Maryland Licensed Coding Reviewer

To support healthcare data accuracy, the part-time Maryland Licensed Coding Reviewer will conduct clinical documentation reviews, perform compliance audits, and generate detailed reports while working remotely. Key responsibilities Performing audit functions for the HSCRC Inpatient/Outpatient Data Abstract Review Contract in a timely and accurate manner Generating well-written deliverables and audit work papers while providing feedback to hospitals regarding audit findings Interpreting and applying coverage and payment policies, ensuring compliance with regulations and standards Required qualifications 5 years of relevant experience in complex coding, quality assurance, training, appeals, or auditing services involving ICD-10-CM/PCS, CPT/HCPCS, and DRG/APRDRG Bachelor's degree in a related discipline or specialized licensure, certification, or accreditation (e.g., RHIA, RHIT, RN, MD, CCS, CCS-P, CPC, CRC) Practical knowledge of HIPAA and regulations pertaining to confidentiality and privacy of protected health information Ability to effectively communicate with other reviewers and clients to ensure quality audit findings Experience in researching and applying solutions related to coding and auditing processes