Montgomery County, Maryland, United States · On-site
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$28/hr–$43/hr
Full-time
high school, professional certificate
Tuition Reimbursement, Free Parking, Employee Discounts, Flexible Work Schedules, Professional Growth
Posted 41d ago
~40 hrs/week
Remote in United States
Responsibilities
Perform medical record audits to validate diagnoses and procedures while ensuring compliance with CMS guidelines. Provide education to practitioners and coders to improve documentation accuracy and charge capture.
Requirements
Requires a high school diploma and CPC or RHIT accreditation with 2-5 years of professional coding experience. Proficiency in ICD-10, CPT, and knowledge of Medicare/Medicaid billing rules is essential.
Advancement: professional growth within the organization
Location: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD.
Description:
Monday-Friday
The Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS).
Responsibilities:
Monitors accuracy of centralized coders’ charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies.
Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner.
Responsible for practitioner education in areas related to coding, documentation, and compliance.
Works closely with leadership and the department to establish and modify the charge description master (CDM) methodology and pricing models to ensure accuracy and regulatory compliance.
Reports to the Manager, Provider Revenue Operations
What you will need:
High school diploma or equivalent combination of education and experience
Certified Professional Coder or Registered Health Information Technician accreditation required.
Minimum of 2-5 years of professional coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCs modifiers. Knowledge of Medicare, Medicaid, and other third-party billing rules and regulations.
3-6 years of professional coding experience; ability to code from operative reports; prior auditing experience.(Preferred)
Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations.
Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation.
Ability to handle patient and organizational information in a confidential manner.
Ability to demonstrate competency with a standard desktop and Windows-based computer system, including a basic understanding of email, e-learning, intranet and computer navigation. Ability to use other software as required to perform the essential functions of the job.
Demonstrated dependability and regular attendance.
Solid understanding of ICD-10 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans.
Ability to exercise independent judgment as appropriate within standard practices and procedures.
Pay rate: $ 28.00 – $43.40
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
About us:
Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland's two largest counties — Montgomery and Prince George's counties. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for providing innovative, high-quality health care services.We were named one of America’s 100 Best Hospitals for 2021.
Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an 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, veteran status, or any other status protected by federal, state, or local law.
Related keywords
ICD-10CPTHCPCSCMSCPCRHITMedical AuditingHealthcare ComplianceHCCCharge Description MasterMedicareMedicaidMedical CodingRevenue OperationsTrinity Health
St. Peter’s serves in the spirit of the gospel as a compassionate and transforming healing presence in our communities.
Industry
Hospitals and Health Care
Company size
10,001+ employees
Founded
2011
Headquarters
Albany, NY
LinkedIn followers
16,958
With more than 11,000 employees in more than 185 locations, St. Peter’s Health Partners is the Capital Region’s largest and most comprehensive not-for-profit integrated health care network, which provides high-quality, compassionate, and sophisticated care to thousands of people every day. St. Peter’s Health Partners is a member of Trinity Health. For more information, please visit www.SPHP.com.
Offices: 315 South Manning Blvd, Albany, NY 12208, US
Based on 2565 listings with disclosed salaries, most healthcare jobs in Maryland pay between $65k–$160k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in Maryland right now?
There are currently 8,764 open healthcare positions in Maryland listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Maryland?
Companies currently hiring include University of Maryland Medical System, CVS Health, Luminis Health, Adventist HealthCare, Sheppard Pratt, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Maryland?
Yes — 1196 of the 8764 open healthcare positions offer remote or hybrid work (338 remote, 858 hybrid).
How do I apply for Healthcare jobs in Maryland?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.