NewStaff Accountant | AIA Billing Specialist JobotStaff Accountant | AIA Billing SpecialistJessup, MD$60,000–$65,000 / 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. This position offers hands-on exposure to multiple areas of accounting, including accounts receivable, accounts payable, collections, account reconciliations, invoicing, vendor management, and AIA billing.
NewSr Substation Engineer - BGE Trans & Substation Baltimore Gas and Electric CompanySr Substation Engineer - BGE Trans & SubstationBALTIMORE, MD$103,200–$141,900We 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). Note: Items (1) and (3) are mutually inclusive, whereby the maximum experience requirement reduction is one (1) year (e.g., in the case of an employee with both a Master’s degree in Engineering AND a PE license, the minimum experience requirement would be reduced by one (1) year).
NewSoftware Development Engineer JobotSoftware Development EngineerCape Saint Claire, MD$65–$80 / hourDevelopers at this level are building greater independence, taking ownership of small to medium-sized work items, and strengthening their core engineering skills across multiple application layers, including user interfaces, services, APIs, and data. Our teams include professionals across software engineering, product development, clinical informatics, research, and healthcare technology who share a commitment to reducing complexity and improving outcomes for patients and providers.
Medical Coding Specialist Johns Hopkins Medical Management CorporationMedical Coding SpecialistMiddle river, MDRemote$26–$30 / hourCore Coding Focus: This role involves professional fee coding in a physician-based environment and includes work with CPT coding, ICD-10-CM diagnosis coding, HCPCS coding as applicable, Evaluation & Management (E/M) leveling, and physician documentation review to support accurate, compliant coding and appropriate reimbursement. Note: This is a single position that may be listed under different titles to reflect common industry search terms, including Medical Coding Specialist, Physician Coding Specialist, Clinical Coding Specialist, Medical Coder, or Coding Specialist.
Coding Quality Review Specialist -Inpatient MedStar HealthCoding Quality Review Specialist -InpatientMD$31.28–$56.39 / hourResponsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.
Coding Quality Review Specialist -Inpatient (CCS Required) MedStar HealthCoding Quality Review Specialist -Inpatient (CCS Required)Maryland$31.28–$56.39 / hourFull timeResponsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.
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.
Coding Quality Review Specialist -Inpatient MedStar Health Research InstituteCoding Quality Review Specialist -InpatientMD$31.28–$56.39 / hourResponsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.
Coding Specialist III Johns Hopkins HospitalCoding Specialist IIIBaltimore, MDWe 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.).
Pediatric Coding Specialist Johns Hopkins Medical Management CorporationPediatric Coding SpecialistMiddle river, MDRemote$26–$30 / hourCore Coding Focus: This role involves professional fee coding in a physician-based environment and includes work with CPT coding, ICD-10-CM diagnosis coding, HCPCS coding as applicable, Evaluation & Management (E/M) leveling, and physician documentation review to support accurate, compliant coding and appropriate reimbursement. Note: This is a single position that may be listed under different titles to reflect common industry search terms, including Medical Coding Specialist, Physician Coding Specialist, Clinical Coding Specialist, Medical Coder, or Coding Specialist.
Clinical Coding Specialist Johns Hopkins Medical Management CorporationClinical Coding SpecialistMiddle river, MDRemote$26–$30 / hourCore Coding Focus: This role involves professional fee coding in a physician-based environment and includes work with CPT coding, ICD-10-CM diagnosis coding, HCPCS coding as applicable, Evaluation & Management (E/M) leveling, and physician documentation review to support accurate, compliant coding and appropriate reimbursement. Note: This is a single position that may be listed under different titles to reflect common industry search terms, including Medical Coding Specialist, Physician Coding Specialist, Clinical Coding Specialist, Medical Coder, or Coding Specialist.
CODING SPECIALIST II Mercy Medical Center IncCODING SPECIALIST IIBaltimore, MDAssociate'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.
Medical Coding Auditor Professional Performance Development Group, IncMedical Coding AuditorBethesda, Maryland$35.21–$40.14As 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. 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.
Coding Compliance Auditor Priority One Staffing ServicesCoding Compliance AuditorBaltimore, MDAudits 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.
