepting resumes for Records Management Specialists to join our team. The record management specialist is responsible for managing and organization's records, both physical and electronic, ensuring records are organized, accessible, and compliant with regulations. RESPONSIBILITIES Develop, implement, and maintain comprehensive records management policies and procedures in line with organizational needs and regulatory requirements. Provide support in managing office documents, files, and folders, ensuring proper classification, storage, and retrieval. Receive and manage records indexes, capturing detailed information about the Agency records and files, secure them, and provide efficient records retrieval assistance. Create, maintain, and update the electronic records and information management application, ensuring data integrity and system functionality. Transfer essential records to appropriate storage facilities, distribute materials, and perform other related duties as needed. Ensure records are retained or disposed of according to established schedules and regulations, maintaining strict compliance with legal and organizational requirements. Conduct regular audits of records management processes to identify areas for improvement and ensure ongoing compliance. Train and guide staff on proper records management practices, including filing, retention, and disposal procedures. Coordinate with various departments to ensure consistent application of records management policies across the organization. Qualifications US Citizenship required Active Public Trust required Knowledge of effectively managing and organizing documents and files in an electronic environment, record keeping issues involved in the life cycle of paper and electronic records, records schedules, essential records, and procedures for retiring and transferring records Strong knowledge and abilities in administrative procedures and practices, including tracking and updating programs/projects Demonstrated skills in operating various computer software packages, including Microsoft Office 365 suite of applications Ability to effectively manage time and prioritize work to achieve required results and due dates Ability to work effectively with staff and management of all levels and personnel Skilled in diplomacy, tact, and handling stress under pressure Produce work with quick turnaround times, ability to adjust to changing requirements, and handling high-pressure situations Excellent written and oral communication skills Excellent attention to detail Expertise in Microsoft Office Products Additional Information Only qualified candidates will be contacted. Be sure to keep an eye on your spam or junk folders in case our emails end up in there! Please, no phone calls directly to our business, CEO, hiring managers, or recruiters. Due to the high volume of applicants, we typically receive for our career openings, we are not able to do phone interviews until later stages of the hiring process. Toomey Technologies is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, gender, disability, age, or veteran status.
    $45k-74k yearly est. 20d ago
  • Records Management Specialist I

    Fedwriters

    Medical Coder job 7 miles from Bethesda

    Job Description Job Title: Records Management Specialist I For professionals seeking a truly impactful opportunity, this Records Management Specialist I role offers unparalleled rewards. You'll play an instrumental role in directly shaping national security outcomes through meticulous document review and declassification efforts at the esteemed Defense Intelligence Agency. Responsibilities Include: Reviewing Agency equities in accordance with E.O. 13526 and making declassification determinations Identifying equities from other agencies and coordinating proper referrals of documents to the original classification authority and/or other government agencies Assisting the government in the accessioning process of reviewed records to NARA During reviews, identifying appropriate metadata for each record and incorporating into the inventory Required Qualifications and Skills: TS/SCI clearance with CI poly Bachelor's degree Strong background in document classification and declassification 5+ years of experience applying E.O. 13526 principles to declassification reviews Excellent communication skills The ability to operate independently A completed certification from Department of Energy as a Historical Records Reviewer for the purpose of identifying Restricted Data and Formerly Restricted Data in documents under review The physical ability to lift boxes weighing approximately 25 pounds Work Setting and Environment: Monday - Friday, normal business hours Work is to be performed at government facilities in Washington, DC and Landover, MD Travel throughout the greater DC area How FedWriters Will Compensate and Appreciate You: FedWriters offers team members the opportunity to gain a lasting impression in this fast-growing small business. FedWriters provides a competitive package of salary and benefits, including medical, dental, and vision coverage; a matching 401(k) program; generous Paid Time Off (PTO); STD; LTD; life insurance; and more! FedWriters abides by the requirements of 41 CFR 60-1.4(a), 60-300.5(a), and 60-741.5(a). These regulations prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin. Moreover, these regulations require that covered prime contractors and subcontractors take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability. FedWriters is committed to equal employment opportunity and providing reasonable accommodations to applicants with physical and/or mental disabilities. We value and encourage diversity and solicit applications from all qualified applicants without regard to race; ethnicity; religion; gender; age; national origin; marital status; sexual orientation; gender identity; family responsibilities; matriculation; physical or mental disabilities; political affiliation; genetic information; status as a protected veteran; or any other characteristic protected by federal, state, or local law. If you are interested in applying for employment with FedWriters and need special assistance or an accommodation to apply for the position, please call **************. Determination on requests for reasonable accommodation are made on a case-by-case basis. FedWriters is a federal contractor seeking veteran referrals.
    $45k-74k yearly est. 3d ago
  • Records & Information Management Specialist

    RER Solutions, Inc.

    Medical Coder job 7 miles from Bethesda

    Job DescriptionDescription: Do you want to work for a company that cares about you as a person, not just a number? For a company that provides outstanding leadership? For a company that offers exceptional benefits? RER Solutions, Inc., could be your new home. RER Solutions, Inc. is accepting resumes for a Records and Information Management Specialist to join our exceptional workforce. The Records & Information Management Specialist will perform records management duties for the OTIM Records and Information Management Section (RIM). RESPONSIBILITIES Assist the Division of Records and Information Liaison with onboarding and offboarding activities and services Provide support to RIM in the preparation of a variety of reports for submission to larger agency reports, and the technical maintenance of any reporting systems Provide support in managing office documents, files, and folders Assist in the development and implementation of training classes in the areas of records and information management Receive and manage records indexes capturing information about the Agency records and files, secure them, and provide records retrieval assistance Assist in the management of FHFA’s forms and guidelines program Assist in creating, maintaining, and updating the electronic records and information management application, scanning documents, confirming receipt of requests, drafting general communications, and processing invoices Provide administrative support on RIM program responsibilities and special projects, including preparing various documents in hard copy and electronic formats Organize meetings, capture discussions, and track action items Transfer essential records to off-site storage, distribute materials, and perform other duties as needed Requirements: Minimum of US Citizenship required to obtain client-issued Public Trust Knowledge of effectively managing and organizing documents and files in an electronic environment, record keeping issues involved in the life cycle of paper and electronic records, records schedules, essential records, and procedures for retiring and transferring records Strong knowledge and abilities in administrative procedures and practices, including tracking and updating programs/projects, requisitions, and invoice processing Demonstrated advanced skill in operating various computer software packages, including Microsoft Office 365 suite of applications Ability to effectively manage time and prioritize work to achieve required results and due dates Ability to work effectively with staff and management of all levels and personnel from outside the agency (orally and in writing) Skill in diplomacy, tact, and handling stress under pressure Producing work with quick turnaround times, adjusting to changing requirements, and handling high-pressure situations Excellent written and oral communication skills with superb ability to translate ideas into clear, compelling messaging for a variety of materials, including press releases, fact sheets, presentations, webpages, briefing materials, talking points, and more Excellent attention to detail and an understanding of fundamental business writing Expertise in Microsoft Office Products (i.e., Word, Excel, PowerPoint, and Outlook) EDUCATION: Bachelor’s Degree COMPENSATION: Includes paid holidays, vacation, sick leave, 401k matching, life insurance, health, vision, and dental benefits. This position is not available for Corp-to-Corp or 3rd party sourcing. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $61k-119k yearly est. 22d ago
  • Coding Specialist II Facility Outpatient (Ambulatory Surgery)

