Baltimore EAST AAPC chapter

Career corner

We provide this page as a benefit to professional coders and local employers. The Charm City Chapter cannot and does not warrant or guarantee any employer or job posting. Career notices will be checked, updated and/or removed on the website every 30 - 45 days.

If you know of a job opening to share please email the job details to:  

Shawn Fedner at shawn.fedner@gmail.com.


MEDICAL AR SPECIALIST - ORAL MAXILLOFACIAL SURGERY PRACTICE

POSted 02/22/2020
tITLE: MEDICAL ar SPECIALIST
EMPLOYEE TYPE: FULL TIME 

Busy, fast-paced medical Oral Maxillofacial Surgery Practice seeking to add a Medical AR Specialist to our team. It is important that the applicant be a team player who is able to work in a stressful environment while maintaining a pleasant demeanor.


DUTIES AND RESPONSIBILITIES:

  • Prepare/present complex treatment plans.

  • Collect surgery fees prior to procedures.

  • Aged account receivable and collection accounts.

  • Providing exceptional customer service.

  • Responding to and documenting patient inquiries.

  • Aged insurance claim follow up.

  • Prepare and submit insurance appeals.

  • Imaging Authorizations.

  • Assist during ad hoc projects as needed.

  • Complete End of Day process.

  • Scheduling Patient Appointments.

QUALIFICATIONS:

  • Must be a team player.
  • Minimum 2 years experience in a medical office.
  • Insurance Verification; medical and Dental.
  • Familiarity with ICD-10, CPT, and, CDT Coding.
  • Familiar with Medicare, Medicaid and Commercial insurances.
  • Familiar with Explanation of Benefits including appeals/denials.
  • Detailed oriented.
  • Ability to multi-task daily in a fast-paced environment.
  • Ability to be cross-trained.
  • Must possess exceptional time management skills.
  • Experience with Epic Hospital Software preferred.

Salary based on experience. Benefit Package offered. Please include salary requirements in cover letter or resume.

Forward all cover letters and resumes to scomer@umaryland.edu

Website: www.umomsa.com

MANAGER QUALITY REVIEW SPECIALIST - MEDSTAR HEALTH

POSted 02/07/2020
tITLE: MANAGER QUALITY REVIEW SPECIALIST
EMPLOYEE TYPE: FULL TIME (40 hrs/wk) - day shift

JOB SUMMARY:  Responsible for maintaining administrative, operational, & technical aspects of the Outpatient Quality Review Team.


PRIMARY DUTIES AND RESPONSIBILITIES:

  • Contributes to the development of the MedStar Coding Education manual.

  • Coordinates monthly external quality review process.

  • Develops and contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Ensures compliance with hospital/facility policies and procedures and governmental/accreditation regulations.

  • Helps select areas for focused quality reviews.

  • Monitors Outpatient Quality Review Specialist productivity and quality reports.

  • Participates in meetings with Corporate Coding Director, Coding Quality Director and CDI (Clinical Documentation Improvement) Director to establish internal coding guidelines and query form development.

  • Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings, serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate.

  • Performs other duties as assigned.

  • Performs outpatient quality reviews as assigned.

  • Prepares monthly data to monitor Coding staff quality.

  • Provides staff development through Talent Manager process. Responsible for completing all Talent Manager reviews and setting individual staff goals.

  • Responsible for managing workflow of outpatient Quality Review Specialist.

  • Responsible for payroll approval for assigned staff.

  • Responsible for personnel management for assigned staff to include but not limited to : interviewing, hiring, orienting, training, scheduling, and coaching.

  • Works closely with MedStar Coding managers to finalize quality reviews results.

  • Works closely with the Coding Educator to identify trends and educational opportunities.


    cODING QUALITY REVIEW SPECIALIST - PART TIME - MEDSTAR HEALTH

    POSted 02/07/2020
    tITLE: CODING QUALITY REVIEW SPECIALIST
    EMPLOYEE TYPE: PART TIME (20 hrs/wk) - day shift

    JOB SUMMARY:  Performs coding quality reviews on Outpatient Medical Records.


    PRIMARY DUTIES AND RESPONSIBILITIES:

    • Assists with the development of system-specific coding guidelines as needed, and participates in Quality review team meetings.

    • 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.

    • Having knowledge of coding compliance plan, directs efforts to achieving plan by focusing on areas identified through coding reviews or targeted by management for improvement.

