June 8, 2026For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above. If you received an email purporting to be from Leidos that asks for payment-related information or any other personal information (e.g., about you or your previous employer), and you are concerned about its legitimacy, please make us aware immediately by emailing us at LeidosCareersFraud@leidos.com.
li>Strong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Residents enjoy a variety of outdoor activities at local parks like Black Hill Regional Park and South Germantown Recreational Park, which features hiking trails, a splash park, and the expansive Maryland SoccerPlex.
Gaithersburg, MD3 days ago
June 24, 2026For U.S. Positions: While subject to change based on business needs, Leidos reasonably anticipates that this job requisition will remain open for at least 3 days with an anticipated close date of no earlier than 3 days after the original posting date as listed above.
We are a team of forward-looking professionals in need of a strong candidate with these key required skills: Modern Development (Python, Java, PHP), Structured Data (XML, XSD, XSLT, JSON, CSV), Agile / Scrum development, AI-Assisted Development, relational databases (PostgreSQL, MySQL, Oracle).
Strong interpersonal skills, including high-quality verbal and written communication skills, demonstrates ability to interact with Medical Staff, strong motivational skills, knowledgeable in medical audit processes, and able to appropriately handle an irate situation when needed. Minimum of 3 years ICD-10 and CPT coding supervisory experience in a hospital health information department required; seven years hospital based coding experience is preferred.
p>Anticipated End Date: 2026-05-31 Position Title: Manager of DRG Coding & Clinical Validation Audit Job Description: Manager of DRG Coding Audit-Program/Project Locations: The selected candidate must reside within a reasonable commuting distance of the designated posting location(s): Virginia, Indiana, Georgia, Ohio, Maryland; New Jersey, New York and Texas. Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
p>PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Regularly meets with physicians and ACPs to provide continuous education on billable services, medical record documentation, the correct use of CPT and ICD-10 codes, missed billing opportunities and erroneously reported services to minimize errors and loss of revenue. Ability to work independently and use time effectively to complete audits and deliver the results to each provider in a time fashion with a written report with suggestions on improvements in their documentation and coding accuracy.
Baltimore, MD30+ days ago
p>Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Assist coding specialists in writing appropriate coding queries, works collaboratively with CDI, understand Potentially Preventable Complications (PPC's)/Maryland Hospital Acquired Conditions (MHAC's), Prevention Quality Indicators (PQI's) and their impact and other indicators as needed.
Owings Mills, MD30 days ago
Code Compliance is a dynamic and evolving function, operating at the intersection of regulatory requirements, business strategy, and technology enablement, with a focus on proactively identifying and mitigating employee conflicts of interest across a complex global organization. In this role, you will partner closely with stakeholders across Compliance, Legal, Technology, HR, and the business to design and implement enhanced monitoring frameworks, workflows, reporting, and analytics that strengthen oversight and improve operational efficiency.
Frederick, Maryland9 days ago
This position involves project management of code compliance projects, including reviewing plans, providing technical support, conducting inspections, monitoring project process for performance and budgetary conditions, proposal preparation, as well as attending project site meetings, and assisting with the resolution of technical and administrative problems. ECS is currently ranked #60 in Engineering News-Record’s Top 500 Design Firms (April 2026), #148 in Engineering News-Record’s Top 200 Environmental Firms (October 2025) and #50 in Zweig Group’s Hot Firm List (May 2025).
p>Responsibilities: - This position involves project management of code compliance projects, including reviewing plans, providing technical support, conducting inspections, monitoring project process for performance and budgetary conditions, proposal preparation, as well as attending project site meetings, and assisting with the resolution of technical and administrative problems. ECS is currently ranked #60 in Engineering News-Record's Top 500 Design Firms (April 2026), #148 in Engineering News-Record's Top 200 Environmental Firms (October 2025) and #50 in Zweig Group's Hot Firm List (May 2025).
