Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... Knowledge of CPT and ICD-10 coding / medical terminology used in managed care * Experience in a ...
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Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... Knowledge of CPT and ICD-10 coding / medical terminology used in managed care * Experience in a ...
Quick apply
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... Knowledge of CPT and ICD-10 coding / medical terminology used in managed care * Experience in a ...
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... Knowledge of CPT and ICD-10 coding / medical terminology used in managed care * Experience in a ...
Quick apply
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... Knowledge of CPT and ICD-10 coding / medical terminology used in managed care * Experience in a ...
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... Knowledge of CPT and ICD-10 coding / medical terminology used in managed care * Experience in a ...
Quick apply
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... Knowledge of CPT and ICD-10 coding / medical terminology used in managed care * Experience in a ...
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... Knowledge of CPT and ICD-10 coding / medical terminology used in managed care * Experience in a ...
Quick apply
Remote -- client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected ... Knowledge of CPT and ICD-10 coding / medical terminology used in managed care * Experience in a ...
Linthicum, MD · On-site +1
$176K/yr
Some knowledge of medical terminology and CPT/ICD-10 coding. 8. Demonstrate dependability, critical thinking, and creativity and problem-solving abilities. 9. Knowledge of registration and admitting ...
New
Linthicum, MD · On-site +1
$176K/yr
Some knowledge of medical terminology and CPT/ICD-10 coding. 8. Demonstrate dependability, critical thinking, and creativity and problem-solving abilities. 9. Knowledge of registration and admitting ...
New
Baltimore, MD · Remote
Remote JobDuration: Contract / FTE Client: Federal Criteria-Need US citizenshipbecause of federal ... ICD-10, CPT, HCPCS * Claims, denials, billing or medical-necessity review * Provider communication ...
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Baltimore, MD · Remote
Remote JobDuration: Contract / FTE Client: Federal Criteria-Need US citizenshipbecause of federal ... ICD-10, CPT, HCPCS * Claims, denials, billing or medical-necessity review * Provider communication ...
Baltimore, MD · Remote
Remote Job Duration: Contract / FTE Client: Federal Criteria- Need US citizenship because of ... ICD-10, CPT, HCPCS * Claims, denials, billing or medical-necessity review * Provider communication ...
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Baltimore, MD · Remote
Remote Job Duration: Contract / FTE Client: Federal Criteria- Need US citizenship because of ... ICD-10, CPT, HCPCS * Claims, denials, billing or medical-necessity review * Provider communication ...
Baltimore, MD · Remote
Remote JobDuration: Contract / FTE Client: Federal Criteria-Need US citizenshipbecause of federal ... ICD-10, CPT, HCPCS * Claims, denials, billing or medical-necessity review * Provider communication ...
Baltimore, MD · Remote
Remote JobDuration: Contract / FTE Client: Federal Criteria-Need US citizenshipbecause of federal ... ICD-10, CPT, HCPCS * Claims, denials, billing or medical-necessity review * Provider communication ...
Laurel, MD · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
Laurel, MD · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
College Park, MD · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
College Park, MD · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
Baltimore, MD · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
Baltimore, MD · Remote
$18 - $40/hr
Deep knowledge of CPC examination content covering medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets, anatomy and physiology, medical terminology, coding guidelines, compliance, and ...
Baltimore, MD · On-site +1
$39K - $59K/yr
Knowledge of ICD-10 and CPT coding preferred * Understanding of: FSC's and paycodes used in GE system, contractual requirements for the job; importance of compliance with all government regulations ...
Baltimore, MD · On-site +1
$39K - $59K/yr
Knowledge of ICD-10 and CPT coding preferred * Understanding of: FSC's and paycodes used in GE system, contractual requirements for the job; importance of compliance with all government regulations ...
Baltimore, MD · On-site +1
$18 - $23.50/hr
Knowledge of ICD-10 and CPT coding preferred * Understanding of: FSC's and paycodes used in GE system, contractual requirements for the job; importance of compliance with all government regulations ...
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Baltimore, MD · On-site +1
$18 - $23.50/hr
Knowledge of ICD-10 and CPT coding preferred * Understanding of: FSC's and paycodes used in GE system, contractual requirements for the job; importance of compliance with all government regulations ...
100% REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 Eligible remote states: District of Columbia ... Assists with coding and leveling ERs as needed. Assists with coding and charging infusion cases as ...
100% REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 Eligible remote states: District of Columbia ... Assists with coding and leveling ERs as needed. Assists with coding and charging infusion cases as ...
Baltimore, MD · On-site +1
$34.50 - $46.50/hr
The role works closely with providers and healthcare teams to enhance clinical documentation accuracy and ensure ICD-10 coding precision. Your efforts will help us deliver the highest quality of care ...
