Heathcare/ Medical Management Coordinator

Laphcc; Baltimore (MD); Hybrid; USD 30,000 - 47,000; Full time

Job summary

Tech Workforce is seeking a Medical Management Coordinator in Baltimore, hybrid role. You will support the Clinical Appeals and Analysis Unit by handling case entries, records requests, and overturn notices as part of a non-clinical, operational team.

Ideal candidates bring 2 years of healthcare admin experience, familiarity with GuidingCare and Facets, and knowledge of CPT/ICD terminology. On-site 1–2 days weekly, 40 hours, W2 contract for 6 months.

Qualifications

• 2 years of administrative or operational experience within a healthcare environment.
• Familiarity with GuidingCare (Legacy or G6) and Facets platforms.
• Experience with medical coding concepts (CPT/ICD).
• Residency near Canton, with on-site availability 1–2 days per week.

Responsibilities

• Prepare and package full appeal cases and letters for shipment via the on-site mailroom.
• Enter case details into internal systems and create shell cases as needed.
• Review medical records requests and determine documentation needs.
• Draft and print standardized overturn notices and related documents.
• Perform triage of incoming documents for clinical appeals processing.
• Navigate GuidingCare and Facets to access patient and claim data.
• Collaborate with clinical analysts and supervisors to maintain workflow.

Skills

Administrative healthcare experience

GuidingCare

Facets

CPT/ICD terminology familiarity

Tools

GuidingCare

Facets

NASCO

Lotus Notes

Job description

Heathcare/ Medical Management CoordinatornTech WorkforceBaltimore, MD, United States**Description**Title: Medical Management Coordinator Location: Baltimore, MD 21224 (Hybrid) Duration: 6 Months Contract Job Description: Terms of Employment W2 Contract, 6 Months Hybrid: 1–2 days on-site per week; regular weekly in-office presence required) Work Hours: Full-time, 40 hours/week (Core hours: 8:00 AM – 5:00 PM) Overview Client is seeking detail-oriented Medical Management Coordinators to join a leading healthcare organization’s Clinical Appeals and Analysis Unit (CAU) in Canton. This role provides non-clinical operational and administrative support to streamline clinical appeals, case processing, and documentation. Working alongside a dedicated team of clinical analysts and nurses, you will play a crucial role in managing case entries, generating overturn notices, processing medical records requests, and managing physical mailings. Key Responsibilities Prepare, manually print, and package full-on fair appeal cases and letters for shipment through the on-site mailroom via FedEx. Assist with creating shell cases and entering case details into internal systems based on unit needs. Review and determine if medical records are required for specific appeal cases and facilitate request fulfillment. Draft, review, and print standardized overturn notices and related case documentation. Perform initial triaging of incoming documentation to verify appropriateness for clinical appeals processing. Utilize core healthcare administration platforms (GuidingCare and Facets) to navigate patient and claim details. Collaborate with clinical analysts and supervisor team members to maintain workflow efficiency during core business hours. Required Skills & Experience 2 years of administrative or operational experience within a healthcare, managed care, or health insurance environment. Demonstrated experience navigating healthcare system platforms, specifically GuidingCare (Legacy or G6) and Facets. Familiarity with healthcare claims, clinical appeals, or Utilization Management (UM) processes. Practical knowledge or exposure to medical coding conventions, including CPT and ICD (ICD-9 / ICD-10) terminology. Local residency near the Canton location with full availability to work on-site 1–2 days per week as scheduled. Preferred Skills & Experience Previous experience in a medical billing, claims processing, or provider office setting. Familiarity with NASCO, Lotus Notes, or Explanation of Benefits (EOB) lookup systems. Prior experience handling confidential medical records, overturn notices, or legal appeal document packaging. Sincerely,Preetam Raj Lead Technical Recruiter nTech Workforce Inc. D: 410-505-4857 EXT: 726 E: [e-mail] preetam(at)ntechworkforce(dot)comJob ID: f14adde5-5938936882