Baltimore, MD30+ days ago
Utilizes extensive coding knowledge to ensure accuracy of final coded data and collaborates with the CDI team to ensure the coding reflects the most current health record documentation, clinical treatment, decisions, diagnoses, and interventions. - Associate's Degree in Health Information Management or related field from an accredited two-year college or technical school, or Bachelor's Degree from a four-year college or university in Health Information Management or in a related field.
li>Handles complex coding case review including but not limited to surgical coding (Orthopaedics Cardiac Neurosurgery Otolaryngology etc.) extraction, co-surgery scenarios, multi-visceral transplant cases, comorbidity evaluation. In addition to interacting with physicians on coding issues, ensures that physician encounter forms, the GE IDX billing system and processes are up to date and compliant regarding coding issues.
li>Associate's Degree in Health Information Management or related field from an accredited two-year college or technical school, or Bachelor's Degree from a four-year college or university in Health Information Management or in a related field or have a Certified Coding Specialist (CCS), Certified Coding Associate (CCA), Certified Coding Specialist - Physician-based (CCS-P), Certified Professional Coder - Hospital Outpatient (CPC-H) or Certified Professional Coder (CPC) designation. The Coding Specialist II identifies, reviews, interprets, codes, and abstracts clinical information from inpatient, observation, and in our surgical records for the purpose of reimbursement, research and compliance with federal and state regulations and other agencies utilizing established coding principles and protocols.
IT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, Informatics Kaiser Permanente
IT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, InformaticsHyattsville, MD25 days ago
p>Essential Responsibilities: - Completes 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 and assigning 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.
- Ability and/or having the capacity to learn -knowledge representation- logic to create, maintain subsets of clinical records to support reporting, business intelligence in the areas of best practice alerts, population and healthcare management, quality measurements, and health information exchanges.
Hyattsville, MD25 days ago
Manages the processes of region-wide, complex information systems needs in project areas such as new business operating models, innovative approaches to IT solutions support, market research of emerging or available product functionality and operational readiness assessment. Ability and/or having the capacity to learn -knowledge representation- logic to create, maintain subsets of clinical records to support reporting, business intelligence in the areas of best practice alerts, population and healthcare management, quality measurements, and health information exchanges.
span data-ccp-props="{"201341983":0,"335551550":6,"335551620":6,"335559739":160,"335559740":259}">To qualify for a level III Coding Specialist, you must have 5-7 years medical-professional coding experience and CPC certification.
Handles complex coding case review including but not limited to surgical coding (Orthopaedics Cardiac Neurosurgery Otolaryngology etc.) extraction, co-surgery scenarios, multi-visceral transplant cases, comorbidity evaluation.n\n Creates and submits clean claims for billing by reviewing and correcting claim errors in accordance with established policies and procedures\n \n\n Stays up to date on payer billing requirements, as well as CMS, CPT, and AMA regulations\n \n\n Reviews and works open encounter, encounter missing charges, and inpatient note reconciliation reports\n \n\n Communicates with patients when there are questions related to their billing and coding\n \n\n Functions as the practice liaison with the Billing Office and assists in educating the practice staff about efficient and compliant billing and registration practices\n \n\n Works with AR staff to resolve/appeal denials\n \n\n Works closely with Providers, offering assistance and education regarding correct CPT and ICD 10 coding as well as documentation requirements\n \n\n Manages time effectively and reviews a minimum of 12 charges sessions an hour\n \n\n Maintains coding certification through continuing education courses\n \n\n \nPhysical Requirements\n\n Ability to concentrate and pay close attention to detail\n \n\n Ability to sit for long periods of time\n \n\n \nWorking Conditions\n\n Normal office work environment\n \n\n \nConditions of Employment\n \nN/A\n \nAll roles must demonstrate GBMC Values\n \nGBMC Values\n \nValue Description\n \nRespect\n \nI will treat everyone with courtesy. Under direct supervision, performs all collection functions on account balances within assigned financial classes\n \nEducation\n \nSpecialized training in coding/abstracting procedures, anatomy and physiology and medical terminology obtained through seminars and college courses\n \nExperience\n \nOne year of direct billing or collections experience required in a healthcare or insurance environment.