Baltimore, MD · On-site +1
$34.50 - $46.50/hr
The role works closely with providers and healthcare teams to enhance clinical documentation accuracy and ensure ICD-10 coding precision. Your efforts will help us deliver the highest quality of care ...
Baltimore, MD · On-site +1
$18.99 - $28.51/hr
Knowledge of ICD-10 and CPT coding preferred * Understanding of: FSC's and paycodes used in GE system, contractual requirements for the job; importance of compliance with all government regulations ...
Baltimore, MD · On-site +1
$18.99 - $28.51/hr
Knowledge of ICD-10 and CPT coding preferred * Understanding of: FSC's and paycodes used in GE system, contractual requirements for the job; importance of compliance with all government regulations ...
Baltimore, MD · Remote
$21.50 - $26/hr
100% REMOTE OPPORTUNITY Eligible remote states: District of Columbia, Maryland, Pennsylvania ... ICD-10CM/PCS codes to those diagnoses/procedures. Requirements: * Formal working knowledge ...
Baltimore, MD · Remote
$21.50 - $26/hr
100% REMOTE OPPORTUNITY Eligible remote states: District of Columbia, Maryland, Pennsylvania ... ICD-10CM/PCS codes to those diagnoses/procedures. Requirements: * Formal working knowledge ...
Advanced knowledge of CPT, HCPCS, ICD-10-CM/PCS coding systems and claims reimbursement rules. * Experience in technical writing, reimbursement methodologies, health economics or statistics.
Advanced knowledge of CPT, HCPCS, ICD-10-CM/PCS coding systems and claims reimbursement rules. * Experience in technical writing, reimbursement methodologies, health economics or statistics.
Baltimore, MD · On-site +1
$317K/yr
This is a fully remote position supporting multiple facilities within the UMMS Cancer Registry ... Apply ICD-O-3, Solid Tumor Rules, AJCC Staging, STORE Manual, SSDIs, and other applicable coding ...
Baltimore, MD · On-site +1
$317K/yr
This is a fully remote position supporting multiple facilities within the UMMS Cancer Registry ... Apply ICD-O-3, Solid Tumor Rules, AJCC Staging, STORE Manual, SSDIs, and other applicable coding ...
$17.20 - $17.78
7% of jobs
$18.35 is the 25th percentile. Wages below this are outliers.
$17.78 - $18.37
19% of jobs
$18.37 - $18.96
5% of jobs
$18.96 - $19.54
3% of jobs
$19.54 - $20.13
14% of jobs
The median wage is $20.28 / hr.
$20.13 - $20.72
6% of jobs
$20.72 - $21.30
0% of jobs
$21.30 - $21.89
0% of jobs
$21.89 - $22.47
0% of jobs
$22.94 is the 75th percentile. Wages above this are outliers.
$22.47 - $23.06
26% of jobs
$23.06 - $23.65
20% of jobs
$17
$21
$23

Contractor
Medical, Dental, Vision, Life, Retirement
Re-posted 2 days ago
UTILIZATION MANAGEMENT COORDINATOR
Location: Remote — client site in Baltimore, MD (21224) Type: Contract (3 months to start; expected extension possible) Schedule: 40 hours/week — must include a weekend day Pay (W2): USD 24.70/H
JOB OVERVIEW
In this role, you’ll support Utilization Management (UM) clinical teams by handling non-clinical administrative work tied to pre-service authorization, utilization review support, care coordination workflows, and quality-of-care processes. You’ll help manage authorization intake, documentation, and provider/member support—while working in a fast-paced environment where schedule flexibility (including weekends) is required.
WHAT YOU’LL DO
Provide member/provider administrative support such as benefit verification, authorization creation/management, claims inquiries, and case documentation.
Review incoming authorization requests for initial determination and/or triage items for clinical review and resolution.
Support day-to-day coordination for the department, including answering/responding to phone calls, taking messages, and responding to basic inquiries.
Research information and assist with issue resolution and operational problem-solving.
Assist with reporting, data tracking, and organizing/disseminating information (including Continuity of Care processes and tracking Peer-to-Peer reviews).
REQUIRED QUALIFICATIONS
High School Diploma (or equivalent)
3+ years of experience in healthcare claims/service areas and/or healthcare office/administrative support
Ability to work effectively within a multidisciplinary team (internal and external partners)
Strong communication, organization, and customer service skills
Strong attention to detail with sound judgment and decision-making
Comfortable with web-based tools and Microsoft Office (Word, Excel, PowerPoint)
NICE TO HAVE
Knowledge of CPT and ICD-10 coding / medical terminology used in managed care
Experience in a managed care environment (health plan / UM support)
Phone-heavy/customer support experience
Experience with Medicaid/Medicare (government programs)
Exposure to tools such as Facets, Guiding Care, and/or NICE CXone
System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.
System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.
#M-M2 #LI-
Ref: #851-Rockville-S1