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Flexible R1 Rcm Medical Coding Jobs in Maryland (NOW HIRING)

TEKsystems

Coding Auditor

Baltimore, MD · Hybrid

$66K - $92K/yr

Medical Coding Auditor Hybrid (1 - 2 days in office per week) Baltimore, MD 21201 Compensation $66k ... Flexible Spending Accounts (FSAs) allow pre-tax savings on qualified medical and dependent care ...

New

TEKsystems

Coding Auditor

Baltimore, MD · Hybrid

$66K - $92K/yr

Medical Coding Auditor Hybrid (1 - 2 days in office per week) Baltimore, MD 21201 Compensation $66k ... Flexible Spending Accounts (FSAs) allow pre-tax savings on qualified medical and dependent care ...

New

Datavant

Profee Coding Consultant - PRN

Annapolis, MD · On-site

$20 - $28/hr

From fulfilling a single patient's request for their medical records to powering the AI revolution ... Use VPN access to ensure productive and flexible task completion * Uphold Datavant and HIM Division ...

Datavant

Profee Coding Consultant - Full Time

Annapolis, MD · On-site

$20 - $28/hr

From fulfilling a single patient's request for their medical records to powering the AI revolution ... Use VPN access to ensure productive and flexible task completion * Uphold Datavant and HIM Division ...

Harris

Good understanding of all RCM steps: front-end, coding, billing, accounts receivable (AR), denial ... Familiarity with CPT, ICD-10, HCPCS codes, and medical coding rules. * Understanding of healthcare ...

Harris

Good understanding of all RCM steps: front-end, coding, billing, accounts receivable (AR), denial ... Familiarity with CPT, ICD-10, HCPCS codes, and medical coding rules. * Understanding of healthcare ...

Mercy Medical Center

CODING SPECIALIST I

Baltimore, MD · On-site

$26.75/hr

Summary J oin Our Team at Mercy Medical Center - Now Hiring a Coding Specialist II ! Mercy Medical ... Must be flexible, have personal integrity, and the ability to function effectively as a team with ...

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Flexible R1 Rcm Medical Coding information

What is a Flexible R1 RCM Medical Coding?

A Flexible R1 RCM Medical Coding job involves reviewing and translating healthcare diagnoses, procedures, and medical services into standardized medical codes for billing and insurance purposes. The 'flexible' aspect typically refers to work hours or remote work options. R1 RCM stands for R1 Revenue Cycle Management, a company specializing in healthcare revenue cycle solutions. Medical coders in this role ensure that healthcare providers are reimbursed accurately and comply with healthcare regulations. This position requires knowledge of coding systems like ICD-10, CPT, and HCPCS, as well as attention to detail and familiarity with healthcare documentation.

What are the key skills and qualifications needed to thrive as a Flexible R1 RCM Medical Coder?

To thrive as a Flexible R1 RCM Medical Coder, you need a strong understanding of medical terminology, ICD-10/CPT coding systems, and healthcare revenue cycle management, typically supported by a certification such as CPC or CCS. Familiarity with coding software, electronic health records (EHR) systems, and medical billing platforms is essential. Attention to detail, analytical thinking, and strong communication skills help ensure accuracy and effective collaboration with healthcare teams. These competencies are crucial for maximizing reimbursement, maintaining compliance, and reducing claim denials in a dynamic healthcare environment.

What are the typical challenges faced by Flexible R1 RCM Medical Coders, and how can I prepare for them?

Flexible R1 RCM Medical Coders often navigate a fast-paced environment where accuracy and compliance are crucial. One common challenge is staying up-to-date with frequent changes in coding guidelines and payer requirements. Coders must also manage productivity targets while ensuring high-quality coded records. Preparing for these challenges involves continual learning, strong attention to detail, and effective time management. Collaborating with billing teams and participating in ongoing training can help you stay current and succeed in the role.

What is the difference between Flexible R1 Rcm Medical Coding vs Medical Billing Specialist?

AspectFlexible R1 Rcm Medical CodingMedical Billing Specialist
CertificationsAHIMA or AAPC coding credentials, CPC or CCS certificationsBilling and coding certifications preferred, such as CPC
Work EnvironmentHealthcare facilities, remote coding environmentsMedical offices, billing companies, healthcare facilities
Primary ResponsibilitiesAssigning accurate medical codes for diagnoses and proceduresProcessing patient bills, submitting claims, follow-up on payments

Flexible R1 Rcm Medical Coders focus on translating medical documentation into standardized codes, while Medical Billing Specialists handle the billing process and insurance claims. Both roles require coding certifications and often work in similar healthcare settings, but their core tasks differ significantly.

What are the most commonly searched types of R1 Rcm Medical Coding jobs in Maryland?

The most popular types of R1 Rcm Medical Coding jobs in Maryland are:

Flexible R1 Rcm Medical Coding jobs near you

HCC Coding Validation Specialists

Careers - Healthcare Resolution Services

Columbia, MD • Remote

Contractor

Re-posted 13 days ago

Job description

Job description:

Job Overview

We are seeking a highly skilled and detail-oriented HCC Coding Analyst to join our healthcare revenue cycle management team. The ideal candidate will possess a comprehensive understanding of hierarchical condition categories (HCC) coding, medical billing, and medical record abstraction. As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding of patient records to optimize reimbursement from government programs such as the Centers for Medicare and Medicaid Services (CMS). Your expertise in ICD-9, ICD-10, CPT coding, and DRG assignment will contribute significantly to the efficiency and compliance of our billing processes. This position offers an opportunity to work within a dynamic healthcare environment dedicated to accuracy, compliance, and quality patient care.

Duties

  • Review NLP-generated HCC coding output.
  • Validate assigned codes against available documentation.
  • Identify unsupported, inaccurate, or missing codes.
  • Make corrections in the platform or designated workflow.
  • Follow customer coding instructions and project guidelines.
  • Complete assigned records in accordance with agreed production expectations.
  • Utilize electronic health record (EHR) systems and electronic health records (EHR) management tools for coding, record abstraction, and billing workflows.
  • Conduct audits of coded records to identify discrepancies and implement corrective actions to improve coding accuracy.
  • Maintain up-to-date knowledge of changes in medical coding standards, CMS regulations, and healthcare policies affecting reimbursement.
  • Support revenue cycle management initiatives by ensuring precise coding that maximizes appropriate reimbursements while maintaining compliance.

Requirements

  • Proven experience in medical coding with a focus on HCC coding within a healthcare setting.
  • Strong knowledge of ICD-9, ICD-10, CPT coding systems, and DRG assignment processes.
  • Familiarity with medical billing procedures, medical records management, and electronic health record (EHR) systems.
  • Understanding of the CMS guidelines for risk adjustment models and reimbursement policies.
  • Excellent attention to detail with the ability to accurately abstract information from complex medical records.
  • Knowledge of medical terminology, anatomy, pathology, and clinical documentation practices.
  • Prior experience with electronic health records (EHR) management for billing and coding is highly desirable.
  • Effective communication skills for collaborating with clinicians, billing teams, and auditors.

Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal reimbursement while maintaining regulatory compliance within a fast-paced healthcare environment!

Benefits:

  • Flexible schedule
  • Work Location: Remote

Apply