li>Managing development teams in building healthcare AI and GenAI solutions, including analytical modeling, prompt engineering, Python-based development, testing, communication of results to clinical and operational stakeholders, front-end and back-end integration, and iterative use case development with health system clients;
Documenting and analyzing healthcare business processes - across clinical operations, and population health programs - to identify AI and GenAI opportunities, gather requirements, define initial hypotheses, and develop solution approaches tailored to health system workflows;
Collaborating with health system client teams - including clinical informatics, population health, and IT leaders - to understand their business and clinical problems and select the appropriate models, LLMs, and approaches for AI/GenAI use cases;
Designing and solutioning AI/GenAI architectures for health system clients, including RAG-based clinical knowledge retrieval systems, agentic AI workflows for care management and revenue cycle automation, and custom LLM application builds with appropriate PHI safeguards;
Managing teams to process healthcare unstructured and structured data - including clinical notes, discharge summaries, claims records, EHR data, and ADT feeds - for use as LLM context, including embedding of large clinical text corpora, generative SQL query development, and building connectors to EHR back-end databases;
Managing daily operations of a global healthcare data science team on client engagements, reviewing developed models, providing feedback, and assisting in analysis of clinical and operational outcomes;
Directing data engineers and other data scientists to deliver efficient, HIPAA-compliant solutions that meet health system client requirements for clinical, financial, and operational AI use cases;
Leading and contributing to development of proof of concepts, pilots, and production use cases for health system clients - spanning clinical decision support, prior authorization automation, patient risk scoring, workforce optimization, and throughput modeling - while working in cross-functional teams;
Facilitating and conducting executive-level presentations to health system leadership showcasing GenAI and ML solution capabilities, use case development progress, model performance, and recommended next steps;
Structuring, writing, communicating, and facilitating client presentations that translate complex AI and ML concepts into clear clinical and business value narratives for health system audiences; and,
Managing associates and senior associates through coaching, providing feedback, and guiding work performance, with an emphasis on developing healthcare domain knowledge alongside technical AI and ML capabilities. You will architect and build production-grade RAG pipelines, MCP connections, agentic AI workflows, and MLOps frameworks, managing daily operations across global delivery teams while engaging health system leaders at the executive level to ensure measurable clinical and operational impact.
li>Conduct medical reviews of Individual Case Safety Reports (ICSRs), including Adverse Events (AEs), Serious Adverse Events (SAEs), Adverse Events of Special Interest (AESIs), Adverse Drug Reactions (ADRs), causality assessments, signal detection, case narratives, aggregate reports, and safety data listings, and communicate all applicable comments to the Pharmacovigilance Lead. Conduct medical reviews of clinical trial documents including clinical trial protocols, informed consent forms, Investigator's Brochure and other essential study documents and plans, and provide input to Clinical Development, Medical Writing, and Clinical Operations teams.
Silver Spring, MD18 days ago
5 years Five years of progressive experience in health information technology or healthcare operations, with a focus on revenue cycle front-end workflows such as patient registration, scheduling, and referral management and/or revenue cycle back-end workflows such as hospital billing, professional billing, charge capture, HIM and Coding. 3 years Minimum of three years in a leadership or senior systems support role, overseeing EHR applications, preferably in EPIC, and collaborating closely with operational stakeholders to optimize system performance, workflow alignment, and end-user adoption.
Bethesda, Maryland30+ days ago
p>Functions as a floating Revenue Cycle leader by providing interim management coverage, operational support, special project leadership, and hands-on claims assistance across multiple RCM teams as organizational needs dictate. Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. At PwC, our people in software and product innovation focus on developing cutting-edge software solutions and driving product innovation to meet the evolving needs of clients.
silver spring, MD30+ days ago
Experience Required: (5) Five years of progressive experience in health information technology or healthcare operations, with a focus on revenue cycle front-end workflows such as patient registration, scheduling, and referral management and/or revenue cycle back-end workflows such as hospital billing, professional billing, charge capture, HIM and Coding. Required Skills/Knowledge: Epic System Expertise \u2013 Strong understanding of Epic functionality, modules, and healthcare workflows, with the ability to configure and optimize Epic applications to meet organizational needs.
