Data Engineer in Arlington, VA (Hybrid 3 Days Onsite) PRI GlobalData Engineer in Arlington, VA (Hybrid 3 Days Onsite)Arlington, VAKeywords: Data Engineer, Spark, PySpark, Hadoop, HDFS, Hive, Ozone, Python, SQL, ETL, Data Pipeline, Data Warehouse, Big Data, Analytics, Financial Services, Payments, Arlington VA. We are seeking an experienced Data Engineer to join a newly established analytics and reporting team focused on automating data extraction, transformation, and reporting processes across multiple client engagements.
Applied Data Scientist Shift5 IncApplied Data ScientistVA$120,000–$170,000 / yearIn this role, your primary responsibility will be to collaborate with customers and internal stakeholders to discover critical insights, deconstruct complex business problems into testable hypotheses, and build end-to-end data science solutions that scale back into Shift5's core product line. Technical Skills: Fluency in a generic analytics coding language (Python, SQL, R, or Matlab) and strong data needs analysis skills (identifying data and technical tests required to validate hypotheses).
Coding Quality Specialist 2-OBGYN Commonwealth of VirginiaCoding Quality Specialist 2-OBGYNCharlottesville, VA$18–$35.32 / hourThese jobs focus on managing the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures.
Coding Quality Specialist 2 Commonwealth of VirginiaCoding Quality Specialist 2Charlottesville, VA$17.66–$35.32 / hourThese jobs focus on managing the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures.
Coding Quality Specialist 3 Commonwealth of VirginiaCoding Quality Specialist 3Charlottesville, VA$30–$40.57 / hourThese jobs focus on managing the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures.
Coding Quality Specialist 2-Primary Care Commonwealth of VirginiaCoding Quality Specialist 2-Primary CareCharlottesville, VA$18–$35.32 / hourThese jobs focus on managing the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures.
Finance Operate - Manager - Process Design & Reengineering Lead Deloitte Touche Tohmatsu LtdFinance Operate - Manager - Process Design & Reengineering LeadArlington, VA$128,000–$252,000 / yearThe wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. Our purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities.
Manager, Online Banking & Technical Delivery Fiserv IncManager, Online Banking & Technical DeliveryVA$109,000–$152,000 / yearServe as a client-facing technical leader by working with clients, Business Analysts, Project Managers, Product Development, internal stakeholders, and third-party vendors to define requirements, guide solutions, resolve integration issues, and support defect triage and technical troubleshooting. Oversee go-live and production readiness activities, including playbooks, pilot plans, validation plans, code promotions, approval checkpoints, cutover readiness, operational readiness, post-installation verification, and improvements in automation, quality controls, repeatability, and developer productivity.
Mid Level DevOps Engineer System OneMid Level DevOps EngineerMcLean, VirginiaDeep expertise in several of: AKS, App Services, Functions, APIM, Azure SQL/MI, Cosmos DB, Storage, Event Hub/Service Bus, Redis, VNet/Peering, Private Link, Application Gateway/WAF, Front Door. • Design, build, and maintain Azure landing zones and platform services (e.g., VNet, Private Endpoints, Key Vault, Azure Firewall/NSGs, Application Gateway/WAF).
Software Developer Electrosoft Services IncSoftware DeveloperArlington, VARelevant certifications such as Microsoft Certified: Azure Developer Associate, AWS Developer Associate, Security+, Certified Scrum Developer (CSD), or equivalent. Design, develop, test, implement, and maintain software applications and digital solutions supporting Transformation Strategy, Enablement, and Service Experience initiatives.
Senior Associate, Data Science - Consumer Credit Risk Models and Data Capital One Financial CorpSenior Associate, Data Science - Consumer Credit Risk Models and DataMcLean, VA$135,600–$154,800 / yearAs a Data Scientist on the deployment & platform side of the team, you'll be at the forefront helping us to usher in the next wave of disruption by using the latest technology to deploy, optimize and modernize model pipelines and execution platforms that enable machine learning models to provide powerful insights about our portfolio and growth opportunities through new data sources. Basic Qualifications: Currently has, or is in the process of obtaining one of the following with an expectation that the required degree will be obtained on or before the scheduled start date: A Bachelors Degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, or a related quantitative field) plus 2 years of experience performing data analytics.
