Top 21 Clinical documentation specialist remote Jobs in Baltimore Md

Utilization Review Specialist (BCBA Licensee)
System One —Baltimore, MD
- $51.00 - $51.77 an hour
- Microsoft Excel
- Mid-level
- 3 years
- Health insurance
- Dental insurance
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13d
Clinical Documentation Specialist RN
Johns Hopkins Medical Management Corporation —Baltimore, MD
- $60 an hour
- Temporary
- Nursing
- Anatomy knowledge
- RN License
Senior Inpatient Coder, Full Time
University of Maryland Medical System —Baltimore, MD
- $30.26 - $42.37 an hour
- Full-time
- High school diploma or GED
- Critical & Intensive Care
- Neurology
Senior Inpatient Coder, Full Time
University of Maryland Medical System —Baltimore, MD
- $30.26 - $42.37 an hour
- Full-time
- High school diploma or GED
- Critical & Intensive Care
- Neurology
Senior Inpatient Coder, Full Time
University of Maryland Medical System —Baltimore, MD
- $30.26 - $42.37 an hour
- Full-time
- High school diploma or GED
- Critical & Intensive Care
- Neurology
Senior Inpatient Coder, Full Time
University of Maryland Medical System —Baltimore, MD
- $30.26 - $42.37 an hour
- Full-time
- High school diploma or GED
- Critical & Intensive Care
- Neurology
Inpatient Coder, Full Time
University of Maryland Medical System —Baltimore, MD
- $26.14 - $36.59 an hour
- Full-time
- Mid-level
- High school diploma or GED
- 1 year
Senior Outpatient Coding Specialist, Remote
University of Maryland Medical System —Baltimore, MD
- $28.41 - $40.35 an hour
- Full-time
- Remote
- Anatomy knowledge
- Surgery
- High school diploma or GED
Senior Outpatient Coding Specialist, FT Remote
University of Maryland Medical System —Baltimore, MD
- Full-time
- Remote
- Customer service
- Computer literacy
- 3 years
4d
Oncology Data Specialist
University of Maryland Medical System —Towson, MD
- Full-time
- Hybrid work
- Microsoft Word
- Microsoft Excel
- Mid-level
Coding Specialist II, Remote Day
University of Maryland Medical System —Linthicum Heights, MD
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
4d
Sr Inpatient Coder, FT Remote
University of Maryland Medical System —Baltimore, MD
- Full-time
- Remote
- Customer service
- Computer literacy
- Analysis skills
4d
Provider Coding Auditor & Educator (Remote)
Anne Arundel Dermatology —Owings Mills, MD
- $75,000 - $85,000 a year
- Full-time
- Remote
- Anatomy knowledge
- Surgery
- Mid-level
- AD&D insurance
- Paid holidays
Manager Coding Audit, Remote
University of Maryland Medical System —Baltimore, MD
- $42.64 - $64.00 an hour
- Full-time
- Remote
- Customer service
- Computer literacy
- 3 years
Practice Development Specialist - Colorado Based
OneOncology —Owings Mills, MD
- $75,000 - $95,000 a year
- Full-time
- Background check
- Up to 50% travel
- Customer service
Quick Apply

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Utilization Review Specialist (BCBA Licensee)

System One -
Baltimore, MD

Quick Apply

Job Details

Temp-to-hire
$51.00 - $51.77 an hour
13 days ago

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Life insurance

Qualifications

Patient treatment planning
Direct patient care
Patient progress tracking
Microsoft Excel
Mental health and behavioral care
Licensed Behavior Analyst
Documentation tools
BCBA
Behavioral progress monitoring
Functional Behavior Assessment (FBA)
Patient progress monitoring
Productivity software
Patient treatment
Clinical data analysis
Continuation mental treatment planning

Full Job Description

Job Title: Utilization Review Specialist (BCBA Licensee)
Location: Baltimore, MD (Remote – offsite)
Type: Contract To Hire
Compensation: $51/hr (W2)
Work Model: 100% Remote

Must be Licensed in one of the 3 states: MD, VA or Washington D.C.