Risk Adjustment Coding Specialist (Hybrid) Blue Cross and Blue Shield AssociationRisk Adjustment Coding Specialist (Hybrid)Baltimore, MD$51,984–$95,304 / yearPURPOSE: The Risk Adjustment Coding Specialist supports the retrospective risk adjustment supplemental filing, HHS-Risk Adjustment Data Validation (RADV) audit and any other chart coding functions, by performing moderately complex medical record review and coding, ensuring compliance with all applicable Federal, State and/or County laws and regulations related to coding and documentation guidelines. QUALIFICATIONS: Education Level: Associate degree in Health Information Technology, Business or related field OR in lieu of a Associate degree, an additional 2 years of relevant work experience is required in addition to the required work experience.
Medical Billing/Coding and Coordinator Faculty Practice Position Control Number MB-26-700-01 U M FDSP Associates PAMedical Billing/Coding and Coordinator Faculty Practice Position Control Number MB-26-700-01Baltimore, MD$27 / hourA 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.
2 years coding and abstracting experience - Level 1 trauma hospital Priority One Staffing Services2 years coding and abstracting experience - Level 1 trauma hospitalEudowood, MDRemoteMinimum 2 years experience ICD-10-CM, ICD-10-PCS, CPT 4 . Serves in an advisory role and educator to Coding Specialists.
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.
Coding Specialist (Multi -Specialty) Omm IT SolutionsCoding Specialist (Multi -Specialty)Linthicum Heights, Linthicum HeightsThe following statements describe the general nature and level of work performed and are not intended to be exhaustive: Reviews and analyzes physician documentation, operative reports, and hospital encounter records to accurately assign CPT and ICD-10-CM codes for professional services. Codes medical records for multi-specialty physician practices, with a strong focus on Orthopedic professional fee services, including hospital-based Evaluation & Management (E/M) services.
HCC Coding Validation Specialists HealthCare Resolution Services IncHCC Coding Validation SpecialistsColumbia, MDRemoteAs an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding of patient records to optimize reimbursement from government programs such as the Centers for Medicare and Medicaid Services (CMS). Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal reimbursement while maintaining regulatory compliance within a fast-paced healthcare environment!
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorMD$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. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Coding Specialist - Patient Accounting Greater Baltimore Medical CenterCoding Specialist - Patient AccountingMDn\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.
Coding Compliance Auditor, Outpatient University of Maryland Baltimore Washington Medical CenterCoding Compliance Auditor, OutpatientBaltimore, MD$36.61–$45.71 / hourStrong 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.
CODING COMPLIANCE AUDITOR, Inpatient University of Maryland Baltimore Washington Medical CenterCODING COMPLIANCE AUDITOR, InpatientBaltimore, MD$36.61–$45.71 / hourStrong 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.
Coding Compliance Auditor, Inpatient University of Maryland Baltimore Washington Medical CenterCoding Compliance Auditor, InpatientBaltimore, MD$33.36–$46.70 / hourStrong 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.
NewCoding Educator Johns Hopkins HospitalCoding EducatorBaltimore, MDRemoteJob Functions: Develops and delivers coding education and training programs for coding staff based on identified learning needs, audit findings, and operational priorities to support accurate coding and optimal revenue cycle performance. 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.
NewManager, Physician Coding Operations Johns Hopkins HospitalManager, Physician Coding OperationsBaltimore, MDWe 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. Oversees operational workflows and work assignments, monitoring productivity, work queue performance, and operational metrics to ensure timely completion of coding-related activities.
CDI Coding Liaison Mercy Medical Center IncCDI Coding LiaisonBaltimore, MDUtilizes 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.
Medical Billing & Collections Specialist Globus Medical IncMedical Billing & Collections SpecialistColumbia, MDPosition Summary: As a Medical Billing and Collections Specialist with NuVasive Clinical Services, you will provide administrative support in the billing and collections function of the medical revenue cycle process. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure.
Medical Billing Specialist Erickson Senior LivingMedical Billing SpecialistBaltimore, MD$23–$25 / hourWhat 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.
Medical Billing & Collections Specialist NuVasive Clinical Services MonitoringMedical Billing & Collections SpecialistColumbia, MarylandNuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities, through the acquisitions of Impulse Monitoring, Biotronic NeuroNetwork, Safe Passage, and others. As a Medical Billing and Collections Specialist with NuVasive Clinical Services, you will provide administrative support in the billing and collections function of the medical revenue cycle process.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistMD$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Senior Revenue Cycle Specialist (Hybrid), Day Shift, Ambulatory Revenue Cycle Shady Grove Adventist HospitalSenior Revenue Cycle Specialist (Hybrid), Day Shift, Ambulatory Revenue CycleGaithersburg, MD$24.41–$34.18 / hourPerforms analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds, and write-off approvals. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.