    HH Medstar Health Inc.

    Medical Coder job 20 miles from Bethesda

    MedStar Health is seeking an experienced Ambulatory Surgery Center Medical Coder to join our team! The qualified candidate must have at least 2 years of related coding experience with a coding certification. MedStar Health provides the latest technology including our EMR Cerner MedConnect, 3MHDM and 3m360 computer-assisted coding software. The selected candidates will enjoy a full time, Monday - Friday, dayshift REMOTE schedule. Job Summary - Codes and abstracts primarily Ambulatory Surgery records and other outpatient records using ICD-10-CM, and other applicable patient classification schemes. #LIREMOTE Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.Adhere to all compliance regulations and maintains annual compliance education.Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.Meets established Quality standards as defined by policies.Meets established Productivity standards as defined by policies.Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic, procedural codes, and appropriate modifiers using standard guidelines and automated encoding software maintaining departmental accuracy standards.Exhibits knowledge of the 3M system and other work-related equipment. Minimum Qualifications Education * High School Diploma or GED equivalent required and * Associate degree or Bachelor's degree in coding related degree preferred * Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and CPT-4 required Experience * 2 years ASU (Ambulatory Surgery) coding experience and experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding) required Licenses and Certifications * CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist-Physician-based) required or COC (Certified Outpatient Coder) required * RHIT (Registered Health Information Technician) and/or RHIA (Registered Health Information Administrator) preferred Knowledge, Skills, and Abilities * Verbal and written communication skills. * Basic computer skills required. This position has a hiring range of $28.20 - $47.30
    $28.2-47.3 hourly 60d+ ago
  • Coding Specialist III - Professional Multispecialty Surgical

    Medstar Research Institute

    Medical Coder job 20 miles from Bethesda

    MedStar Health is looking for a Coding Specialist III with extensive experience in multispecialty surgical coding to join our team. To qualify for a level III Coding Specialist, you must have 5-7 years medical-professional coding experience and your CPC certification. Job Summary - Ensures that MedStar Health's medical-professional services are coded correctly and completely, based upon extensive, complete, up-to-date knowledge of regulatory and specific payer requirements. Recommends policy and a procedural change to obtain optimum reimbursement for services rendered. In addition to interacting with physicians on coding issues, ensures that physician encounter forms, the GE IDX billing system and processes are up to date and compliant regarding coding issues. Assists manager as required. Mentors and reviews work of Coding Edit Specialist, Coding Specialist I and Coding Specialist II as required. Primary Duties and Responsibilities Abstracts and ensures accuracy of diagnosis, procedure, patient demographics, and other required data elements.Aids in the creation of training and educational coding guidance documents for physicians and MMG Associates.Assists in developing guidance to clinicians in optimizing dictations to promote compliance and claim to process.Assists in the maintenance of billing, coding, and editing dictionaries in the billing system.Consistently meets or exceeds established Quality, Accuracy, and Productivity standards as defined by policies.Contacts physician when conflicting or ambiguous information appears in the medical record. Requests diagnosis from physicians when not recorded in medical records.Determines the sequence of diagnoses for accurate claims submission.Employs knowledge of coding compliance, and directs efforts to achieve quality standards identified through coding reviews or targeted by management for improvement.Guides and provides mentoring related to coding projects done by Coding Specialist I and Coding Specialist II to include review and correction of code selection based upon medical documentation.Handles complex coding case review, including but not limited to surgical coding (Orthopaedics, Cardiac, Neurosurgery, Otolaryngology, etc.) extraction, co-surgery scenarios, multi-visceral transplant cases, comorbidity evaluation.Identifies and reports issues and trends in physician documentation and/or work routed to Coding from other departments.Identifies coding trends relative to edits/denials/physician feedback.Maintains continuing education and credentials as required for job classification.Provides guidance to Coding Specialists I and II related to complex edit and appeal scenarios.Recommends policy and procedural changes and improvements for revenue enhancement.Surveys Medical Professional Societies coding guidelines to ensure the usage of current coding combinations and rationale. Minimum Qualifications Education * High School Diploma or GED required * Bachelor's degree preferred * Consideration will be given to appropriate combination of education, training and experience required Experience * 5-7 years Medical-professional coding experience with demonstrated ability to work independently required * 2 years' experience leading others or leading a work stream required * Experience with computer systems for encoding and abstracting required * Additional years of experience strongly preferred Licenses and Certifications * CPC (Certified Professional Coder) certification required Knowledge, Skills, and Abilities * Demonstrated attention to detail accompanied by outstanding organizational skills. * Ability to interact effectively with physicians, liaisons, department administrators, and associates. * Ability to work independently and practice self-direction. * Working knowledge of payer policies, CMS policies, local and national regulatory and compliance policies; regular utilization of all available coding resources. * Ability to toggle between specialty coding disciplines, including ancillary services, Anesthesia, Emergency Medicine, Radiology, Pathology and others. * Verbal and written communication skills. * Basic computer skills preferred. This position has a hiring range of $28.20 - $47.30
    $28.2-47.3 hourly 16d ago
  • Medical Coder (On Site) - Ambulatory Procedure Visit (Apv)