    • Helps select areas for focused quality reviews.

    • Maintains continuing education. Maintains credentials, for required job classification.

    • Meets established Quality, Accuracy, and Productivity standards as defined by policies.

    • Participates in multidisciplinary quality and service improvement teams. Participates in meetings and on committees and represents the department and hospital in community outreach efforts.

    • Performs other duties as assigned.

    • Provides/identifies trends to provide feedback to appropriate sources. Identifies and assists in areas to provide additional training/education, under the direction of Manager.

    • Responsible for retrospective and concurrent reviews on coding staff.

    • Reviews, analyzes, and interprets medical record documentation to identify diagnoses and procedures. Assigns correct ICD and/or CPT diagnostic and procedural codes using standard guidelines and automated encoding software. Assigns the appropriate DRG.

    • Works closely with the Coding Quality Review team and outpatient coding staff to identify areas for improvement and problematic cases.


      pATIENT ACCOUNTS COORDINATOR (MEDICARE AND MEDICAID BILLING EXPERIENCE PREFERRED) - HOSPICE ADMIN - FINANCE - GBMC

      POSted 02/07/2020
      tITLE: pATIENT ACCOUNTS COORDINATOR
      EMPLOYEE TYPE: FULL TIME (40 hrs/wk) - day shift

      job DESCRIPTION:

      Under direct supervision, performs all collection functions on account balances within assigned financial classes. Provides billing and account services for Gilchrist Hospice Care and/or Gilchrist Greater Living, to include the Geriatrics, Senior Services, and Palliative Care practices.


        CODING, DATA QUALITY & PATIENT ACCOUNTS SPECIALIST - CANCER CENTER -

        MEDICAL ONCOLOGY - GBMC

        POSted 02/07/2020
        tITLE: CODING, DATA QUALITY & PATIENT ACCOUNTS SPECIALIST
        EMPLOYEE TYPE: FULL TIME (40 hrs/wk) - day shift

        job DESCRIPTION:

        Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information. Spends greater than 50% of each day coding (CPT, HCPCS and ICD-10) each new chemotherapy and infusion therapy regimen to ensure compliance with FDA and NCCN guidelines. Provides correct diagnosis and procedure codes to authorization staff to ensure insurance approval of services. Audits daily infusion therapy charges and educates nursing staff as appropriate. Routinely audits and educates physicians regarding evaluation and management, ICD-10 coding and documentation requirements. Works assigned work queues in EPIC to correct coding, claims and insurance discrepancies. Corrects ICD-10 coding errors for labs/procedures using local and national coverage determinations and educates providers if necessary. Manages denials and appeals to the insurance company as appropriate. Meets with patients and families to discuss financial requirements and insurance benefits regarding chemotherapy and infusion therapy. Assists patients in applying for financial assistance. Assists authorization department with denials and arranges peer to peer review. Under limited supervision, is responsible for the day-to-day collection of past due accounts. Responsible for ensuring that front office personnel understand and follow the billing requirements of various insurance carriers. Monitors deposits daily. Fields all calls regarding billing and coding from patients, providers and insurance companies. Has an understanding of global billing and educates providers and patients.


          CODING, DATA QUALITY & PATIENT ACCOUNTS SPECIALIST - CANCER CENTER - INFUSION THERAPY - GBMC

          POSted 02/07/2020
          tITLE: CODING, DATA QUALITY & PATIENT ACCOUNTS SPECIALIST
          EMPLOYEE TYPE: FULL TIME (40 hrs/wk) - day shift

          job DESCRIPTION:

          Under general supervision, collects data by abstracting, assessing and analyzing demographic and clinical information. Spends greater than 50% of each day coding (CPT, HCPCS and ICD-10) each new chemotherapy and infusion therapy regimen to ensure compliance with FDA and NCCN guidelines. Provides correct diagnosis and procedure codes to authorization staff to ensure insurance approval of services. Audits daily infusion therapy charges and educates nursing staff as appropriate. Routinely audits and educates physicians regarding evaluation and management, ICD-10 coding and documentation requirements. Works assigned work queues in EPIC to correct coding, claims and insurance discrepancies. Corrects ICD-10 coding errors for labs/procedures using local and national coverage determinations and educates providers if necessary. Manages denials and appeals to the insurance company as appropriate. Meets with patients and families to discuss financial requirements and insurance benefits regarding chemotherapy and infusion therapy. Assists patients in applying for financial assistance. Assists authorization department with denials and arranges peer to peer review. Under limited supervision, is responsible for the day-to-day collection of past due accounts. Responsible for ensuring that front office personnel understand and follow the billing requirements of various insurance carriers. Monitors deposits daily. Fields all calls regarding billing and coding from patients, providers and insurance companies. Has an understanding of global billing and educates providers and patients.