Germantown, MD30+ days ago
Leveraging extensive experience in software development and people management, this role will guide the end‑to‑end delivery of software systems that operate in high‑availability, safety‑aware, and revenue‑impacting aeronautical environments, including stringent requirements for reliability, scalability, latency, and operational continuity, while aligning technical execution with business objectives and service‑level commitments to airline and mobility customers. Hughes Network Systems, LLC, an EchoStar Company, (Hughes) is a leading provider of satellite and managed network services utilizing innovative network technologies and solutions to serve mobility, enterprises, and governments globally.
Rockville, MD30+ days ago
Job Summary: The Senior Manager of Drug Safety will support drug safety and pharmacovigilance operations to ensure the consistency and accuracy of adverse event reporting in clinical studies including initial safety review of adverse events and medical review of clinical data, interaction with drug safety vendors, review of source documents, and preparation of documents for submission to regulatory authorities. Support the clinical research team in the preparation/review of safety reports/data; e.g., Annual Reports, cumulative SAE reports, safety database reports, clinical study reports, MedWatch Reports, Tables/Listings/Figures, and other reports as deemed necessary.
ul>At least a Bachelors degree or, in lieu of a degree, demonstrating in addition to the minimum years of experience required for the role, three years of specialized training and/or progressively responsible work experience in Engineering Program Management for each missing year of college is required. In this capacity, you will help lead and coordinate end-to-end execution of technology initiatives - driving disciplined project planning, proactive stakeholder communication, and consistent service delivery across cross-functional engineering teams.
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. Leverage industry knowledge, market insights, trends, and proven approaches to help clients confirm priorities and develop strategies that drive measurable value to the business and customer experience.
PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:
• Craft and convey clear, impactful and engaging messages that tell a holistic story.
p style="margin-left:0in;margin-right:0in">The Senior Manager of Front-End RCM Operations leads the end-to-end patient access, financial clearance, coding, and charge entry functions with primary focus areas including insurance verification, medical necessity review, prior authorizations, patient financial communication, coding accuracy, and charge capture. - Bachelor’s degree in healthcare administration, business, or a related field of study WITH five (5) years of experience in Revenue Cycle Management with direct oversight of pre-certification, authorization, coding, or charge entry teams; OR an equivalent combination of education and/or experience.
p>Developing audit work plans and conducting or supervising both planned and special audits of patient medical records and bills to determine whether charges being billed are adequately supported by documentation in the record, and that documented services are being billed. The Compliance Program Manager is responsible for the development, implementation, and ongoing monitoring of the Corporate Compliance Program with a particular emphasis on federal payor billing compliance and compliance-related education for the Johns Hopkins Health System Corporation and its affiliates.
Bethesda, Maryland30+ days ago
Here, you’ll find a supportive culture that encourages you to bring your whole self to work, share bold ideas, and grow alongside smart, driven colleagues who are passionate about fixing the PBM industry. This role is the critical layer between the Senior Director and individual contributors—setting the bar for code quality, consistency, and accountability while ensuring velocity and quality improve together.
The 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.
li>Proven leadership and managerial skills, including team development, coaching, mentoring, and situational assessment, with a track record of building and maintaining high-performing teams.
Speaking: Ability to express or exchange ideas by means of the spoken word to impart oral information to clients or the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly.
Baltimore, MD30+ days ago
You’ll play a key role in ensuring smooth clinic operations, excellent patient care, and efficient workflow across administrative and clinical functions. Oriented Healthcare, LLC is seeking a Full-Time Medical Office Manager to oversee daily clinic operations in our integrated Primary Care and Behavioral Health clinic.