Overview
Utilizing key principles of utilization management, the Utilization Review Specialist (BCBA Licensee) performs prospective, concurrent, and retrospective reviews to determine authorization, medical necessity, and appropriateness of Applied Behavior Analysis (ABA) services. This role leverages clinical expertise in behavior analysis and evidence-based ABA practices to evaluate treatment plans, service intensity, and clinical outcomes for individuals with Autism Spectrum Disorder (ASD) and other developmental or behavioral diagnoses.

Responsibilities

Perform prospective, concurrent, and retrospective reviews to determine authorization, medical necessity, and appropriateness of ABA services.
Review ABA treatment requests (initial, concurrent, and retrospective) for clinical appropriateness and benefit coverage.
Evaluate ABA treatment plans, goals, supervision models, requested service intensity, and progress/outcomes using behavior analytic principles and evidence-based practices.
Analyze clinical documentation, benefit plans, mandates, and medical/behavioral health policies to support determinations related to ABA services.
Determine medical necessity and appropriateness by referencing applicable regulatory mandates, contracts/benefit information, and clinical guidelines and policies.
Conduct research and analysis of behavioral health conditions, ABA treatment methodologies, and emerging practices within the field of behavior analysis.
Collaborate with internal clinical leadership (e.g., medical directors) and cross-functional partners (e.g., provider and member services) to support appropriate benefit application and case decision-making.
Coordinate as needed with internal partners and providers related to benefit determinations and case-related follow-up.
Make appropriate referrals and contacts as needed; support members and providers with alternative care options when appropriate.
Provide guidance to providers and internal teams regarding ABA best practices, documentation standards, and authorization requirements.
Develop and present educational materials on ABA topics, treatment trends, and case learnings to internal stakeholders.

Requirements

Master’s Degree or higher in Behavior Analysis, Psychology, Education, or a related field
Board Certified Behavior Analyst (BCBA) certification — active and in good standing
Active state licensure as a Behavior Analyst (if required in the practicing state) — required where applicable
3–5+ years of clinical ABA experience
Direct patient care experience delivering ABA services (e.g., in-home, center-based, school-based, community)
Demonstrated experience developing ABA treatment plans, including:
- Functional behavior assessment/analysis (FBA/FA) and clinical documentation
- Individualized goal development and measurement strategies
- Treatment plan updates based on data and clinical progress
- Caregiver training and/or supervision/model oversight (as applicable)
Strong written and interpersonal communication skills; ability to communicate effectively with providers and internal stakeholders
Strong clinical assessment and analytical skills with the ability to make sound, timely determinations
Ability to manage competing priorities and maintain organization in a fast-paced environment
Proficiency with web-based tools and Microsoft Office (Word, Excel, PowerPoint)

Preferred Qualifications

Prior experience in utilization management, care management, or payer-side review of ABA services
Working knowledge of managed care and health delivery systems
Familiarity with clinical guidelines, medical policies, accreditation, and regulatory standards (e.g., NCQA and comparable standards)

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.

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Ref: #851-Rockville-S1

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clinical documentation specialist remote jobs in baltimore md

Utilization Review Specialist (BCBA Licensee)

Clinical Documentation Specialist RN

Senior Inpatient Coder, Full Time

Senior Inpatient Coder, Full Time

Senior Inpatient Coder, Full Time

Senior Inpatient Coder, Full Time

Inpatient Coder, Full Time

Senior Outpatient Coding Specialist, Remote

Senior Outpatient Coding Specialist, FT Remote

Oncology Data Specialist

Coding Specialist II, Remote Day

Sr Inpatient Coder, FT Remote

Provider Coding Auditor & Educator (Remote)

Manager Coding Audit, Remote

Practice Development Specialist - Colorado Based

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