    LTSi

    Medical Coder job 17 miles from Bethesda

    Job Details Experienced Joint Base Andrews, MD - JB Andrews, MD Full Time High School $37.00 - $38.00 Hourly None Day Health Care/MedicalDescription AMBULATORY PROCEDURE VISIT (APV) MEDICAL CODER ON SITE Joint Base Andrews, MD ABOUT US: Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world. LTSI connects the right people to the right opportunity. With our experience in placing our Team Members throughout the United States and overseas, we excel at providing experienced, professional personnel for a wide range of Professional and Office Administration as well as Medical services. Our goal is to provide the highest quality of professionals in the industry. LTSI's culture delivers a strong work ethic while going above and beyond with a sense of urgency. We are the employee-driven company. We strive for excellence every day, which is what sets us apart from all the other government contractors. Our strong work ethic, sense of urgency and commitment to going above and beyond for our clients is what we value most! As a Certified Service-Disabled Veteran Owned Small Business (SDVOSB) Minority Business Enterprise (MBE) that provides a broad range of administrative, project management, and medical staffing support services, we are also honored to be a Member of the Military Spouse Employment Partnership (MSEP), and we encourage military spouses to apply for any of our positions for which they feel they are qualified. JOB TITLE: Ambulatory Procedure Visit (APV) Medical Coder GOVERNMENT AGENCY & LOCATION: Malcom Grow Medical Clinic 1060 West Perimeter Road Joint Base Andrews, MD 20762 POSITION INFORMATION: Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for ambulatory procedure visits. Trains and educates MTF staff on coding issues and plays a significant role in departmental and clinic-wide coding compliance activities. RESPONSIBILITIES: Responsible for assignment of accurate E&M, ICD, CPT and HCPCS codes and modifiers from medical record documentation into the Government computer systems. Identifies and abstracts information from medical records (paper or electronic) for special studies and audits, internal and external. Interacts with MTF staff to ensure documentation is clear and supports coding assignments. Educates MTF staff through individual or group in-services and training sessions. Maintains a delinquency report of missing records in order to facilitate completion of work within the required thresholds. Works closely with the Coding Supervisor/auditor during audit process. Ensures all required component parts of the medical record that pertain to coding are present, accurate and compile with DoD and JCAHO requirements. Works with Coding Compliance-Editor software to ensure records are accurately coded. May also be responsible for the assignment of accurate ICD diagnoses, CPT and HCPCS, modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (IPPS encounters - a.k.a, rounds). Perform focus audits as designated by the MTF. All audit spreadsheets are submitted to the supervisor weekly without discrepancies as required. Submit monthly report on activities done for the month, e.g. audit results, training provided and feedback as required by the MTF. Must attend scheduled coding and auditing meetings and trainings as required by the MTF. Other duties as assigned. QUALIFICATIONS: Position requires excellent computer/communication skills for provider and staff interactions. Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient and ambulatory surgery), documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience. Candidate must have ability to handle multiple projects and appropriately prioritize tasks to meet deadlines. Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Coder Specialist (CCS), Certified Coder Specialist Physician (CCS-P) are preferred for outpatient/ambulatory surgery medical coders as long as candidate has a minimum of three-year experience in the outpatient setting (physician's office or ambulatory care centers) within the last five years. An accrediting institution recognized by the American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC) must accredit education and certification. A minimum of one of the following: An associate's degree in health information management or a university certificate in medical coding, OR at least 20 quarter/30 semester hours university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology. Contract medical coders will obtain the required continued education hours at no expense to the government in order to maintain current and proper national certification(s) required for the position. EXPERIENCE: A minimum of three years' experience in the outpatient setting (ambulatory care centers) within the last five years is required or a minimum of two years if experience if that experience was in a military treatment facility. Multiple specialties encompass different medical specialties (i.e. Family Practice, Pediatrics, Gastroenterology, OB/GYN, etc.) that utilize ICD, E&M, CPT, and HCPCS codes. Ancillary specialties (PT/OT, Radiology, Lab, Nutrition, etc.) that usually do NOT use E&M codes do not count as qualifying experience. Additionally, coding, auditing and training exclusively for specialties such as home health, skilled nursing facilities, and rehabilitation care will not be considered as qualifying experience. Coding experience limited to making codes conform to specific payer requirements for the business office (insurance billing, accounts receivable) is not a qualifying factor. A minimum of eight (8) years medical coding and/or auditing experience in multiple surgical specialties (minimum of one (1) year to count a specialty). Composite Health Care systems (CHCS) and/or MHS GENESIS Armed Forces Health Longitudinal Technology Application (AHLTA). An electronic medical record documentation system designed for the MHS; Defense Enrollment Eligibility Reporting System (DEERS); Military Filing System - by sponsor social security number, terminal digit order, colorcoded and blocked filing system. Contents of a military medical record, layout, sections, family member prefix designation, forms used in a MTF, and the medical record tracking procedures. EssentrisTM, the client-server version of the Clinical Information System (CIS) Coding Compliance Editor (CCE) Systems Biometric Data Quality Assurance Service (BDQAS) - *********************** AFMS Internal Coding Audit Methodology - AFMOA Audit Tool MHS Coding Guidelines ********************************************************* POSITION TIMING: Immediate hire upon completion of required background investigation and security package. BENEFITS: Health, Dental and Vision, 401(k), Vacation, Sick Leave, and 11 Paid Federal Holidays including: New Year's Day Martin Luther King, Jr. Day Presidents Birthday Memorial Day Juneteenth Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Day Christmas Day Laredo Technical Services, Inc. (LTSi) is an Equal Opportunity/Affirmative Action Employer. We make employment decisions based on merit and qualifications, ensuring equal opportunity for all applicants and employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable law. LTSi is committed to ensuring an accessible online application process for all individuals, including those with disabilities. We offer alternative application methods for candidates who are unable to complete the online application due to a disability or other need for accommodation. LTSi complies with the Americans with Disabilities Act (ADA), Section 503 of the Rehabilitation Act of 1973, the Vietnam-Era Veterans' Readjustment Assistance Act of 1974, and other relevant state and local laws. If you need assistance with an application due to a disability, please contact **********************.
    $37-38 hourly 60d+ ago
  • Coding Specialist III