Senior Associate, Capital Markets and Risk Capital One Financial CorpSenior Associate, Capital Markets and RiskMcLean, VA$111,200–$126,900 / yearLMCRO is a second line of defense Independent Risk Management ("IRM") function responsible for oversight of the company's measurement and management of risks across the crisis continuum, including liquidity risk, market risk-taking and management, capital measurement, stress testing and management, and recovery and resolution planning. Specific Responsibilities, but are not limited to: Proactively engage with lines of businesses and providing analytical support for research, analysis, and independent risk management in various areas of LMCRO's oversight, including Resolution and Recovery Planning, Regulatory Capital, Liquidity, and Market Risk.
Senior Manager, Quantitative Analysis - Model Risk Office Capital One Financial CorpSenior Manager, Quantitative Analysis - Model Risk OfficeMcLean, VA$229,900–$262,400 / yearBasic Qualifications: Currently has, or is in the process of obtaining one of the following with an exception that the required degree will be obtained on or before the scheduled start date: A Master's degree in a quantitative field (Statistics, Economics, Operations Research, Analytics, Mathematics, Computer Science, or a related quantitative field) or an MBA with a quantitative concentration plus 5 years of experience in quantitative analytics. As a Quantitative Senior Manager at Capital One, you'll be part of a team that's leading the next wave of disruption at a whole new scale, using the latest in cloud computing and machine learning technologies and operating across billions of customer records to unlock the big opportunities that help everyday people save money, time and agony in their financial lives.
Senior Associate Product Manager - US Card Core Platforms & Servicing Capital One Financial CorpSenior Associate Product Manager - US Card Core Platforms & ServicingMcLean, VA$101,100–$115,400 / yearIn this role you will lead the strategy and delivery, define overarching product priorities, align on definitions of success, and partner with others across the team to ruthlessly prioritize backlog and build airtight business cases for what your team should tackle next and why, and more. Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate's offer letter.
Senior Associate, Product Management, Fraud & Disputes Back Office Capital OneSenior Associate, Product Management, Fraud & Disputes Back OfficeMcLean, VirginiaSenior Associate, Product Management, Fraud & Disputes Back Office Product Management at Capital One is a booming, vibrant craft that requires reimagining the status quo, finding value creation opportunities, and driving innovative and sustainable customer experiences through technology. Ecosystem Curiosity: Explore beyond their immediate product scope, demonstrate a deep curiosity about the broader fraud landscape and how credit card organization drivers, like fraud loss mitigation and enabled spend, impact the company's bottom line.
Senior Associate, Product Management - Machine Learning and AI Capital OneSenior Associate, Product Management - Machine Learning and AIMcLean, VirginiaSenior Associate, Product Management - Machine Learning and AI Product Management at Capital One is a booming, vibrant craft that requires reimagining the status quo, finding value creation opportunities, and driving innovative and sustainable customer experiences through technology. This role demands a strong analytical mindset and a deep understanding of AI technologies, coupled with the ability to work effectively across teams to launch products that are innovative, user-centric, and commercially viable.
Cleared PeopleSoft Developer Azusa SolutionsCleared PeopleSoft DeveloperMclean, VirginiaAbout Azusa Azusa Solutions (Azusa) helps clients solve their toughest challenges in the area Enterprise Application Development and Maintenance. This is an exciting opportunity to join a growing company comprised of highly qualified, highly impactful, and multi-talented individuals.
ServiceNow Developer [Remote] Via Logic LLCServiceNow Developer [Remote]Alexandria, VARemote$90,000–$115,000 / yearpointer-events-auto R6Vx5W_threadScrollVars scroll-mb-[calc(var(--scroll-root-safe-area-inset-bottom,0px)+var(--thread-response-height))] scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]"> About Via Logic. In this role, you'll support the design, development, and implementation of solutions across the ServiceNow platform, including custom and scoped applications, integrations, workflow automation, Service Catalog capabilities, and locally developed applications.
Compliance Coding Auditor Sentara HospitalsCompliance Coding AuditorNorfolk, VirginiaRemoteThe Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year. Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits.
Compliance Coding Auditor Sentara Healthcare IncCompliance Coding AuditorNorfolk, VARemoteThe Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is expected to achieve mastery in the MPFS payment methodology, including the impact on Relative Value Unit (RVU) value related to Non-Physician Practitioner (NPP) services, Provider Based Billing (PBB) locations, and all other complex coding protocols within one year. Performs a number of functions including those of physician education, internal auditing, coder education, management of AR queries/problems, and liaison with external auditors for corporate audits.