            A/R PHYSICIAN BILLING SPECIALIST - PRO FEE BILLING - mercy health services - #10974

            UPDAted 02/07/2020
            tITLE: A/R PHYSICIAN BILLING SPECIALIST
            EMPLOYEE TYPE: FULL TIME (40 hrs/wk) - day shift (8:00 AM - 4:30 PM)

            job DESCRIPTION:

            This position is responsible for the billing process, which includes the review and preparation of all hospital claims. Ensures the hospital bills a clean claim to the correct third party payer so that the turnaround time for payment is minimal and a positive cash flow is maintained for the hospital. Performs follow-up until a payment or rejection is received. Working in conjunction with other finance departments, displaying initiative, efficiency and correcting problems so that all customer expectations are met.

              Click Here to Apply & Search for "10974"


              AR SPECIALIST - PATIENT ACCOUNTING - mercy health services - #11769

              UPDAted 02/07/2020
              tITLE: AR SPECIALIST
              EMPLOYEE TYPE: FULL TIME (40 hrs/wk) - day shift (8:00 AM - 4:30 PM)

              job DESCRIPTION:

              As a part of the hospital billing team, this position is responsible for the billing process, which includes the review and preparation of all hosptial claims. Ensures the hospital bills a clean claim to the correct third party payer so that the turnaround time for payment is minimal and a positive cash flow is maintained for the physician. Performs follow-up until a claim is resolved. Working in conjunction with other finance departments, displaying initiative, efficiency and correcting problems so that all customer expectations are met.

                Click Here to Apply & Search for "11769"


                CODERS DIRECT JOB BOARDS - mULTIPLE POSITIONS

                UPDAted 02/07/2020
                MULTIPLE CODING OPPORTUNITIES


                  REMOTE Coding specialist I - hEALTH iNFORMATION sERVICE - mercy health services

                  UPDAted 02/07/2020
                  tITLE: REMOTE coding specialist I (2 POSITIONS)
                  EMPLOYEE TYPE: FULL TIME (40 hrs/wk) - day shift (8:00 AM - 4:30 PM)

                  job DESCRIPTION:

                  As a Remote Coding Specialist I you are responsible for independently coding and abstracts clinical information from outpatient and in our observation surgical records for the purpose of reimbursement, research and compliance with federal, state and other agencies utilizing established coding principles and protocols. Must be able to attend quarterly on-site meetings in the Baltimore, Maryland area.

                    Click Here to Apply & Search for "Coding"


                    Consultant i - STRATEGIC CERTIFIED PROFESSIONAL CODER - AVALERE hEALTH

                    UPDAted 02/07/2020
                    tITLE: STRATEGIC CERTIFIED PROFESSIONAL CODER

                    OVERVIEW:

                    Avalere Health is a strategic advisory company whose core purpose is to create innovative solutions to complex healthcare problems. Based in Washington, D.C., the firm delivers actionable insights, business intelligence tools, and custom analytics for leaders in healthcare business and policy. Avalere's experts span 230 staff drawn from Fortune 500 healthcare companies, the federal government (e.g., CMS, OMB, CBO, and the Congress), top consultancies, and nonprofits. The firm offers deep substance on the full range of healthcare business issues affecting the Fortune 500 healthcare companies. As an Inovalon company (Nasdaq: INOV), Avalere's focus on strategy is supported by outstanding data analytics that generate unique insights and meaningful business improvement. Through events, publications, and interactive programs, Avalere insights are accessible to a broad range of customers. For more information, visit avalere.com, or follow us on Twitter @avalerehealth.

                    Avalere Health is seeking a Strategic Certified Professional Coder to join our Market Access & Reimbursement Practice. We are looking for a motivated professional to serve as a staff authority on healthcare coding and related payment policies.

                    Avalere Job Description.pdf

                      Click Here to Apply


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