Billing Specialist CCI Health & Wellness ServicesBilling SpecialistSilver Spring, MDPOSITION SUMMARY: The Billing Specialist will perform a range of responsibilities requiring data analysis, critical evaluation, and sound judgment, including maintaining billing software, appealing denied claims, and recording late payments. Coordinate communications with payers to ensure accurate billing practices, enhance reimbursement opportunities, achieve cash collection targets, and maintain accounts receivable (A/R) over 120 days at or below target levels.
HIM Clinical Documentation Specialist University of Maryland Baltimore Washington Medical CenterHIM Clinical Documentation SpecialistMD$38.67–$58.05 / hourKey Responsibility 1: • Performs concurrent initial chart reviews within 24-48 hours after admission with follow-up reviews occurring every 1-3 days, and retrospective chart reviews, when applicable, to accurately assign/capture the APR-DRG, severity of illness (SOI) and risk of mortality (ROM) in order to reflect quality indicators, resource consumption and outcome measures to ensure accurate and complete documentation for final coding and billing. Registered Nurse (RN); Physician (MD); Physician Assistant (PA), Certified Registered Nurse Practitioner (CRNP); Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Clinical Documentation Specialist (CCDS) via ACDIS; or a Certified Documentation Integrity Practitioner (CDIP) via AHIMA.
HIM Clinical Documentation Specialist, PRN (Weekends) University of Maryland Baltimore Washington Medical CenterHIM Clinical Documentation Specialist, PRN (Weekends)Towson, MD$38.67–$58.05 / hourUnder the direction of the Site Manager of the Clinical Documentation Integrity (CDI) program, the Clinical Documentation Specialist (CDS) strives to achieve accurate and complete documentation in the inpatient medical record to support precise ICD-10-CM and ICD-10-PCS coding and reporting of high-quality healthcare data. Experience • Minimum of 2 years of experience reviewing Inpatient medical records as a Clinical Documentation Integrity Specialist, Coder/DRG Analyst with a clinical background, Care Manager, Utilization Review Specialist, or Quality Review Specialist • Strong Clinical Background Minimum of 3 years chart abstraction/chart review experience.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Baltimore, MDRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Clinical Documentation Specialist II Johns Hopkins HospitalClinical Documentation Specialist IIBaltimore, MDRemoteRHIT.RHIA: Requires successful completion of the academic requirements for the Registered Health Information Technician (RHIT) certification or Registered Health Information Administrator (RHIA) certification accredited by the Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) and be a Certified Coding Specialist (CCS). 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.
Clinical Documentation Integrity (CDI) Specialist Pyramid, IncClinical Documentation Integrity (CDI) SpecialistCalifornia, CARemote$45–$50 / hourFull timeStrong knowledge of: ICD-10-CM MS-DRGs Clinical validation Severity of Illness (SOI) Risk of Mortality (ROM) Documentation improvement methodologies Experience writing compliant physician queries. Ensure compliance with CMS regulations, Coding Clinic guidance, and organizational policies Key Requirements and Technology Experience: Associate Degree in Nursing (ADN), BSN, MSN, Doctor of Medicine (MD), or Foreign Medical Graduate.
Financial Eligibility Specialist Chase Brexton Health Services IncFinancial Eligibility SpecialistBaltimore, MDJOB SUMMARY: The Financial Eligibility Specialist determines applicant eligibility for third party reimbursement, processes data necessary for admission of new patients into health services, ensures proper coding for insurance billing, and handles inquiries from prospective applicants and patients. Cultural competence and the ability to work with providing individualized care that respects and empowers patients of all ages, races, gender identities, religions, sexual orientations, ethnicities, and socioeconomic statuses.
Systems Security Specialist (Senior) ExpediteInfoTech, IncSystems Security Specialist (Senior)Rockville, MDOur clients include the US Department of Education, US Department of Transportation, US Department of Justice, US Department of Health & Human Services, Montgomery County government, Prince George's County Government, the governments of the State of Maryland and the District of Columbia. A minimum of five (5) years conducting network penetration testing, web application and API testing, internal and external vulnerability assessments and threat modeling and attack path analysis.
Clinical Data Specialist IV Johns Hopkins HospitalClinical Data Specialist IVBaltimore, MDRemoteWe 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. Skills: Must be comfortable with, but not limited to: Microsoft Office Suite, web-browsers, email, electronic health records, online collaboration software, virtual meeting applications.