Salesforce Developer DHS (Remote) ICF International IncSalesforce Developer DHS (Remote)Reston, VARemote$81,499–$138,549 / yearPay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position. Demonstrated proficiency in Salesforce configuration (e.g., flows, Community Sites, custom objects, fields, validation rules, etc.) and org administration (SSO, email relay, internal & external user administration, AppExchange package management, etc.).
Salesforce Developer (Remote) ICF International IncSalesforce Developer (Remote)Reston, VARemote$98,614–$167,644 / yearPay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position. Demonstrated proficiency in Salesforce configuration (e.g., flows, Community Sites, custom objects, fields, validation rules, etc.) and org administration (SSO, email relay, internal & external user administration, AppExchange package management, etc.).
Salesforce PSS Developer DHS (Remote) ICF International, IncSalesforce PSS Developer DHS (Remote)Reston, VARemote$81,499–$138,549 / yearPay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position. Demonstrated proficiency in Salesforce configuration (e.g., flows, Community Sites, custom objects, fields, validation rules, etc.) and org administration (SSO, email relay, internal & external user administration, AppExchange package management, etc.).
Cyber Threat Intelligence Analyst 22nd Century Technologies, Inc. (TSCTI)Cyber Threat Intelligence AnalystFort Belvoir, VAContractorFull timeProvides cyber risk and threat identification by proactively and continuously monitoring the internal and external landscape for relevant events, risks, and threats related to malicious code, vulnerabilities, and attacks. Assists in the evaluation, development, testing, and implementation of emerging data access control technologies and information systems security issues, safeguards, and techniques.
NewSenior Programmer Analyst (AI/ML, GenAI) Pinnacle Technical ResourcesSenior Programmer Analyst (AI/ML, GenAI)Richmond, Virginia$65–$70 / hourContractorThe specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. This includes evaluating new tools and technologies, developing proof of value (POV) solutions, and implementing AI solutions within a private cloud environment.
NewSystems Safety Analyst WR SystemsSystems Safety AnalystNorfolk, Virginia$72,000–$128,000 / yearEight (8) + years of Engineering/Systems Safety experience (DoD and/or shipboard systems experience preferred) in developing and implementing major safety programs inclusive of systems, software, electrical and/or mechanical engineering. The selected candidate will be required to pass a pre-employment third-party background check which may include verification of any of the following: Employment history; Education and/or certifications; Criminal history; Driving Records; Other records or information related to the candidate’s suitability for the position.
NewBudget Analyst DCS CorporationBudget AnalystFort Belvoir, VAProvides advanced Planning, Programming, Budgeting, and Execution (PPBE) knowledge and "hands on" experience using CCaR, GFEBS, the Army's Logistics Modernization Program (LMP), the Army’s Program Optimization and Budget Evaluation (cPROBE), the Army’s Acquisition, Logistics, and Technology Enterprise Systems and Services (ALTESS), and Project Management Resource Tools (PMRT) software/databases. In this role, you will manage core elements of the budget and financial lifecycle developing spend plans and executing funds through the Department of War’s Comprehensive Cost and Requirement (CCaR) system and the Army’s General Fund Enterprise Business System (GFEBS), and Financial Management modules within the Army’s enterprise resource planning tools.
JDE Technical Developer Business Systems Analyst Tri-S Recruiters, IncJDE Technical Developer Business Systems AnalystAlexandria, VADue to a huge JDEdwards project and increase in business we are looking for a JDEdwards EOne techno-Functional expert who could support existing applications and get involved in working with users and customers in the Warehouses, DC's and Manufacturing Plants on some new functionality along with enhancements to current needs. Act as a liaison between the functional distribution areas and IT by communicating verbally with end users in gathering user requirements, walking users through designed solutions and providing support to meet business needs.
NewBusiness Systems Analyst - Level III PlanIT GroupBusiness Systems Analyst - Level IIIReston, VAFamiliarity with Agile/Scrum processes and management tools (preferably VersionOne) and IT Service Management Systems (preferably ServiceNow). •Strong background in Agile/Scrum environments, including backlog refinement, writing stories, creating test cases, and participating in sprint ceremonies.
NewIT - Information Security/Privacy Analyst I PlanIT GroupIT - Information Security/Privacy Analyst IReston, VASummary: The CIOCC Tier 1 Analyst shall be responsible for the following, but not limited to: Analyze and respond to security events and incidents from SIEM, Firewall (FW), Intrusion Detection Systems (IDS), Intrusion Prevention Systems (IPS), Endpoint Security Solutions, Network Access Control (NAC) and other client data sources. The position will be targeting second shift (1200-2200) or third shift (2000-0600) depending on staffing needs.
