Billing and Coding Specialist Virginia Pediatric GroupBilling and Coding SpecialistFairfax, VA$25–$28 / hourFull timeVirginia Pediatric Group, a premier provider of family-centered pediatric care since 1982, is seeking a dedicated Certified Medical Billing and Coding Specialist to join our professional team. Based in our 4 Northern Virginia office(s), this is a fantastic opportunity for an experienced specialist with a passion for accuracy and patient support to contribute to a practice that has served Northern Virginia for over 40 years.
NewMedical Billing Specialist Virginia Pediatric GroupMedical Billing SpecialistFairfax, VA$25–$30 / hourFull timeVirginia Pediatric Group, a premier provider of family-centered pediatric care since 1982, is seeking a dedicated Certified Medical Billing and Coding Specialist to join our professional team. Based in our 4 Northern Virginia office(s), this is a fantastic opportunity for an experienced specialist with a passion for accuracy and patient support to contribute to a practice that has served Northern Virginia for over 40 years.
NewAttorney - FCA/Healthcare Fraud Enforcement JobotAttorney - FCA/Healthcare Fraud EnforcementWashington, DC$150,000–$400,000 / yearli> Experience representing hospitals, health systems, physician groups, Medicare Advantage organizations, managed care organizations, pharmacy benefit managers (PBMs), healthcare technology companies, or private equity-backed healthcare platforms. Demonstrated experience representing clients before the U.S. Department of Justice (DOJ), U.S. Attorney's Offices, Department of Health and Human Services Office of Inspector General (HHS-OIG), Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, and other federal or state enforcement authorities.
NewAssistant Medical Director - Holy Cross Germantown Hospital VituityAssistant Medical Director - Holy Cross Germantown HospitalGermantown, MDli>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.
AP Manager Beacon Hill Staffing Group, LLCAP ManagerRockville, MD, Maryland$80,000–$105,000 / yearFull timeBeacon Hill Financial is partnering with a local organization in the search for an experienced Accounts Payable Manager to oversee the full-cycle AP function and ensure accurate, timely processing of vendor payments. Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com.
NewTax Manager JobotTax ManagerDares Beach, MD$90,000–$150,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. Extensive understanding and experience with Tax Preparation, Tax Compliance, Corporate Tax, Tax Returns, Tax Research, Tax Accounting, and Tax Advisory.
NewSr. Software Engineer 2 - Oracle CC&B ExelonSr. Software Engineer 2 - Oracle CC&BBaltimore, MD$116,000–$159,500Job Scope: Maintain deep knowledge of technology and its application across our business areas or for our customers Promote knowledge via seminars, presentations and publications within IT and Exelon Participate in technological innovation to drive new business opportunities and solve complex business problems Shape and advance core team processes to increase operational efficiency and quality. We are a Fortune 200 company, 20,000 colleagues strong serving more than 10.7 million customers at six energy companies -- Atlantic City Electric (ACE), Baltimore Gas and Electric (BGE), Commonwealth Edison (ComEd), Delmarva Power & Light (DPL), PECO Energy Company (PECO), and Potomac Electric Power Company (Pepco).
NewPrincipal Software Engineer Above and Beyond Talent AcquisitionPrincipal Software EngineerBaltimore, MD$80–$85 / hourContractorFull timep>Client Info / Who they are: Above and Beyond Talent Acquisition represents the country’s largest lending-exclusive financial company, serving millions with safe, affordable installment loans through 1,500 branches in 44 states. For over 100 years, their dedicated team has helped customers improve their financial lives with responsible, transparent solutions for debt, medical bills, home improvements, and auto purchases.
Certified Medical Billing & Coding Specialist CLINICA FAMILIAR DE ARLINGTONCertified Medical Billing & Coding SpecialistFalls Church, VAThe ideal candidate is detail-oriented, organized, and experienced with insurance claims, coding accuracy, and revenue cycle workflows. We are seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice.
Certified Medical Billing /Coding Specialist Moore OBGYNCertified Medical Billing /Coding SpecialistForestville, MDThe ideal candidate will have strong OB/GYN coding knowledge, payer compliance expertise, and the ability to manage accounts receivable efficiently. Moore OB/GYN is seeking an experienced and detail-oriented Certified Medical Billing & Coding Specialist to join our growing team.
Medical Insurance and Billing Instructor Howard Community CollegeMedical Insurance and Billing InstructorMDp>Quick Link for Internal Postings: http://howardcc.peopleadmin.com/postings/5179. Due to HCC policy, only employees living in states contiguous to Maryland are eligible for work at HCC and include Virginia, West Virginia, Washington D.C., Pennsylvania.