    Johns Hopkins University 4.4company rating

    Medical Coder job 34 miles from Bethesda

    Coding Specialist III We are seeking a Coding Specialist III responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. Works closely with departmental management and coordinates with Clinical Practice Association, Office of Billing Quality Assurance to include review of documentation. Serves as departmental expert on coding questions. Exercises independent judgment and decision making on a regular basis. Responsible for developing coding and billing change procedures. Responsible for training on all coding and billing changes. Specific Duties and Responsibilities Procedural Knowledge * Responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines. * Works closely with Office of Billing Quality Assurance to include review of documentation. * Serves as departmental expert on coding questions. * Exercises independent judgment and decision making on a regular basis with respect to code selection. * Holds bills and seeks corrective action for services not meeting documentation requirements in accordance with CPA policies. * Researches and answers billing and documentation questions or problems submitted by faculty, department, billing staff, and others to ensure compliance with specific payer regulations and CPA policies and procedures. * Supports department compliance efforts through participation in department training and education programs relative to specific product lines in accordance with established policies. * Conducts feedback/training sessions for physicians to present the results of medical record documentation as warranted. * Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract. * Maintains a system of billing accuracy through encounter verification i.e., clinic schedules, encounter forms, I/P consults, medical records. * Review and resolve Epic Charge Review Edits daily. * May act as a back up to Charge Entry when needed. * Pro Fee Tracking Database- May fill out missing information form and forward to the appropriate contact person. * Works with Department Management to create Charge Review Rules to prevent unnecessary denials. * Works with Department Management on maintenance of provider preference lists. * Provides training on all coding changes to providers and staff. Develops presentations to effectively communicate how changes will affect provider billing and coding. Provide face to face training on changes to providers based at all Hopkins locations. * Conducts monthly internal audits for level I and II coders Technical Knowledge * Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI). * Working knowledge of JHU/ PBS Billing Applications. * Utilize online resources to facilitate efficient claims processing. * Capable of advance problem solving in medical billing and coding. Professional & Personal Development * Participate in on-going educational activities. * Assist in the training of staff, providers, management and administration. * Keep current of industry changes by reading assigned material on work related topics and provide updates to providers, staff, management and administration * Complete three days of training annually. Minimum Qualifications * High School Diploma/GED. Medical Terminology, Anatomy and Physiology courses required or demonstrated appropriate knowledge. * CPC certification. Specialty CPC certification or second AAPC certification. * Five years coding experience with demonstrated analytical skills. Experience with Medicare regulations. Understanding of third party payer issues. Epic experience preferred. Additional education may substitute for experience to the extent permitted by the JHU equivalency formula * Experience with Medicare regulations. * Understanding of third-party payer issues. * Excellent written and oral communication skills with the ability to communicate effectively with clinic staff, providers, bill staff, management and administration. * Additional education may substitute for required experience and additional related experience may substitute for required education beyond HS Diploma/Graduation Equivalent, to the extent permitted by the JHU equivalency formula. Preferred Qualifications * Epic experience. Classified Title: Coding Specialist III Role/Level/Range: ATO 40/E/03/OG Starting Salary Range: $24.25 - $42.50 HRLY ($69,000 targeted; Commensurate w/exp.) Employee group: Full Time Schedule: M-F: 8:30-5:00 FLSA Status: Non-Exempt Location: Remote Department name: SOM DOM Billing Personnel area: School of Medicine Total Rewards The referenced base salary range represents the low and high end of Johns Hopkins University's salary range for this position. Not all candidates will be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, education/training and other qualifications. Johns Hopkins offers a total rewards package that supports our employees' health, life, career and retirement. More information can be found here: ************************************** Education and Experience Equivalency Please refer to the job description above to see which forms of equivalency are permitted for this position. If permitted, equivalencies will follow these guidelines: JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis. For jobs where equivalency is permitted, up to two years of non-related college course work may be applied towards the total minimum education/experience required for the respective job. Applicants Completing Studies Applicants who do not meet the posted requirements but are completing their final academic semester/quarter will be considered eligible for employment and may be asked to provide additional information confirming their academic completion date. Background Checks The successful candidate(s) for this position will be subject to a pre-employment background check. Johns Hopkins is committed to hiring individuals with a justice-involved background, consistent with applicable policies and current practice. A prior criminal history does not automatically preclude candidates from employment at Johns Hopkins University. In accordance with applicable law, the university will review, on an individual basis, the date of a candidate's conviction, the nature of the conviction and how the conviction relates to an essential job-related qualification or function. Diversity and Inclusion The Johns Hopkins University values diversity, equity and inclusion and advances these through our key strategic framework, the JHU Roadmap on Diversity and Inclusion. Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. EEO is the Law ******************************************************************************************** Accommodation Information If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the Talent Acquisition Office at **********************. For TTY users, call via Maryland Relay or dial 711. For more information about workplace accommodations or accessibility at Johns Hopkins University, please visit ******************************* Vaccine Requirements Johns Hopkins University strongly encourages, but no longer requires, at least one dose of the COVID-19 vaccine. The COVID-19 vaccine does not apply to positions located in the State of Florida. We still require all faculty, staff, and students to receive the seasonal flu vaccine. Exceptions to the COVID and flu vaccine requirements may be provided to individuals for religious beliefs or medical reasons. Requests for an exception must be submitted to the JHU vaccination registry. This change does not apply to the School of Medicine (SOM). SOM hires must be fully vaccinated with an FDA COVID-19 vaccination and provide proof of vaccination status. For additional information, applicants for SOM positions should visit ************************************************************* and all other JHU applicants should visit *********************************************************************** The following additional provisions may apply, depending upon campus. Your recruiter will advise accordingly. The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office. Remote
    $24.3-42.5 hourly 10d ago
  • Medical Coder II

    Reli Group 3.6company rating

    Medical Coder job 28 miles from Bethesda

    Job Details Catonsville, MD Fully Remote Full Time Not SpecifiedDescription About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs Responsibilities: Perform coding validation accuracy reviews of automated and complex Medicare Part A and Part B medical record and claims review in accordance with all Federal regulations/guidelines, CMS coding policies and coding clinics Document findings for each claim and a clear and concise manner. Compile a report explaining the coding reviews, including identified patterns, inappropriate coding, as well as recommendations Perform Inpatient DRG validation and Ambulatory Payment Classification (APC) reviews to include the review documents used Perform coding validation of the medical record reviews in response to RAC disputes/disagrees with the RVC review decisions Maintain a Quality Assurance monthly score of 95% or greater Qualifications Requirements: Certified Coder from an accredited association, such as AAPC or AHIMA Certified Coders may also be Registered Health Information Administrators (RHIA) and Registered Information Technicians (RHIT) credentialed by AHIMA Not excluded or sanctioned from working with the Centers for Medicare and Medicaid Services (CMS) A minimum of three (3) years direct coding or billing experience in the specific coding field that they will perform Ability to work well in a remote team environment, to collaborate with others, and interface with team members internal and external to the organization Proficient in explaining review decision through written decisions using related regulations and references All aspects of Inpatient and Outpatient coding (ICD-10, CPT, HCPCS) experience EEO Employer: RELI Group is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation. HUBZone: We encourage all candidates who live in a HUBZone to apply. You can check to see if your address is located in a HUBZone by accessing the SBA HUBZone Map. The annual salary range for this position is $40,000 to $65,000. Actual compensation will depend on a range of factors, including but not limited to the individual's skills, experience, qualifications, certifications, location, other business and organizational needs, and applicable employment laws. The estimate displayed represents the typical salary range for this position and is just one component of the total compensation package for employees. RELI Group provides a variety of additional benefits to its employees. For additional details on the benefits that RELI Group offers click here.
    $40k-65k yearly 6d ago
  • Senior Medical Coding Specialist

    Blue Water Thinking

    Medical Coder job 7 miles from Bethesda

    Guided by our principles of value generation, continuous innovation, customer-centricity, and vested collaboration, Blue Water Thinking proudly supports our Federal clients in achieving their Agency goals. Founded by a decorated twenty-eight year Veteran of the United States Army, Blue Water Thinking understands and supports the mission of our Nation's war fighters, Veterans, their families and caretakers. Leveraging our executive team's military experience and private and public sector consulting expertise, Blue Water Thinking takes an integrated "one-team" approach and brings to bear best-fit solutions, thought leadership, and grit to meet our client's transformational needs. Fueled by our values of integrity, respect, professionalism, stewardship and customer service, the Blue Water Thinking team understands the power of the human connection, collaboration, humility and loyalty to one another, our clients and industry partners. Lastly, our formula for success is simple: Build something good, take care of our people, keep our clients satisfied, nurture our work ethic and reputation, build long-lasting partnerships, enjoy what we do and give back as much as possible. Job Description: The Senior Medical Coding Specialist will advocate and support our team in providing data-fueled solutions that help our clients improve the U.S. healthcare system. We expect the specialist to have strong knowledge and experience with medical professional coding, facility, physician and ancillary billing, and provider reimbursement mechanisms. The successful candidate will assist in the researching of coding and billing rules and guidelines as well as the creation of documentation for machine learning models. Responsibilities: Claim data analysis to identify anomalies. Audit medical record documentation to identify incorrectly reported services, procedures, ICD-10, HCPCS, CPT-4 codes, DRG and OPPS. In coordination with our data science teams, assist in designing and deployment of continuous improvement programs. Assist in the development and validation of the payment integrity machine learning models. These advanced computational models are responsible for the identification of claims payment anomalies, coding errors, contract misinterpretations, or internal processing payment errors. Participate in brainstorming sessions, finalization, and creation of presentation of client-specific solution recommendations. Document and communicate results of validation to clients and perform necessary follow-up. Qualifications: Minimum of five years experience in the areas of medical coding and provider audit is required. Professional Coding certification by the American Academy of Professional Coders or the American Health Information Management Association. Coding experience in a Health Care system is required. Extensive knowledge of medical claim edits is required Hands-on knowledge of physician and hospital reimbursement methodologies including Medicare, Medicaid, and commercial coding practices is required Strong written and verbal communication skills Strong knowledge of Microsoft Office products is required Knowledge of Redshift and SQL is desired Bachelor's degree in a health related field or quantitative discipline is desired. RN/LVN is preferred Eligibility: Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future Must be able to obtain and maintain the required federal public trust clearance for this role Compensation: Salary for this position is determined by various factors, including but not limited to, location, the candidate's particular combination of knowledge, skills, competencies and experience, as well as contract specific affordability and organizational requirements. The proposed salary range for this position is outlined below. Salary range: $65,000-$75,000 Blue Water Thinking offers a comprehensive benefits package including health insurance (medical, dental and vision), paid time off, federal holidays, and matching 401K plan. Our Commitment to Equal Employment Opportunity. Blue Water Thinking, LLC (BWT) is committed to equal employment opportunity. We recruit, employ, train, compensate, and promote without regard to race, religion, color, national origin, age, sex, disability, protected veteran status, or any other basis protected by applicable federal, state, or local law. Applying for this Job: Resume must be submitted in word document format and must include dates in each section (experience, education, certifications...) Candidates must fill out the below form to the best of their knowledge
    $65k-75k yearly 21d ago
  • Medical Coder

    Foundations Medical Adult Day Services

    Medical Coder job 28 miles from Bethesda

    Job Responsibilities: Account for coding and abstracting of patient encounters Research and analyze data needs for reimbursement Make sure that codes are sequenced according to government and insurance regulations Ensure all medical records are filed and processed correctly Analyze medical records and identify documentation deficiencies Serve as resource and subject matter expert to other coding staff Review and verify documentation for diagnoses, procedures, and treatment results Identify diagnostic and procedural information Job Skills: Proven work experience as a Medical Coder or similar role 2+ years of work experience as a Medical Coder Proficient computer skills Work with coding software Excellent communication skills, both verbal and written Outstanding organizational skills Ability to maintain the confidentiality of information A high school diploma or GED required
    $41k-63k yearly est. 60d+ ago
  • Clinical Safety Coder - MedDRA/WHODrug