Mobile Threat Analyst- Active Top Secret Clearance Required VETS, IncMobile Threat Analyst- Active Top Secret Clearance RequiredArlington, VAHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. Possess one of the following certifications: CASP+ CE, CCNA Cyber Ops, CCNA-Security, CCNP Security, CEH, CFR, CHFI, CISA, CISSP (or Associate), CISSP-ISSAP, CISSP-ISSEP, CySA+, GCED, GCFA, GCIH, SCYBER.
Senior Data Science Analyst Pinnacle Technical ResourcesSenior Data Science AnalystRichmond, Virginia$57–$61 / hourContractorThe specific compensation for this position will be determined by several factors, including the scope, complexity, and location of the role, as well as the cost of labor in the market; the skills, education, training, credentials, and experience of the candidate; and other conditions of employment. The role involves collaborating with cross-functional teams to ensure high-quality data solutions that meet business needs while adhering to best practices in data governance, security, and performance.
NewTechnical Lead/Technical Architect - PPOD PlanIT GroupTechnical Lead/Technical Architect - PPODReston, VAThe role works closely with US Government Client Managers, Business Systems Analysts (BSAs), Technical Project Leaders, CASI Architects, NIT leaders, and Environment Management Leads to ensure cohesive execution across architecture, delivery, and operational readiness. Drive responsible use of AI-assisted development to improve speed and quality and reduce rework, including use cases such as accelerating analysis and documentation, improving code and test generation, assisting with refactoring and code review, speeding defect triage, and improving operational troubleshooting through stronger knowledge capture and runbooks.
ServiceNow Workflow Manager Govcio LLCServiceNow Workflow ManagerHampton, VA$120,000–$150,650The successful candidate will be responsible for driving technical excellence while fostering team growth and ensuring successful delivery of ServiceNow solutions across our global organization. This role requires a seasoned professional who combines deep technical expertise in the ServiceNow platform with proven people management capabilities.
Invasive Coding Analyst - Ortho Carilion Medical CenterInvasive Coding Analyst - OrthoRoanoke, Virginia$23.23–$32.52 / hourMay require a strong working knowledge of multiple payers knowing payer specific policies and procedures in order to serve as subject matter expert. The Invasive Coding Analyst identifies and analyzes denials, determines solutions and implements corrections to result in accurate processing/payment of claims.
Invasive Coding Analyst - Ortho Carilion ClinicInvasive Coding Analyst - OrthoRoanoke, VirginiaMay require a strong working knowledge of multiple payers knowing payer specific policies and procedures in order to serve as subject matter expert. The Invasive Coding Analyst identifies and analyzes denials, determines solutions and implements corrections to result in accurate processing/payment of claims.
Senior Billing and Coding Compliance Analyst & Educator University of VirginiaSenior Billing and Coding Compliance Analyst & EducatorCharlottesville, VA2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures. Spends majority of time leading the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills normally acquired through advanced education (typically University).
NewSenior Code Review Engineer (AI Code Quality) ECLAROSenior Code Review Engineer (AI Code Quality)Fairfax, VA$65–$70 / hourExperience at large technology companies where code review is a critical part of the development lifecycle, such as: Large enterprise software organizations, Cloud providers, AI/ML companies, Major SaaS platforms, FAANG or similar technology environments. Experience with several of the following: Python, Java, JavaScript / TypeScript, C++, Go, Rust, Git / GitHub, CI/CD workflows, Software architecture, Unit testing, Static analysis tools.
Coding Quality Specialist 2: PB Outpatient - OB/GYN & Primary Care University of VirginiaCoding Quality Specialist 2: PB Outpatient - OB/GYN & Primary CareCharlottesville, VAAssigns and reviews the accuracy of the diagnostic codes (ICD-10-CM) and CPT codes for providers' Evaluation and Management Services (E/M), procedures and diagnostic testing in all settings for purposes of billing, research and providing information to government and regulatory agencies. Reviews and resolves charge sessions that fail charge review edits, claim edits and follow-up work queues, identifies areas of opportunity based on findings/resolution of errors.
Coding Quality Educator University of VirginiaCoding Quality EducatorCharlottesville, VA$80,000–$102,857 / yearTheir role is to serve in a business partnership capacity by providing their assigned specialties with education on documentation opportunities to compliantly support level of services, review opportunities to bridge the gap between clinical documentation and coding/billing guidelines and explore opportunities for revenue generation. The Coding Quality Educator must possess expertise in coding principles, the ability to identify areas for improvement, and the capability to provide training to enhance the skills of both coders and healthcare providers.