Medical Billing and Coordinator Faculty Practice Position Control Number MB-26-700-01 U M FDSP Associates PAMedical Billing and Coordinator Faculty Practice Position Control Number MB-26-700-01Baltimore, MD$24–$24 / hourp>A medical billing coordinator will ensure the appropriate appointments are made for the specialty providers, verifying insurance and making sure the appropriate referrals are attached to the visits, handle pre-authorizations for physical therapy, prescriptions and radiology requests (MRI & CBCT), and ensure all pre-operative results are received prior to surgery dates. Key responsibilities include managing electronic records, verifying insurance, following up on denied claims, and maintaining patient data confidentiality while collaborating with both patients and insurance providers.
Medical Coding Specialist-New Jersey Avenue, Washington, D.C Unity Health Care IncMedical Coding Specialist-New Jersey Avenue, Washington, D.CDCli>Advanced knowledge of medical codes involving selections of most accurate and description code using the extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes. DUTIES AND RESPONSIBILITIES. Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
Manager, Coding Compliance - Pediatrics Central Administration Washington University in St LouisManager, Coding Compliance - Pediatrics Central AdministrationWashingtonAccounting, Code Compliance, Coding Compliance, Compliance Management, Healthcare Auditing, Health Care Regulation, Health Insurance Portability & Accountability Act (HIPAA), ICD Coding, Medical Billing and Coding, Organizing, Supervisory Management, Trend Analysis, Trend ReportingGrade. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.
Senior Medical Coding Specialist (Remote) Blue Cross and Blue Shield AssociationSenior Medical Coding Specialist (Remote)DCRemote$67,464–$133,991 / yearThis role utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge, to build effective guidelines and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. Consults with various teams, including the Practice Transformation Consultants, Medical Policy Analysts and Provider Networks colleagues to interpret coding and documentation language and respond to inquiries from providers.
Profee Coder III (Radiology (IR), Vascular and Neurosurgery Coding) SavistaProfee Coder III (Radiology (IR), Vascular and Neurosurgery Coding)District of Columbiadiv>Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
Entry-Level Medical Billing Specialist ReveljobsEntry-Level Medical Billing SpecialistBaltimore, Marylandp>A confidential healthcare organization is seeking a detail-oriented Entry-Level Medical Billing Specialist to support medical billing, insurance claims, patient account questions, coding-related workflows, and general administrative functions. The Entry-Level Medical Billing Specialist will assist with preparing and reviewing insurance claims, updating patient and insurance information, supporting basic billing and coding processes, and helping patients with billing-related questions.
Billing Specialist I (Medical Billing PB) SavistaBilling Specialist I (Medical Billing PB)District of ColumbiaWe partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results.Medical- Front Office & Billing Specialist BirthCare & Women's Health LTDMedical- Front Office & Billing SpecialistAlexandria, VABirthCare & Women’s Health is a freestanding birth center offering home and birth center services with a focus on safety, education, and family-centered midwifery care. Assure that initial contact information is completed in MacPractice when potential clients inquire and/or sign up for BirthCare Beginnings: Info and Tour Session .NewMedical Billing Specialist AudigyMedical Billing SpecialistWashingtonLeveraging your strong attention to detail and at least three years of experience in billing for primary care or specialty medicine, you will be responsible for managing accounts receivable, investigating and resolving insurance claims, and supporting our commitment to outstanding customer service. Participates in educational activities and enhances knowledge and skills to keep up to date of current coding changes, fee schedules, and applicable state and federal programs as they relate to claim submission.Workers Compensation Medical Bill Review Operations Analyst (Remote) W. R. Berkley CorpWorkers Compensation Medical Bill Review Operations Analyst (Remote)Manassas, VARemote$75,000–$95,000 / yearul>MBR business process SME including experience with MBR E2E process from a business/operations perspective; firm understanding of integrated services and workflows including FS/UCR, Nurse and code review, PPO, negotiations, adjustor bill adjudication; workers compensation regulatory environment experience/understanding; Demonstrated application of successful critical thinking and complex problem solving skills; Experience in a role requiring deep understanding of and experience working with MBR and integrated services technology - not at a developer level - but from a business analyst perspective; Experience gathering business requirements and clearly documenting complex scenarios and use cases to communicate MBR issues accurately for resolution; Communication experience with varied audiences including leadership and peers in business/operational & technology roles; Client-facing acumen. You will work directly with Berkley Operating Units to investigate bill processing issues and are responsible for problem-solving, identifying and triaging issues to technical teams, directly interfacing with multiple vendors to facilitate issue resolution, issue documentation, tracking, and reporting.Workers Compensation - Medical Bill Review - Operations Analyst (Remote) BerkleyWorkers Compensation - Medical Bill Review - Operations Analyst (Remote)Manassas, VirginiaRemote$75,000–$95,000 / yearQualifications: MBR business process SME including experience with MBR E2E process from a business/operations perspective; firm understanding of integrated services and workflows including FS/UCR, Nurse and code review, PPO, negotiations, adjustor bill adjudication; workers compensation regulatory environment experience/understanding; Demonstrated application of successful critical thinking and complex problem solving skills; Experience in a role requiring deep understanding of and experience working with MBR and integrated services technology – not at a developer level – but from a business analyst perspective; Experience gathering business requirements and clearly documenting complex scenarios and use cases to communicate MBR issues accurately for resolution; Communication experience with varied audiences including leadership and peers in business/operational & technology roles; Client-facing acumen. You will work directly with Berkley Operating Units to investigate bill processing issues and are responsible for problem-solving, identifying and triaging issues to technical teams, directly interfacing with multiple vendors to facilitate issue resolution, issue documentation, tracking, and reporting.Coding Specialist III Johns Hopkins HospitalCoding Specialist IIIBaltimore, MDp>We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. (Internal Candidates only - when a sub specialty coding certification or second AAPC certification is not available in clinical specialization, additional years of experience may be considered in lieu of second certification at the discretion of department management.).Patient Accounts Specialist II - Physicians Billing MedStar HealthPatient Accounts Specialist II - Physicians BillingMDRemote$20.57–$36.27 / hourp>Under general supervision, performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on moderately complicated invoices in a Direct Contract assignment and/or with an invoice balance. Knowledge, Skills, and Abilities: Effective negotiating skills to include ability to resolve complex billing and collection situations with individual patients or third-party payers.Medical Billing Specialist Erickson Senior LivingMedical Billing SpecialistBaltimore, MD$23–$25 / hourp>What you will need: Minimum of 2 years of healthcare accounts receivable third-party billing experience, including billing, collections, cash posting, or other revenue cycle-related functions. As an Medical Billing Specialist, your drive for accuracy directly supports our ability to deliver high quality care to residents and maintain strong relationships with payers and families.Patient Accounts Specialist I - Physicians'' Billing MedStar HealthPatient Accounts Specialist I - Physicians'' BillingDCRemote$18.70–$32.72 / hourp>Performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on insurance invoice balance of = $3000.00 for a portion of approximately one billion dollars of annual accounts receivable. Join one of the largest health systems in the Maryland, Virginia and Washington, D.C., area and enjoy the benefits of a full benefits package including paid time off, health/vision/dental insurance, short- & long-term disability, tuition reimbursement and the benefits of remote work capability.Patient Accounts Specialist II - Physicians Billing MedStar Health Research InstitutePatient Accounts Specialist II - Physicians BillingMDRemote$20.57–$36.27 / hourp>Under general supervision, performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on moderately complicated invoices in a Direct Contract assignment and/or with an invoice balance. Knowledge, Skills, and Abilities: Effective negotiating skills to include ability to resolve complex billing and collection situations with individual patients or third-party payers.Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerVARemote$140,000–$160,000 / yearp>Information for applicants with a need for accommodation: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html. As an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client.Patient Accounts Specialist I - Physicians'' Billing MedStar Health Research InstitutePatient Accounts Specialist I - Physicians'' BillingDCRemote$18.70–$32.72 / hourPerforms accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on insurance invoice balance of = $3000.00 for a portion of approximately one billion dollars of annual accounts receivable. Join one of the largest health systems in the Maryland, Virginia and Washington, D.C., area and enjoy the benefits of a full benefits package including paid time off, health/vision/dental insurance, short- & long-term disability, tuition reimbursement and the benefits of remote work capability.CBO Billing Relations Manager MedVanta CareersCBO Billing Relations ManagerBethesda, Marylandp>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.Coding Specialist II, OB/GYN University of Maryland Baltimore Washington Medical CenterCoding Specialist II, OB/GYNMD$24.89–$34.84 / hourPartnering with the University of Maryland School of Medicine, University of Maryland School of Nursing, and University of Maryland, Baltimore, who educate the states future healthcare professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban, and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the Systems anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties.Manager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditMD$115,020–$207,216 / yearp>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.Medical Coding Auditor Professional Performance Development Group, IncMedical Coding AuditorBethesda, Maryland$35.21–$40.14div>About Company:Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities. As a proud Department of Defense Partner Employer and participant in the Military Spouse Employment Partnership (MSEP), PPDG remains