    General Dynamics 4.7company rating

    Medical Coder job 5 miles from Bethesda

    Full Part/Time: Part time Type of Requisition: Regular Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: NACI (T1) Job Family: Medical Affairs Job Qualifications: Skills: Clinical Research, MedDRA, WHODrug Certifications: None Experience: 6 + years of related experience US Citizenship Required: Yes Job Description: GDIT's Military Health team is hiring a Clinical Safety Coder - MedDRA/WHODrug to support the Office of Regulated Activities (ORA) under the DoD (Dept. of Army) located at Ft. Detrick in Frederick, Maryland. The Office of Regulated Activities (ORA) is a multidisciplinary team of regulatory affairs, compliance, and clinical support professionals dedicated to supporting the USAMRDC mission of developing Food and Drug Administration regulated medical products for the Warfighter. The ORA provides full-service, oversight, and consultation for regulatory, clinical, non-clinical, manufacturing, data management, biostatistics, product technical, safety monitoring. The Clinical Safety Coder - MedDRA/WHOdrug encodes terms reported as adverse events and medical history as well as prior and concomitant medications using industry accepted dictionaries such as MedDRA and WHOdrug. This is a hybrid position, and will report onsite 1 day a week at Ft. Detrick in Frederick, Maryland. Must reside within commuting distance. HOW YOU WILL MAKE AN IMPACT: * Perform medical coding using MedDRA and WHO-Drug dictionaries per the coding guidelines to include MedDRA Guide, MedDRA Points to Consider, MedDRA PTC Companion Document and WHO-Drug Best Practices. Medical coder is responsible for medical coding setup, testing, validation, and maintenance for protocol-specific or version specific, participating in review of study-specific CRFs, CRF instructions, and writing medical coding CRF completion instructions, preparing and conducting end user training pertaining to studies that require medical coding, review of study data patriating to medical coding, reviewing and providing approved coding reports (medical coding and data reconciliation * Perform coding in accordance with departmental coding conventions and SOPs. * Collaborate with project team during study startup to ensure proper coding setup. * Create and maintain standard test data for validation of coding tool and interface to database. * Perform user acceptance testing of coding system and database for each study going into production. * Configure coding tool for each study with appropriate dictionaries and versions per DMP. * Create project-specific eCRF guidelines for capturing safety data and train sites for each trial. * Provide completed medical coding reports using Medical Dictionary for Regulated Activities and World Health Organization Drug Dictionary per the FDA and industry guidance, completed CRFs and related queries and audit trail reports, which document resolved queries during study conduct and closure and all database changes, the reasons data were changed/updated, timestamps (date and time), and who made the changes during study conduct and closure activities according to project timelines. * Generate and resolve data queries for clarification of data to be coded. * Create project-specific coding conventions as necessary in collaboration with Principal Investigator. * Oversee/review external coding (from vendors and other commands) and provide feedback. * Create and QC coding reports, coordinate PI coding review, and ensure all approvals are obtained. * Create SAE listings, coordinate SAE reconciliation with Safety group, ensure approvals are obtained. * Collaborate to implement dictionary version/format upgrades, such as WHODrug Global C3 format. * May prepare change requests to the MedDRA MSSO. * Develop and present two day hands-on internal coding training. * Develop/maintain standard ORA coding guidelines, coding process instructions, eCRF safety data guidelines, protocol-specific coding conventions template, and coding report templates * Contribute to SOPs and coding working practices, create/maintain instructions for backup coder. * Communicate with FDA regarding regulations/guidelines related to clinical coding. * Contribute to ongoing improvement and streamlining of coding processes. * Troubleshoot and consult with project team to resolve all system and coding issues. WHAT YOU'LL NEED TO SUCCEED: * Bachelor's degree * Certified MedDRA Coder * 6 years+ WHO-DD coding experience * 2 years+ related experience in clinical research creating CRF guidelines and project specific coding conventions * Experience reviewing clinical protocols * Experience communicating with FDA regarding regulations/guidelines related to clinical coding. * Experience create/maintain standard test data for testing coding tool and interface with database. * Experience assigning MedDRA/WHODrug dictionary codes to specified clinical trial data/generate queries per guidelines. * Must be a US Citizen with the ability to obtain a favorable NACLC T3 security investigation prior to start date. WHAT GDIT CAN OFFER YOU: * Challenging work that makes a real impact on the world around you * Internal mobility team dedicated to helping you own your career * 401K with company match * Diverse, highly collaborative teams * Professional development, education assistance, certification and training opportunities #GDITHealth #militaryhealth #GDITLabScienceJobs #GDITFedHealthJobs The likely salary range for this position is $72,509 - $40,250. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range. Scheduled Weekly Hours: 20 Travel Required: None Telecommuting Options: Hybrid Work Location: USA MD Home Office (MDHOME) Additional Work Locations: Total Rewards at GDIT: Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most. We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology. Join our Talent Community to stay up to date on our career opportunities and events at gdit.com/tc. Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans
    $40.3k-72.5k yearly 7d ago
  • Medical Coder

    Ezra Care Solution LLC

    Medical Coder job 34 miles from Bethesda

    Job DescriptionBenefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement We are seeking a front desk Medical/ biller/ Coder/ to join our team. In this role, you will transcribe patient records and process claims for reimbursements. You will be responsible for selecting the correct codes and functions to be assigned to each instance. The ideal candidate is detail-oriented with strong people skills and computer skills. Responsibilities Account for coding and abstracting of patient medical appointments Research and analyze data needs for reimbursement Ensure codes are properly sequenced Analyze, file, and process medical records Keep detailed documentation of any deficiencies or issues with medical records Provide education and training to other coding staff Review and verify documentation Qualifications High school diploma/GED or equivalent Previous experience as a Medical Coder or in a similar position Familiar with coding software and other computer programs Strong written and verbal communication skills Highly organized and able to problem-solve Ability to adhere to strict confidentiality guidelines
    $41k-63k yearly est. 9d ago
  • VA Experienced Full-Time Outpatient Medical Coders

    Cooper Thomas

    Medical Coder job 7 miles from Bethesda

    Job Description Hiring Remote VA Experienced Outpatient Full Time Medical Coders-Earn Productivity & Quality Incentives Cooper Thomas, LLC, a leading provider of medical coding services to the Department of Veterans Affairs (VA), has immediate openings for full-time VA experienced Outpatient Medical Coders. Applicants must have 2 years of experience with the opportunity for a flexible weekly work schedule. Our company has just been awarded a long-term contract with VA that requires a concentrated effort. Work from week to week is steady, predictable, and plentiful. Ask about our weekly productivity and quality incentives. Previous experience with VA is required, whether as a former VA employee or with another VA contractor. You must be able to pass an initial entrance exam and code at a minimum of 95% accuracy. This work will be performed remotely in your home office. Preference will be given to those candidates who meet the qualifications below and have an active Background Investigation, COI, PIV Card, eToken, and an active Moonlighter and/or Contractor Citrix Network Account. The company is looking to hire 20 full-time Outpatient Coders for this project. These projects require experience with utilizing ICD-10, CPT, and HCPCS codes. Qualifications · Two (2) years of VA or other relevant coding experience, either as a VA employee or with another Government contractor supporting VA · Ability to code a minimum average of 10.0x Outpatient encounters per hour with 95% accuracy · Must produce copies of and maintain active credentials as a certified coder or auditor · Ability to follow site-specific coding guidelines · Familiar with E/M leveling for OP and ED visits using 95’, 97’ and 2022 guidelines · Familiar with E/M calculator and ability to use this tool proficiently · Familiar with 3M Encoder for ICD10 and CPT coding · Knowledge in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health record format and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD, CPT, HCPCS). · Must be able to complete work within the required TAT of 5 days from the date of assignment. Accepted Coding Credentials American Health Information Management Association (AHIMA): · Registered Health Information Administrator (RHIA) / Registered Health Information Technician (RHIT) · Certified Coding Specialist (CCS) / Certified Coding Specialist-Physician (CCS-P) American Academy of Professional Coders (AAPC): · Certified Professional Coder (CPC) · Certified Outpatient Coder (COC) Minimum Education · High School Diploma or equivalent Cooper Thomas, LLC is a leading provider of health information management services to Federal health clients. Established in Washington, DC in 2003, Cooper Thomas offers competitive compensation and benefits as well as steady and predictable weekly work volumes, potential overtime, and the opportunity for growth. The selected candidate will be required to undergo a background investigation. Qualified Veterans are encouraged to apply. Equal opportunity employer. IMPORTANT NOTE: To apply, please go to the “Careers” section of our website at ********************* and follow the instructions to register and apply.
    $44k-68k yearly est. 34d ago
  • Sr. Inpatient Coder