Coding Quality Specialist 2 University of VirginiaCoding Quality Specialist 2Charlottesville, VA$17.66–$35.32 / hourThese jobs focus on managing the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures.
Coding Quality Specialist 2-OBGYN University of VirginiaCoding Quality Specialist 2-OBGYNCharlottesville, VA$18–$35.32 / hourThese jobs focus on managing the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures.
Coding Quality Specialist 2-Primary Care University of VirginiaCoding Quality Specialist 2-Primary CareCharlottesville, VA$18–$35.32 / hourThese jobs focus on managing the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures.
Coding Quality Specialist 3 University of VirginiaCoding Quality Specialist 3Charlottesville, VA$30–$40.57 / hourThese jobs focus on managing the financial aspects of patient care, including billing, insurance claims, payment processing, financial counseling, utilization and revenue cycle analysis. 2023-2024 U.S. News & World Report "Best Hospitals" guide rates UVA Health University Medical Center as "High Performing" in 5 adult specialties and 14 conditions/procedures.
Manager, Enterprise Hospital Coding Quality & Education University of VirginiaManager, Enterprise Hospital Coding Quality & EducationCharlottesville, VAExtensive, expert-level knowledge of inpatient coding principles and conditions affecting hospital quality measures such as Hospital Acquired Conditions (HACs); Patient Safety Indicators (PSIs); Present on Admission (POA) requirements; Hierarchical Condition Categories (HCCs). The Manager oversees coding quality reviews, second-level audits, and targeted education for coding staff, and collaborates closely with Coding Operations, CDI, Quality, Compliance, and Revenue Cycle teams.
Coding Quality Specialist 3 - PB Neurosurgery University of VirginiaCoding Quality Specialist 3 - PB NeurosurgeryCharlottesville, VAAssigns and reviews the accuracy of the diagnostic codes (ICD-10-CM) and CPT codes for providers' Evaluation and Management Services (E/M), procedures and diagnostic testing in all settings for purposes of billing, research and providing information to government and regulatory agencies. Monitors, analyzes, and resolves charge review, claim edit, and coding-related denial trends and shares trends with supervisor, managers, and team members to facilitate root cause analysis and continuous process improvement.
Senior Low-Code Developer Ampcus IncorporatedSenior Low-Code DeveloperChantilly, VAThe ideal candidate will have a strong background delivering enterprise applications and workflow solutions using modern low-code/no-code and Platform-as-a-Service (PaaS) technologies, with experience leveraging AI-enabled capabilities in scalable, secure, and user-centric solutions. Design, develop, and implement enterprise workflow and business process solutions using modern low-code/no-code and PaaS platforms (such as Appian, Power Platform, ServiceNow, Salesforce, OutSystems, Mendix, etc.).
Compliance Consultant V, Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant V, Medical Coding - Risk AdjustmentFairfax, VAManages projects or compliance components of larger cross-functional projects by identifying and managing stakeholder contacts; assembling teams based on project needs and team member strengths; developing, analyzing, and managing project plans; negotiating and managing project schedules and resource forecasts; and managing project financials and deliverables. Job Summary: In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to functions within all settings of care, maintaining compliance with national coding policies and procedures, assisting with coding questions and related topics, and auditing and monitoring the quality of coding assignments across all lines of business.
NewMedical Coding & Reimbursement Specialist GuidehouseMedical Coding & Reimbursement SpecialistTysons Corner, VirginiaYou will apply knowledge of CPT, HCPCS, ICD-10, modifiers, revenue codes, claims adjudication, and reimbursement methodologies to support consistent decision-making, improve operational understanding, and ensure healthcare services are accurately represented within program processes and supporting frameworks. Strong knowledge of CPT, HCPCS, ICD-10-CM, ICD-10-PCS, revenue codes, modifiers, Medicare reimbursement methodologies, claims adjudication, provider billing workflows, NCCI edits, and fee schedules.
Compliance Consultant IV - Medical Coding - Risk Adjustment Kaiser PermanenteCompliance Consultant IV - Medical Coding - Risk Adjustmentfairfax station, VACompletes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Assists with and supports the management of projects or compliance components of larger cross-functional projects by coordinating stakeholder contacts; recommending team resources based on project needs and team member strengths; assisting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts.