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Lead Clinical Coding RN Facility Compliance and Audits

Job in Baltimore, Anne Arundel County, Maryland, 21276, USA
Listing for: Blue Shield of CA
Full Time position
Listed on 2026-10-11
Job specializations:
  • Healthcare
    Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 90000 - 120000 USD Yearly USD 90000.00 120000.00 YEAR
Job Description & How to Apply Below
Position: Lead Clinical Coding RN for Facility Compliance and Audits

Blue Shield of CA is seeking a Clinical Coding Analyst RN, Consultant to support the Facility Compliance Review (FCR) team in auditing facility claims for ICD-10-CM/PCS coding, medical necessity, and DRG reviews.

The role involves leading a small coder team, training new hires, and ensuring accurate outpatient coding for injections/infusions while aligning with reimbursement and quality goals.

We invite applications for the Lead Clinical Coding RN for Facility Compliance and Audits position located in Baltimore, MD, United States.

We are looking to fill the Lead Clinical Coding RN for Facility Compliance and Audits position at Blue Shield of CA in Baltimore, MD, United States.

The Lead Clinical Coding RN for Facility Compliance and Audits role at Blue Shield of CA is now open for applications in Baltimore, MD, United States.

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