committed to supporting our Nation’s Finest through meaningful careers that make a lasting impact.Manager Coding Compliance (Hybrid) - Surgery Washington University in St LouisManager Coding Compliance (Hybrid) - SurgeryWashingtonp style="text-align:inherit"/>All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. For frequently asked questions about the application process, please refer to our External Applicant FAQ.NewHospital Coding Specialist II - Cancer Center/Infusions West Virginia University MedicineHospital Coding Specialist II - Cancer Center/InfusionsVAol>Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.Coding Specialist III - Plastics/Podiatric Surgery MedStar Health Research InstituteCoding Specialist III - Plastics/Podiatric SurgeryMD$28.76–$48.96 / hourli>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.Medical Coding SME Graham TechnologiesMedical Coding SMEFalls Church, VAAt Graham Technologies, we've built a family-oriented environment where team members are encouraged to maintain a healthy work-life balance, pursue their passions, and grow professionally through flexible schedules, continued education, and a strong sense of community. Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting our customer.Senior Consultant- Epic Resolute Hospital Billing Claims and Remittance Deloitte Touche Tohmatsu LtdSenior Consultant- Epic Resolute Hospital Billing Claims and RemittanceVA$91,000–$143,000 / yearli>Builds rapport and always promotes teamwork by maintaining a professional and positive attitude, working to maintain open and professional lines of communication with all end users and colleagues, and utilizing key change management principles. Our Industry Solutions team brings clients the knowledge of industry leaders who understand the relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific organization.Coding Specialist III - Plastics/Podiatric Surgery MedStar HealthCoding Specialist III - Plastics/Podiatric SurgeryMD$28.76–$48.96 / hourli>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.Medical Coding SME Graham Technologies LLCMedical Coding SMEFalls Church, VAAt Graham Technologies, we''ve built a family-oriented environment where team members are encouraged to maintain a healthy work-life balance, pursue their passions, and grow professionally through flexible schedules, continued education, and a strong sense of community. Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting our customer.Outpatient Coding Auditors (FT and PT) Cooper ThomasOutpatient Coding Auditors (FT and PT)Remote Home Office, DCRemotep>As a result of recent new multi-year VHA contracts awarded, Cooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has up to five (5) immediate openings for experienced Outpatient Auditors. · Knowledge in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health record format and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD, CPT, HCPCS).Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorDC$50,000–$60,000 / yearOur 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. This compensation range is specific to the remote role and 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.NewCoding Compliance Auditor Priority One Staffing ServicesCoding Compliance AuditorBaltimore, MDp>Audits complex cases utilizing the ICD-10-cm & ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM & POA Assignments. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation & any outpatient visit for appropriate reimbursement.Dental Billing Specialist Howard UniversityDental Billing SpecialistDC$43,641–$48,006 / yearli>Researches and resolves submission issues and claim denials, acts as a liaison with third-party carrier professionals regarding reimbursement/ claim denial issues, requests and submits additional documentation/ radiographs as needed, and identifies the root cause of submission issues/denials and implements process and system or policy enhancements to limit issues and denials. MINIMUM REQUIREMENTS: Prefer an Associate's Degree or equivalent from a 2-year college or completion of a certified coding program and 2-3 years related experience - will consider applicants with relevant experience and minimum 2-3 years CPT or CDT coding experience.Billing Specialist II Clearway Pain SolutionsBilling Specialist IIAnnapolis, MDRemote$25–$29 / hourp>Essential Duties and Responsiblities: Reviews and resolves complex issues that result in payer denials, including appeals, coding corrections, medically necessity rules and other related functions. Runs and maintains tracking logs to track complex high dollar procedures and report the results to the billing department management team.Billing Specialist II KureSmart Pain Management LLCBilling Specialist IIAnnapolis, MDRemote$25–$29 / hourp>Essential Duties and Responsiblities: Reviews and resolves complex issues that result in payer denials, including appeals, coding corrections, medically necessity rules and other related functions. Runs and maintains tracking logs to track complex high dollar procedures and report the results to the billing department management team.Billing Director Hillcrest Children CenterBilling DirectorWashington, DC$95,000–$110,000 / yearThis position will lead our revenue cycle operations is responsible for proactively alerting executive leadership to potential write-offs, developing cross-departmental workflows to minimize errors, and aggressively pursuing appeals when appropriate to safeguard and optimize organizational revenue. By managing a highly diverse payer mix, you will engage in intellectual problem-solving every day, build a robust professional network across the healthcare industry, and enjoy the creative freedom to design an optimized, modern revenue cycle department.Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorWork At Home, MD$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.Patient Billing/Services Representative II - Department of Medicine Washington University in St LouisPatient Billing/Services Representative II - Department of MedicineWashingtonCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team CollaborationGrade. More than one credential, certification or professional license may be required depending on the role.Basic Life Support - American Heart Association, Basic Life Support - American Red Cross.Coding Compliance Auditor, Outpatient University of Maryland Baltimore Washington Medical CenterCoding Compliance Auditor, OutpatientBaltimore, MD$36.61–$45.71 / hourp>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. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems.12345678910Similar Job SearchesCertified Medical Assistant JobsChief Medical Officer JobsClinical Assistant JobsClinical Consultant JobsClinical Coordinator JobsClinical Data Manager JobsClinical Director JobsClinical Documentation Specialist JobsClinical Leader JobsClinical Liaison Jobs
Medical- Front Office & Billing Specialist BirthCare & Women's Health LTDMedical- Front Office & Billing SpecialistAlexandria, VABirthCare & Women’s Health is a freestanding birth center offering home and birth center services with a focus on safety, education, and family-centered midwifery care. Assure that initial contact information is completed in MacPractice when potential clients inquire and/or sign up for BirthCare Beginnings: Info and Tour Session .
NewMedical Billing Specialist AudigyMedical Billing SpecialistWashingtonLeveraging your strong attention to detail and at least three years of experience in billing for primary care or specialty medicine, you will be responsible for managing accounts receivable, investigating and resolving insurance claims, and supporting our commitment to outstanding customer service. Participates in educational activities and enhances knowledge and skills to keep up to date of current coding changes, fee schedules, and applicable state and federal programs as they relate to claim submission.
Workers Compensation Medical Bill Review Operations Analyst (Remote) W. R. Berkley CorpWorkers Compensation Medical Bill Review Operations Analyst (Remote)Manassas, VARemote$75,000–$95,000 / yearul>MBR business process SME including experience with MBR E2E process from a business/operations perspective; firm understanding of integrated services and workflows including FS/UCR, Nurse and code review, PPO, negotiations, adjustor bill adjudication; workers compensation regulatory environment experience/understanding; Demonstrated application of successful critical thinking and complex problem solving skills; Experience in a role requiring deep understanding of and experience working with MBR and integrated services technology - not at a developer level - but from a business analyst perspective; Experience gathering business requirements and clearly documenting complex scenarios and use cases to communicate MBR issues accurately for resolution; Communication experience with varied audiences including leadership and peers in business/operational & technology roles; Client-facing acumen. You will work directly with Berkley Operating Units to investigate bill processing issues and are responsible for problem-solving, identifying and triaging issues to technical teams, directly interfacing with multiple vendors to facilitate issue resolution, issue documentation, tracking, and reporting.
Workers Compensation - Medical Bill Review - Operations Analyst (Remote) BerkleyWorkers Compensation - Medical Bill Review - Operations Analyst (Remote)Manassas, VirginiaRemote$75,000–$95,000 / yearQualifications: MBR business process SME including experience with MBR E2E process from a business/operations perspective; firm understanding of integrated services and workflows including FS/UCR, Nurse and code review, PPO, negotiations, adjustor bill adjudication; workers compensation regulatory environment experience/understanding; Demonstrated application of successful critical thinking and complex problem solving skills; Experience in a role requiring deep understanding of and experience working with MBR and integrated services technology – not at a developer level – but from a business analyst perspective; Experience gathering business requirements and clearly documenting complex scenarios and use cases to communicate MBR issues accurately for resolution; Communication experience with varied audiences including leadership and peers in business/operational & technology roles; Client-facing acumen. You will work directly with Berkley Operating Units to investigate bill processing issues and are responsible for problem-solving, identifying and triaging issues to technical teams, directly interfacing with multiple vendors to facilitate issue resolution, issue documentation, tracking, and reporting.
Coding Specialist III Johns Hopkins HospitalCoding Specialist IIIBaltimore, MDp>We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices. (Internal Candidates only - when a sub specialty coding certification or second AAPC certification is not available in clinical specialization, additional years of experience may be considered in lieu of second certification at the discretion of department management.).
Patient Accounts Specialist II - Physicians Billing MedStar HealthPatient Accounts Specialist II - Physicians BillingMDRemote$20.57–$36.27 / hourp>Under general supervision, performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on moderately complicated invoices in a Direct Contract assignment and/or with an invoice balance. Knowledge, Skills, and Abilities: Effective negotiating skills to include ability to resolve complex billing and collection situations with individual patients or third-party payers.