Sr. Quality Improvement Specialist Johns Hopkins HospitalSr. Quality Improvement SpecialistBaltimore, MDIt includes six academic/community hospitals, including the flagship Johns Hopkins Hospital, along with suburban hospitals, specialized centers, and international patient services. This role ensures accurate data submission for quality-based payment and recognition programs, including core measures, eCQMs, HACs, PSIs, and mortality metrics.
Supervisor, Clinical Data Specialists Johns Hopkins HospitalSupervisor, Clinical Data SpecialistsBaltimore, MDActing as a mentor and resource for the team, this role is involved in managing people operations, monitoring performance efficacy, and coordinating staff workflows across designated registry(s), while supporting the Registry Manager in addressing operational and team management needs. This role is responsible for supporting Johns Hopkins Hospital, Johns Hopkins Bayview, Johns Hopkins Howard County Medical Center, Suburban Hospital, Sibley Hospital, and All Children's Hospital, and reports to the Registry Manager.
Revenue Integrity Specialist Johns Hopkins HospitalRevenue Integrity SpecialistBaltimore, MDProvides local direction and input and is expert for build and maintenance of hospital CDM both chargeable and non-chargeable items (R&B, lab, pharmacy, supplies, surgical, radiology, cardiology, etc. and physician charge master) and works collaboratively with JHHS Revenue Integrity group. Must possess excellent verbal and written communication skills to support interaction and participation in meetings with patients, physicians, payer representatives, MHA, and representatives of other departments within our organization (Medical Records, Utilization Review, JHMCIS, registration, etc.).
Patient Access Specialist Total Health Care IncPatient Access SpecialistBaltimore, MDContacts and interactions vary and may involve multiple constituencies such as direct interaction with THC's executive management, community organizers, the general public, THC's patients, physicians, colleagues, assigned staff, vendors, Medical Insurance companies (Payers)/Managed Care Organizations (MCOs) contractors and consultants for the purpose of providing and exchanging information. Reporting to the Revenue Cycle Manager and/or their designee, the Patient Access Specialist (PAS) is responsible for confirming patient demographic and insurance information to ensure accurate billing for services provided by Total Health Care (THC).
Refund Specialist Concentra Inc.Refund SpecialistMD$20.97–$24 / hourConcentra colleagues remain fueled by our driving purpose: to provide outstanding patient experience by delivering the highest quality healthcare in an efficient, affordable, and caring manner. The Central Billing Office (CBO) Refund Specialist performs a variety of tasks researching refund requests, overpayments, and credit balances.
Learning & Development Specialist (Claims Trainer / Customer Service Trainer) Lumen Solutions Group, Inc.Learning & Development Specialist (Claims Trainer / Customer Service Trainer)Baltimore, MDThe ideal candidates will have strong Instructor-Led Training (ILT) experience, exceptional presentation and facilitation skills, and the ability to effectively train both virtually and in person. CareFirst BCBS is seeking two Learning & Development Specialists to design and deliver engaging training programs for adult learners in a corporate healthcare environment.
Medicare and Medicaid Billing Specialist Sinai Hospital of BaltimoreMedicare and Medicaid Billing SpecialistOwings Mills, MDREQUIREMENTS: Education: HS Diploma/GED preferred Experience: 2 to 4 years of medicare claims, follow up and billing experience Training is on site for minimum of 90 days so candidates must be local Key Words Governmental Billing Medicare Medicaid Claims Processor Billing Specialist Facility billing. • Collaborates with Patient Access, Patient Financial Services/Clearance, HIM, Case Management, IT, and any other relevant departments to determine revisions needed for registration quality, charge corrections, claim submission, and accurate reporting.
NewPrevailing Wage Specialist New Energy Equity LLCPrevailing Wage SpecialistAnnapolis, MD$60,000–$80,000 / yearThe Specialist is the single point of accountability for prevailing wage compliance across all covered projects: identifying covered work, ensuring correct worker classifications and wage rates, validating that covered hours are coded and paid correctly in each payroll cycle, and preparing and delivering complete documentation packages to project owners, including submissions through client portals, on contractual deadlines. Because prevailing wage compliance is executed through payroll, this role requires solid payroll experience: the Specialist works hand-in-hand with payroll processing to ensure every covered hour is identified, coded to the correct project and classification, and paid at or above contractually required rates, with documentation flowing automatically from each payroll run.