    University of Maryland Medical System 4.3company rating

    Medical Coder job 34 miles from Bethesda

    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 [email protected].
    $30.3-42.4 hourly 12d ago
  • Code Enforcement Specialist - Auxiliary

    City of Laurel, Md 3.5company rating

    Medical Coder job 16 miles from Bethesda

    SUMMARY - The Code Enforcement Specialist I Auxiliary is an integral part of the Department of the Fire Marshal and Permit Services Team and is responsible for the enforcement of the City's property standards and Zoning Ordinance. This position performed under the general supervision of the Fire Marshal Fire Marshal & Permit Services but some leeway is granted for the exercise of independent judgment and initiative. Assignments are carried out following broad policy guidelines general goals and objectives. The nature of the work performed requires the employee to establish and maintain effective working relationships with both internal and external customers which includes the public other city departments and other agencies. ESSENTIAL DUTIES AND RESPONSIBILITIES Performs surveys of properties in the City to determine compliance with various codes including the Zoning Ordinance the International Residential Code the international Building Code the International Property Maintenance Code and other City ordinances. Investigates documents and reports work being performed without required permits. Performs inspections of properties in the City to enforce the City's property maintenance standards including but not limited to notifying owners of violations of high grass and weeds accumulations of trash and vermin infestations posting and removal of inoperable or unregistered vehicles. Performs inspections and re-inspections of residential and commercial properties to verify that they meet the City's standards including the Life Safety Code. Maintains inspection and re-inspection records and prepares reports for use by administrative or judicial authorities. Prepares violation notices issues and delivers citations prepares legal documents and testifies in court as necessary. Responds to and investigates complaints from citizens and other City Departments relating to sub-standard conditions existing in rental units and exterior areas of properties. Keeps immediate supervisor and designated others fully and accurately informed concerning work progress including present and potential work problems and suggestions for new or improved ways of addressing such problems. Responds to callouts that may occur after hours on a rotating callout schedule approved by the Chief Building Official. Prepares and documents either written or electronically historical property files FMPS logs lists or any established FMPS reports for all actions decisions or items necessary for official documentation purposes. Willingly and cooperatively accepts other duties and responsibilities as assigned. SUPERVISORY RESPONSIBILITIES - This position has no supervisory duties. MINIMUM QUALIFICATIONS Background - Applicant must complete a background examination that may include but is not limited to a criminal history check education and professional certification verification and drug testing before employment with the city. Must be able to pass a Public Safety background check that includes fingerprinting. Education and/or Experience - High School Diploma or GED and two years related experience in administrative and field duties securing compliance with ordinances and/or laws or any equivalent combination of experience and training Experience in law and/or code enforcement including court or other hearing procedures preferred. Certificates License Registrations - Must possess a Maryland Class C Driver's License or a comparable license issued by the employee's state of residence and a proven safe driving record. Completion within 6 months of employment the ICC International Property Maintenance Inspector Certification and the National Fire Protection Association (NFPA) Certified Fire Inspector 1. Completion of the National Incident Management System (NIMS) command courses 100 and 700 six (6) months of employment with the City. Must obtain within six (6) months of employment the designated (OEM) Incident Command Systems Courses. TRAINING STANDARDS -Must complete at least 30 hours of approved continuing education training annually after the first 12 months of employment.
    $51k-64k yearly est. 60d+ ago
  • Outpatient Medical Certified Coder

    Robert Half 4.5company rating

    Medical Coder job 34 miles from Bethesda

    + Medical Coding & Knowledge: Assign appropriate codes to medical diagnoses, procedures, and services using standard coding systems, such as Current Procedural Terminology (CPT), International Classification of Diseases (ICD), and Healthcare Common Procedure Coding System (HCPCS) and appropriate use of modifiers. + Accuracy: Ensure accuracy and compliance with coding guidelines and regulations to prevent coding errors that could lead to billing discrepancies or compliance issues; attention to detail + Documentation Review: Review medical records, physician notes, and other clinical documentation to extract relevant information for coding. This may involve interacting with healthcare providers to clarify documentation as needed. + Data Quality: Contribute to data quality and integrity by maintaining consistent and accurate coding practices. High-quality data is essential for healthcare analytics and research. + Compliance: Stay updated with changes in coding guidelines, regulations (such as those from the Centers for Medicare & Medicaid Services - CMS), and industry standards. Ensure that coding practices are compliant with these requirements. + Continuing Education: Maintain certification through ongoing education and training. Medical coding is a dynamic field, and coders need to stay current with changes in healthcare practices and coding systems. Maintain practical knowledge of the International Classification of Diseases, Clinical Modification (ICD-CM); Healthcare Common Procedure Coding System (HCPCS); and Current Procedural Terminology (CPT) + Coding Specialization: Some Certificated Medical Coders may specialize in specific areas of healthcare, such as inpatient coding, outpatient coding, professional fee coding, or coding for specific medical specialties (e.g., GYN, DENTAL, PRIMARY CARE, PEDIATRICS) + Communication: Communicate with healthcare providers, billing staff, and insurance companies to resolve coding-related issues, clarify coding choices, and address any coding-related inquiries; ability to work as a team member + Computer Skills: Proficiency in using computer software and data entry tools is essential. Familiarity with electronic health record (EHR) systems is often required. + Confidentiality: Understanding and commitment to maintaining patient confidentiality and adhering to healthcare privacy regulations + Problem Solving: Being able to identify and rectify data entry errors and discrepancies is crucial + Time management: The ability to work efficiently and manage time effectively, especially in a fast-paced healthcare environment. Ability to assess and clear assigned EPIC work queue (s) efficiently is required. + Billing Support: Collaborate with billing specialists to generate accurate and compliant insurance claims based on the coded information. This includes submitting claims to insurance companies and government healthcare programs. Working knowledge in identifying patterns and solving issues proactively. Requirements Qualifications · Required Minimum of 3-5 years of medical coding. · Current Certified Professional Coder (CPC) or Certified Coding Specialist - Physician (CCS-P) - required. · and auditing experience in Primary Care, Family Planning, GYN, Dental, Pediatrics, FQHC or Health Department Clinics - preferred. · Proficiency in using electronic health record (EHR) systems and coding manuals and software. · PB EPIC EMR/PM experience highly preferred. · Working knowledge of HIPAA / PHI guidelines. · Possess excellent organizational skills · Above average time management skills · Be detail oriented and comfortable multi-tasking · Clear, concise and effective verbal and electronic communication skills Education: B.A. or AA and current coding certification/ (medical billing certification - a plus) TalentMatch Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) .
    $34k-46k yearly est. 16d ago
  • Coding Specialist II

