Medical Coder HealthCare Resolution ServicesMedical CoderColumbia, MDRemoteContractorAs 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!
Revenue Cycle Management Manager Psych Associates Group LLCRevenue Cycle Management ManagerTimonium, MD$65,000–$75,000 / yearThe Revenue Cycle Management Manager will have the opportunity to directly influence revenue cycle performance, develop and support a billing team, improve operational processes, and collaborate with organizational leadership on initiatives that support the continued growth of Bloom Health Centers. This position plays a critical role in ensuring accurate and timely billing, optimizing revenue cycle performance, maintaining regulatory compliance, and supporting strong relationships with patients, providers, payers, and internal teams.
NewBilling Specialist I Clearway Pain SolutionsBilling Specialist IAnnapolis, MDRemote$20–$24 / hourThe Billing Specialist supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system. Reviews and resolves payer denials, including appeals, coding corrections, medically necessity rules and other related functions.
Customer Service Representative TRC Talent SolutionsCustomer Service RepresentativeWashington, DCTemporaryEnsures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc. Responsibilities: Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to: Performing account follow-up activities on high-dollar accounts receivable .
PAR I & II TRC Talent SolutionsPAR I & IIWashington, DISTRICT OF COLUMBIAEnsures accurate and complete account follow-up by demonstrating a thorough understanding of carrier-specific reimbursement as applicable to claim processing to include: eligibility discrepancies, UB-04 and/or 1500 claims form review, DRG, per diem, case rate, fee schedule reimbursements, etc. Responsibilities: Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to: Performing account follow-up activities on high-dollar accounts receivable.
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.
NewArea Manager Healthcare Reimbursement Operations TalentBridgeArea Manager Healthcare Reimbursement OperationsBethesda, MDRemote$25–$34 / hourCandidates with leadership experience in one or more of the following environments are especially encouraged to apply: Pharmaceutical Hub Services | Specialty Pharmacy | Patient Access | Benefits Verification | Benefits Investigation | Reimbursement Services | Patient Assistance Programs | Financial Assistance Programs | Prior Authorization | Healthcare Contact Centers | Medical Insurance Operations . The ideal candidate has a strong background in healthcare reimbursement, benefits verification/investigation, patient access, specialty pharmacy, pharmaceutical hub services, or patient assistance programs , along with proven experience managing teams in a fast-paced environment.
NewMedical Biller Quadrant IncMedical BillerAnnapolis, MDEnsure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately. Responsible for obtaining from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.
Claims Analyst Lumen Solutions Group, Inc.Claims AnalystBaltimore, MDThe ideal candidate will have strong experience in claims research, data validation, data entry, and Excel, with the ability to analyze issues, maintain accurate records, and support day-to-day claims operations. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.
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.
Clinical Coordinator for Pain Management Lifestream Health CenterClinical Coordinator for Pain ManagementBowie, MDFull timePharmacy, Medication, and Inventory OversightPharmacy Tech Supervision: Provide direct operational oversight, workflow management, and day-to-day supervision of the Pharmacy Technician (focusing on operational accountability, metrics, and adherence to practice SOPs rather than clinical/legal pharmacy licensure).Pharmacy Operations & Vendor Liaison: Support general pharmacy operations, act as the pharmacy rep liaison, and co-manage the sample closet. Interdepartmental Collaboration & Quality ImprovementAdministrative Liaison: Partner with the Practice Manager to seamlessly align administrative and clinical workflows, serving as an operational backup during approved absences to maintain clinic continuity.
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.
Senior .NET Developer Clearwaters.ITSenior .NET DeveloperWashington, DCRemote$125,000–$132,000The ideal candidate will have a strong background in full-stack development, cloud computing, and Agile methodologies, working closely with cross-functional teams to deliver scalable and efficient software solutions. Strong proficiency in developing solutions in the following programming languages (.NET (backend development), Java, Python, JavaScript, C#, etc.).
DevSecOps Engineer, U.S. Supreme Court, Washington, D.C. Technologist, Inc.DevSecOps Engineer, U.S. Supreme Court, Washington, D.C.Washington, DC$100,000–$160,000Technologist Inc. is seeking experienced DevSecOps Engineers to join our team at the U.S. Supreme Court in Washington D.C. The selected individuals will be expected to provide security engineering support, with a focus in DevOps Security operations/activities, to enhance existing software development, testing, and operational support activities. • Integrate automated security testing tools, such as Static Application Security Testing (SAST), Dynamic Application Security Testing (DAST), and Interactive Application Security Testing (IAST), into CI/CD pipelines to streamline security testing and detect vulnerabilities at different stages of development.
DRG Coding Auditor - Ms-Drg And Apr-Drg Elevance HealthDRG Coding Auditor - Ms-Drg And Apr-DrgHanover, MD$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Medical Billing Manager - Maryland Medicaid Revive Bhs LlcMedical Billing Manager - Maryland MedicaidGlen Burnie, MDFull timeAs a Medical Billing Manager, you will be working closely with the Medical Billing Specialists and our Clients to answer questions related to billing, overseeing the claims submission and authorization process, and gathering all necessary documentation and information from Clients. The ideal candidate has excellent attention to detail, strong customer service skills, and is comfortable managing a team and reviewing large amounts of data daily.
Entry Level Medical Billing Assistant Revel StaffingEntry Level Medical Billing AssistantBaltimore, MarylandThe Medical Billing Assistant will help prepare and review insurance claims, assist with basic billing and coding tasks, update patient and insurance information, and support the administrative workflows that help keep clinical operations running smoothly. This person should be comfortable learning billing and coding processes, communicating with patients professionally, and maintaining accuracy when working with claims, records, and confidential information.
2 years coding and abstracting experience - Level 1 trauma hospital Priority One Staffing Services2 years coding and abstracting experience - Level 1 trauma hospitalOwings Mills, MDRemoteMinimum 2 years experience ICD-10-CM, ICD-10-PCS, CPT 4 . Serves in an advisory role and educator to Coding Specialists.
NewMedical Reviewer, Registered Nurse J29, IncMedical Reviewer, Registered NurseMillersville, MDRemote$70,000–$85,000 / yearRVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims—including Part A/B, DMEPOS, and Home Health/Hospice—to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.
NewMedical Reviewer, RN Coder J29, IncMedical Reviewer, RN CoderMillersville, MD$70,000–$85,000 / yearRVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims—including Part A/B, DMEPOS, and Home Health/Hospice—to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). Our team is experienced in program, payment, provider, and patient integrity as we continue to support advanced programs of policy, clinical requirements, and compliance measures at the commercial, State, and Federal levels.