Medical Billing Specialist Erickson Senior LivingMedical Billing SpecialistBaltimore, MD$23–$25 / hourp>What you will need: Minimum of 2 years of healthcare accounts receivable third-party billing experience, including billing, collections, cash posting, or other revenue cycle-related functions. As an Medical Billing Specialist, your drive for accuracy directly supports our ability to deliver high quality care to residents and maintain strong relationships with payers and families.
Patient Accounts Specialist I - Physicians'' Billing MedStar HealthPatient Accounts Specialist I - Physicians'' BillingDCRemote$18.70–$32.72 / hourp>Performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on insurance invoice balance of = $3000.00 for a portion of approximately one billion dollars of annual accounts receivable. Join one of the largest health systems in the Maryland, Virginia and Washington, D.C., area and enjoy the benefits of a full benefits package including paid time off, health/vision/dental insurance, short- & long-term disability, tuition reimbursement and the benefits of remote work capability.
Patient Accounts Specialist II - Physicians Billing MedStar Health Research InstitutePatient Accounts Specialist II - Physicians BillingMDRemote$20.57–$36.27 / hourp>Under general supervision, performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on moderately complicated invoices in a Direct Contract assignment and/or with an invoice balance. Knowledge, Skills, and Abilities: Effective negotiating skills to include ability to resolve complex billing and collection situations with individual patients or third-party payers.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerVARemote$140,000–$160,000 / yearp>Information for applicants with a need for accommodation: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html. As an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client.
Patient Accounts Specialist I - Physicians'' Billing MedStar Health Research InstitutePatient Accounts Specialist I - Physicians'' BillingDCRemote$18.70–$32.72 / hourPerforms accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on insurance invoice balance of = $3000.00 for a portion of approximately one billion dollars of annual accounts receivable. Join one of the largest health systems in the Maryland, Virginia and Washington, D.C., area and enjoy the benefits of a full benefits package including paid time off, health/vision/dental insurance, short- & long-term disability, tuition reimbursement and the benefits of remote work capability.
CBO Billing Relations Manager MedVanta CareersCBO Billing Relations ManagerBethesda, Marylandp>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.
Coding Specialist II, OB/GYN University of Maryland Baltimore Washington Medical CenterCoding Specialist II, OB/GYNMD$24.89–$34.84 / hourPartnering with the University of Maryland School of Medicine, University of Maryland School of Nursing, and University of Maryland, Baltimore, who educate the states future healthcare professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban, and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the Systems anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties.
Manager of DRG Coding & Clinical Validation Audit Elevance Health IncManager of DRG Coding & Clinical Validation AuditMD$115,020–$207,216 / yearp>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.
Medical Coding Auditor Professional Performance Development Group, IncMedical Coding AuditorBethesda, Maryland$35.21–$40.14div>About Company:Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities. As a proud Department of Defense Partner Employer and participant in the Military Spouse Employment Partnership (MSEP), PPDG remains committed to supporting our Nation’s Finest through meaningful careers that make a lasting impact.Manager Coding Compliance (Hybrid) - Surgery Washington University in St LouisManager Coding Compliance (Hybrid) - SurgeryWashingtonp style="text-align:inherit"/>All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. For frequently asked questions about the application process, please refer to our External Applicant FAQ.NewHospital Coding Specialist II - Cancer Center/Infusions West Virginia University MedicineHospital Coding Specialist II - Cancer Center/InfusionsVAol>Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.Coding Specialist III - Plastics/Podiatric Surgery MedStar Health Research InstituteCoding Specialist III - Plastics/Podiatric SurgeryMD$28.76–$48.96 / hourli>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.Medical Coding SME Graham TechnologiesMedical Coding SMEFalls Church, VAAt Graham Technologies, we've built a family-oriented environment where team members are encouraged to maintain a healthy work-life balance, pursue their passions, and grow professionally through flexible schedules, continued education, and a strong sense of community. Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting our customer.Senior Consultant- Epic Resolute Hospital Billing Claims and Remittance Deloitte Touche Tohmatsu LtdSenior Consultant- Epic Resolute Hospital Billing Claims and RemittanceVA$91,000–$143,000 / yearli>Builds rapport and always promotes teamwork by maintaining a professional and positive attitude, working to maintain open and professional lines of communication with all end users and colleagues, and utilizing key change management principles. Our Industry Solutions team brings clients the knowledge of industry leaders who understand the relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific organization.Coding Specialist III - Plastics/Podiatric Surgery MedStar HealthCoding Specialist III - Plastics/Podiatric SurgeryMD$28.76–$48.96 / hourli>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.Medical Coding SME Graham Technologies LLCMedical Coding SMEFalls Church, VAAt Graham Technologies, we''ve built a family-oriented environment where team members are encouraged to maintain a healthy work-life balance, pursue their passions, and grow professionally through flexible schedules, continued education, and a strong sense of community. Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting our customer.Outpatient Coding Auditors (FT and PT) Cooper ThomasOutpatient Coding Auditors (FT and PT)Remote Home Office, DCRemotep>As a result of recent new multi-year VHA contracts awarded, Cooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has up to five (5) immediate openings for experienced Outpatient Auditors. · Knowledge in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health record format and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD, CPT, HCPCS).Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorDC$50,000–$60,000 / yearOur 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. This compensation range is specific to the remote role and 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.NewCoding Compliance Auditor Priority One Staffing ServicesCoding Compliance AuditorBaltimore, MDp>Audits complex cases utilizing the ICD-10-cm & ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM & POA Assignments. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation & any outpatient visit for appropriate reimbursement.Dental Billing Specialist Howard UniversityDental Billing SpecialistDC$43,641–$48,006 / yearli>Researches and resolves submission issues and claim denials, acts as a liaison with third-party carrier professionals regarding reimbursement/ claim denial issues, requests and submits additional documentation/ radiographs as needed, and identifies the root cause of submission issues/denials and implements process and system or policy enhancements to limit issues and denials. MINIMUM REQUIREMENTS: Prefer an Associate's Degree or equivalent from a 2-year college or completion of a certified coding program and 2-3 years related experience - will consider applicants with relevant experience and minimum 2-3 years CPT or CDT coding experience.Billing Specialist II Clearway Pain SolutionsBilling Specialist IIAnnapolis, MDRemote$25–$29 / hourp>Essential Duties and Responsiblities: Reviews and resolves complex issues that result in payer denials, including appeals, coding corrections, medically necessity rules and other related functions. Runs and maintains tracking logs to track complex high dollar procedures and report the results to the billing department management team.Billing Specialist II KureSmart Pain Management LLCBilling Specialist IIAnnapolis, MDRemote$25–$29 / hourp>Essential Duties and Responsiblities: Reviews and resolves complex issues that result in payer denials, including appeals, coding corrections, medically necessity rules and other related functions. Runs and maintains tracking logs to track complex high dollar procedures and report the results to the billing department management team.Billing Director Hillcrest Children CenterBilling DirectorWashington, DC$95,000–$110,000 / yearThis position will lead our revenue cycle operations is responsible for proactively alerting executive leadership to potential write-offs, developing cross-departmental workflows to minimize errors, and aggressively pursuing appeals when appropriate to safeguard and optimize organizational revenue. By managing a highly diverse payer mix, you will engage in intellectual problem-solving every day, build a robust professional network across the healthcare industry, and enjoy the creative freedom to design an optimized, modern revenue cycle department.Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorWork At Home, MD$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.Patient Billing/Services Representative II - Department of Medicine Washington University in St LouisPatient Billing/Services Representative II - Department of MedicineWashingtonCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team CollaborationGrade. More than one credential, certification or professional license may be required depending on the role.Basic Life Support - American Heart Association, Basic Life Support - American Red Cross.Coding Compliance Auditor, Outpatient University of Maryland Baltimore Washington Medical CenterCoding Compliance Auditor, OutpatientBaltimore, MD$36.61–$45.71 / hourp>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. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems.12345678910Similar Job SearchesCertified Medical Assistant JobsChief Medical Officer JobsClinical Assistant JobsClinical Consultant JobsClinical Coordinator JobsClinical Data Manager JobsClinical Director JobsClinical Documentation Specialist JobsClinical Leader JobsClinical Liaison Jobs
Manager Coding Compliance (Hybrid) - Surgery Washington University in St LouisManager Coding Compliance (Hybrid) - SurgeryWashingtonp style="text-align:inherit"/>All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. For frequently asked questions about the application process, please refer to our External Applicant FAQ.
NewHospital Coding Specialist II - Cancer Center/Infusions West Virginia University MedicineHospital Coding Specialist II - Cancer Center/InfusionsVAol>Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
Coding Specialist III - Plastics/Podiatric Surgery MedStar Health Research InstituteCoding Specialist III - Plastics/Podiatric SurgeryMD$28.76–$48.96 / hourli>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.