    Mercy Medical Center-Baltimore, Md 4.1company rating

    Medical Coder job 34 miles from Bethesda

    Join Our Team at Mercy Medical Center - Now Hiring a Coding Specialist II! Mercy Medical Center is honored to be recognized by Newsweek as one of America's Most Trustworthy Companies for three consecutive years (2023-2025) and as one of America's Greatest Workplaces for Women in 2025. Additionally, we are proud to be a multi-time recipient of Forbes' America's Best Midsize Employers award, most recently in 2025. As a hospital founded by the Sisters of Mercy, we offer a supportive and empowering environment where dedicated medical professionals thrive. If you're passionate about making a meaningful impact through your work and contributing to a mission of compassionate care, we invite you to apply today and join our Mercy family. Responsibilities The Coding Specialist identifies, reviews, interprets, codes, and abstracts clinical information from inpatient, observation, and in/our surgical records for the purpose of reimbursement, research and compliance with federal and state regulations and other agencies utilizing established coding principles and protocols. Requirements * Associate's Degree in Health Information Management or related field from an accredited two-year college or technical school, or Bachelor's Degree from a four-year college or university in Health Information Management or in a related field or have a Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Certified Coding Specialist - Physician-based (CCS-P), Certified Professional Coder - Hospital Outpatient (CPC-H) or Certified Professional Coder (CPC) designation. * A minimum of 2 years acute care facility coding experience or the candidate must have been employed as a HIS Coding Specialist I or equivalent position. Benefits Benefits Eligibility is based on your scheduled FTE status and Job Category * Competitive health, prescription, vision and dental benefits & wellness credit for eligible employees * 403(b) retirement plan with generous company match and "catch up" provision * Paid Time Off (PTO) & company paid holidays * Tuition reimbursement * Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program * Employer paid Short & Long Term Disability benefits for eligible employees * Voluntary Benefits * Discounts on auto & home insurance and Verizon plans * Mercy's Rewards & Recognition Program rewarding employees for going above and beyond in living Mercy's Mission and Values EEO Statement Mercy Health Services is sponsored by the Sisters of Mercy. We are an Equal Opportunity Employer (EEO) recruiting talent for Mercy Health Services, which serves the greater Baltimore Metro and surrounding Maryland areas.
    $33k-46k yearly est. 23d ago
  • Medical Coding Specialist

    Unity Health Care 4.5company rating

    Medical Coder job 7 miles from Bethesda

    Job DescriptionINTRODUCTION Under the supervision of the Medical Coding Manager, the Medical Coding Specialist is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The Medical Coding Specialist also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. MAJOR DUTIES/ESSENTIAL FUNCTIONS Essential and other important responsibilities and duties may include, but are not limited to the following: Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Supports the Medical Coding Manager to respond to audit findings and make applicable coding additions or corrections. Registers and analyzes claims in the EMR system, including insurance verification and charge entry. Tracks and requests outstanding claims for assigned departments/facilities Reviews Medicare Local Coverage Determination (LCDs) and Medicare bulletin updates. Utilizes the EMR system to run required daily/monthly/quarterly reports on claims entered. Accepts assignments from management and maintain open communication with their manager to resolve quality and production issues. Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established third-party reimbursement agencies and special screening criteria. Complies with the rules and regulations of Medicare billing including (but not limited to) incident to, teaching situations, shared visits, consultations, and global surgery. Efficiently and accurately processes all types of claims utilizing broad based product or system knowledge to ensure timely payments are generated. Maintains strict confidentiality regarding confidential conversations, documents, and files. Supports the Medical Coding Manager to facilitates coding orientation for new providers. Ability to read and abstract physician office notes and procedure notes to apply correct ICD-9-CM, CPT, HCPCS Level II and modifier coding assignments. Performs other duties as assigned. MINIMUM QUALIFICATIONS High School diploma or GED. Associates’ degree preferred. Three (3) years of experience using ICD-9-CM, Volumes 1- 3, CPT, HCPCS, and IHS coding conventions. CPMA, CFPC, CPC-P, or CPC certification required. REQUIRED KNOWLEDGE, SKILLS AND EXPERIENCE Complete knowledge and understanding of UHC PM and EMR workflows. Must demonstrate ability to work independently with minimum supervision in a team-oriented environment and interrelate well with individuals with diverse ethnic and cultural backgrounds and needs. Advanced knowledge of medical codes involving selections of most accurate and description code using the extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes. Excellent oral, written, and telephone communication. Working familiarity with the rules and regulation pertaining to the FQHC guidelines. Ability to prioritize and manage multiple task with efficiency in dealing with multiple facilities. Ability to handle a large volume of project receiving and researching claims. Demonstrated ability to effectively work and communicate with diverse populations. Demonstrated proficiency with business software (e.g. Microsoft Office Suite).
    $39k-50k yearly est. 53d ago

Learn more about medical coder jobs

How much does a medical coder earn in Bethesda, MD?

The average medical coder in Bethesda, MD earns between $33,000 and $76,000 annually. This compares to the national average medical coder range of $37,000 to $70,000.

Average medical coder salary in Bethesda, MD

$50,000

What are the biggest employers of Medical Coders in Bethesda, MD?

The biggest employers of Medical Coders in Bethesda, MD are:
  1. Cooper Thomas
  2. Datavant
  3. Unity Health Care
  4. GRM IMS
  5. Trinity Health
  6. General Dynamics
  7. Blue Water Thinking
  8. Ntech Workforce
  9. Shuvel Digital
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