Medical Coding SME Graham TechnologiesMedical Coding SMEFalls Church, VAAt Graham Technologies, we've built a family-oriented environment where team members are encouraged to maintain a healthy work-life balance, pursue their passions, and grow professionally through flexible schedules, continued education, and a strong sense of community. Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting our customer.
Senior Consultant- Epic Resolute Hospital Billing Claims and Remittance Deloitte Touche Tohmatsu LtdSenior Consultant- Epic Resolute Hospital Billing Claims and RemittanceVA$91,000–$143,000 / yearli>Builds rapport and always promotes teamwork by maintaining a professional and positive attitude, working to maintain open and professional lines of communication with all end users and colleagues, and utilizing key change management principles. Our Industry Solutions team brings clients the knowledge of industry leaders who understand the relevant processes and technologies for their industry-and apply them with a process and mindset that tailors transformational change to their specific organization.
Coding Specialist III - Plastics/Podiatric Surgery MedStar HealthCoding Specialist III - Plastics/Podiatric SurgeryMD$28.76–$48.96 / hourli>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.
Medical Coding SME Graham Technologies LLCMedical Coding SMEFalls Church, VAAt Graham Technologies, we''ve built a family-oriented environment where team members are encouraged to maintain a healthy work-life balance, pursue their passions, and grow professionally through flexible schedules, continued education, and a strong sense of community. Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting our customer.
Outpatient Coding Auditors (FT and PT) Cooper ThomasOutpatient Coding Auditors (FT and PT)Remote Home Office, DCRemotep>As a result of recent new multi-year VHA contracts awarded, Cooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has up to five (5) immediate openings for experienced Outpatient Auditors. · Knowledge in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health record format and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD, CPT, HCPCS).
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorDC$50,000–$60,000 / yearOur 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. This compensation range is specific to the remote role and 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.
NewCoding Compliance Auditor Priority One Staffing ServicesCoding Compliance AuditorBaltimore, MDp>Audits complex cases utilizing the ICD-10-cm & ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM & POA Assignments. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation & any outpatient visit for appropriate reimbursement.
Dental Billing Specialist Howard UniversityDental Billing SpecialistDC$43,641–$48,006 / yearli>Researches and resolves submission issues and claim denials, acts as a liaison with third-party carrier professionals regarding reimbursement/ claim denial issues, requests and submits additional documentation/ radiographs as needed, and identifies the root cause of submission issues/denials and implements process and system or policy enhancements to limit issues and denials. MINIMUM REQUIREMENTS: Prefer an Associate's Degree or equivalent from a 2-year college or completion of a certified coding program and 2-3 years related experience - will consider applicants with relevant experience and minimum 2-3 years CPT or CDT coding experience.
Billing Specialist II Clearway Pain SolutionsBilling Specialist IIAnnapolis, MDRemote$25–$29 / hourp>Essential Duties and Responsiblities: Reviews and resolves complex issues that result in payer denials, including appeals, coding corrections, medically necessity rules and other related functions. Runs and maintains tracking logs to track complex high dollar procedures and report the results to the billing department management team.
Billing Specialist II KureSmart Pain Management LLCBilling Specialist IIAnnapolis, MDRemote$25–$29 / hourp>Essential Duties and Responsiblities: Reviews and resolves complex issues that result in payer denials, including appeals, coding corrections, medically necessity rules and other related functions. Runs and maintains tracking logs to track complex high dollar procedures and report the results to the billing department management team.
Billing Director Hillcrest Children CenterBilling DirectorWashington, DC$95,000–$110,000 / yearThis position will lead our revenue cycle operations is responsible for proactively alerting executive leadership to potential write-offs, developing cross-departmental workflows to minimize errors, and aggressively pursuing appeals when appropriate to safeguard and optimize organizational revenue. By managing a highly diverse payer mix, you will engage in intellectual problem-solving every day, build a robust professional network across the healthcare industry, and enjoy the creative freedom to design an optimized, modern revenue cycle department.
Coding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorWork At Home, MD$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred.
Patient Billing/Services Representative II - Department of Medicine Washington University in St LouisPatient Billing/Services Representative II - Department of MedicineWashingtonCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team CollaborationGrade. More than one credential, certification or professional license may be required depending on the role.Basic Life Support - American Heart Association, Basic Life Support - American Red Cross.
Coding Compliance Auditor, Outpatient University of Maryland Baltimore Washington Medical CenterCoding Compliance Auditor, OutpatientBaltimore, MD$36.61–$45.71 / hourp>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. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems.