NewCompliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar HealthCompliance Audit / Investigator / Coder - CCS / CPC / or CCAWashington, DC$65,062–$117,291Performs concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
NewAttorney - FCA/Healthcare Fraud Enforcement JobotAttorney - FCA/Healthcare Fraud EnforcementWashington, DC$150,000–$400,000 / yearExperience 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.
DRG Coder, Registered Nurse Pivotal Placement ServicesDRG Coder, Registered NurseWashington, DC$90,000–$104,841 / yearHeadquartered in Central Florida, Pivotal Placement Services is a full-service national workforce solutions firm specializing in healthcare talent—from frontline staff to executive leadership—in both clinical and non-clinical roles. We are seeking an experienced DRG Coder / Clinical Auditor (RN) to conduct comprehensive DRG quality and validation audits of inpatient medical records.
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 Reporting Grade . This leader is responsible for overseeing a team reviewing complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance.
Coding Compliance Audit & Education Specialist Privia Health Group, IncCoding Compliance Audit & Education SpecialistDC$70,000–$80,000 / yearThe Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers. Technical Requirements (for remote workers only, not applicable for onsite/in office work): In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed.
Medical Coding Specialist-New Jersey Avenue, Washington, D.C Unity Health Care IncMedical Coding Specialist-New Jersey Avenue, Washington, D.CDCAdvanced 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. 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.
NewRevenue Integrity Coding and Billing Specialist- Remote GuidehouseRevenue Integrity Coding and Billing Specialist- RemoteWashington, DCRemote$49,000–$81,000 / yearUnder the direction of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialist provides revenue cycle support services through efficient review and prompt resolution of assigned Medicare and third-party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. Job Family General CodingTravel Required NoneClearance Required NoneResponsibilities Daily resolution of assigned claims with Revenue Integrity pre-bill edits and/or specific Revenue Integrity Hold Codes in the hospital billing scrubber.
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.
PT Instructor Pool - Medical Coding Specialist Program Madison Area Technical College DistrictPT Instructor Pool - Medical Coding Specialist ProgramDCMadison College offers degrees, diplomas, apprenticeships and certificates in Architecture & Engineering; Arts, Design & Humanities; Business; Construction, Manufacturing & Maintenance; Culinary, Hospitality & Fitness; Education & Social Services; Health Sciences; Information Technology; Law, Protective & Human Services; Science, Math & Natural Resources; and Transportation. This includes developing a relevant and progressive curriculum, designing and implementing effective learning strategies and environments, delivering instruction of high quality, assessing student learning, advising students, and participating in college service activities at the department, division and college levels.
Profee Coder III (Radiology (IR), Vascular and Neurosurgery Coding) SavistaProfee Coder III (Radiology (IR), Vascular and Neurosurgery Coding)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.
Manager Coding Compliance (Hybrid) - Surgery Washington University in St LouisManager Coding Compliance (Hybrid) - SurgeryWashingtonThe screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. 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.
Inpatient Coding Specialist MedStar Health Research InstituteInpatient Coding SpecialistDC$28.76–$48.96 / hourThe Inpatient Coding Specialist analyzes and interprets clinical documentation to accurately code and abstract inpatient facility records for all MedStar entities in accordance with established ICD-10-CM/PCS coding classification systems. Determines the sequence of diagnoses according to Uniform Hospital Discharge Data Definitions and assigns appropriate DRG (Diagnosis Related Groups).
Inpatient Coding Specialist MedStar HealthInpatient Coding SpecialistDC$28.76–$48.96 / hourThe Inpatient Coding Specialist analyzes and interprets clinical documentation to accurately code and abstract inpatient facility records for all MedStar entities in accordance with established ICD-10-CM/PCS coding classification systems. Determines the sequence of diagnoses according to Uniform Hospital Discharge Data Definitions and assigns appropriate DRG (Diagnosis Related Groups).
Team Leader Inpatient Coding Operations MedStar Health Research InstituteTeam Leader Inpatient Coding OperationsDC$31.28–$56.39 / hourUnder the direction of the Coding Manager assist with coding related tasks such as associate onboarding system testing writing reports working outstanding PFS (Patient Financial Services) accounts monitoring staff productivity or quality etc. Responsible for assisting Inpatient Coding Operations Manager with daily activity to include assisting coding associates with coding questions scheduling and mentoring.
Team Leader Inpatient Coding Operations MedStar HealthTeam Leader Inpatient Coding OperationsDC$31.28–$56.39 / hourUnder the direction of the Coding Manager assist with coding related tasks such as associate onboarding system testing writing reports working outstanding PFS (Patient Financial Services) accounts monitoring staff productivity or quality etc. Responsible for assisting Inpatient Coding Operations Manager with daily activity to include assisting coding associates with coding questions scheduling and mentoring.
Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLPManaged Services - Revenue Cycle Coding - Senior ManagerDC$124,000–$280,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.
Appian Engineer (Low Code) - Remote First American Financial CorpAppian Engineer (Low Code) - RemoteWashington, WARemoteFirst American reasonably believes that a criminal history may have a direct, adverse and negative relationship with the following material job duties for this position potentially resulting in the withdrawal of the conditional offer of employment: handling of confidential, proprietary or trade secret information belonging to First American or its customers, administrating or facilitating financial transactions, and the ability to meet customer-imposed criminal history requirements. Our inclusive, people-first culture has earned our company numerous accolades, including being named to the Fortune 100 Best Companies to Work For list for eleven consecutive years.
Building Code Inspector II District Of ColumbiaBuilding Code Inspector IIWashington, DCPossession and maintenance of at least (3) ICC Certifications at the Commercial Level in Commercial Building (B2), Commercial Electrical (E2), Commercial Mechanical (M2), or Commercial Plumbing (P2) issued by the International Code Council (ICC); or Fire Inspector II (FII) AND within 12 months of hire the incumbent is required to obtain the remaining (1) ICC Level 2 Certification to complete the Commercial Combination Inspector Certification. Possession and maintenance of at least (3) ICC Certifications at the Residential Level in Residential Building (B1), Residential Electrical (E1), Residential Mechanical (M1), or Residential Plumbing (P1) issued by the International Code Council (ICC); AND within 12 months of hire the incumbent is required to obtain the remaining (1) ICC Level 1 Certification to complete the Residential Combination Inspector Certification.
Building Code Inspector District Of ColumbiaBuilding Code InspectorWashington, DCMust possess at minimum one of the following: (1) ICC certifications in the International Green Construction Code or International Energy Conservation Code, (2) Certified Home Energy Rating System (HERS) Rater (3) Building Performance Institute Building Analyst or Multifamily Building Analyst, (4) LEED for Homes Green Rater, (5) or other related certification. Conducts discussions with owners, architects, engineers, contractors, subcontractors, staff from Fire Marshall's Office, specialty inspectors, DOB staff, and the public regarding permits, specifications, materials, methods, and plans, as appropriate and assists customers in obtaining compliance with applicable construction codes during the construction process.
NewCode Specialist (Registered Architect) (Data Centers) Jacobs SolutionsCode Specialist (Registered Architect) (Data Centers)Washington, DC$132,900–$182,700 / yearAt Jacobs, we're challenging today to reinvent tomorrow by solving the world's most critical problems for thriving cities, resilient environments, mission-critical outcomes, operational advancement, scientific discovery and cutting-edge manufacturing, turning abstract ideas into realities that transform the world for good. We empower employees with our hybrid working policy, allowing them to split their work week between Jacobs offices/projects and remote locations enabling them to deliver their best work.
Senior Software Engineer - AI Interaction Evaluator (Codex / Claude Code, up to $200/hr) G2i IncSenior Software Engineer - AI Interaction Evaluator (Codex / Claude Code, up to $200/hr)Washington, D.C., DC$50–$200 / hourWe're looking for highly experienced software engineer (SR+) to help evaluate the quality of interactions with modern coding agents such as OpenAI Codex and Claude Code. We're specifically looking for engineers who can answer questions like: Does this feel like something a strong engineer would actually say?.
Sr. Medical Billing Manager Community ConnectionsSr. Medical Billing ManagerWashington, District of ColumbiaModels and reinforces Community Connections mission to provide behavioral health, residential services, and primary health care coordination for marginalized and disenfranchised women, men, youth, and children living in the District of Columbia, many of whom are coping with challenges including mental illness, addiction, and the aftermath of trauma and abuse. Attend provider meetings with respective payers such as Department of Behavioral Health (District of Columbia) or commercial insurers, as well as internal meetings with program heads and senior leadership on occasion.
NewMedical Billing Specialist-New Jersey Ave-DC(Hybrid) Unity Health Care IncMedical Billing Specialist-New Jersey Ave-DC(Hybrid)Washington, DCUnder the supervision of the Medical Billing Supervisor, the Medical Billing Specialist is responsible for preparing and submitting timely and accurate insurance claims to third-party payers, ensuring compliance with payer regulations and billing requirements, and verifying that payments and adjustments are accurately applied to patient accounts. This position is also responsible for conducting timely follow-up on outstanding claims, resolving billing discrepancies, and supporting revenue cycle operations to maximize reimbursement while maintaining compliance with applicable federal, state, and organizational regulations.
Senior Medical Coder UnitedHealth Group IncSenior Medical CoderWashington, DCRemote$24–$43 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The Senior Medical Coder performs concurrent review of FFS coding rules within Epic, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials.
Medical Advisor U.S. Department of JusticeMedical AdvisorWashington, DC$169,279–$197,200 / yearCollege Transcripts - If you are using education to qualify for this position, or education is required, you must submit: An unofficial transcript containing a full listing of courses, credit earned, grade and grade-point-average, subject area, degree(s) earned, and dates of award. Candidates must possess the following basic requirements to receive consideration for this position: 1) A Bachelors or graduate/higher level degree: major study in an academic field related to the medical field, health sciences or allied sciences appropriate to the work of the position.
Billing Technician US Department of Health and Human ServicesBilling TechnicianWashington, DC$50,460–$65,599 / yearof: a.) 3.0 or higher out of a possible 4.0 (B" or better) as recorded on their official transcript, or as computed based on 4 years of education, or as computed based on courses completed during the final 2 years of the curriculum; or b.) 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum. MINIMUM QUALIFICATIONS GS-07: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Experience in performing a full range of technical services in coding, abstracting and billing functions independently.
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting Group LLCHealth Care | Life Sciences, Senior Associate - Registered Nurse / Certified CoderDCRegistered Nurse with active license, unrestricted license • Bachelor of Science in Nursing from an accredited college/university • Substantial clinical experience with demonstrated ability to interpret clinical documentation and medical necessity • Certified Professional Coder (CPC) with coding experience across inpatient, outpatient, and professional services • Familiar with the revenue cycle process and facility and professional claims • Demonstrates excellent communication skills, both written and oral • Experience managing small projects and teams • Familiar with accessing and identifying clinical documentation in electronic medical record systems • Proficient in Excel, Word, and PowerPoint and able to draft reports and presentations and present findings • Ability to problem solve, multi-task, and prioritize assignments • Understands the importance of privileged and confidential communication • Willingness to travel when needed • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future. Our clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers.
Dental Billing Specialist Howard UniversityDental Billing SpecialistDC$43,641–$48,006 / yearResearches 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.
Field Reimbursement Manager - Mid-Atlantic HeartFlowField Reimbursement Manager - Mid-AtlanticWashington, DCRemote$90,000–$120,000 / yearHeartflow is the first AI-driven non-invasive integrated heart care solution across the CCTA pathway that helps clinicians identify stenoses in the coronary arteries (RoadMapAnalysis), assess coronary blood flow (FFRCT Analysis), and characterize and quantify coronary atherosclerosis (Plaque Analysis). The flagship product-an AI-driven, non-invasive cardiac test supported by the ACC/AHA Chest Pain Guidelines called the Heartflow FFRCT Analysis-provides a color-coded, 3D model of a patient's coronary arteries indicating the impact blockages have on blood flow to the heart.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistDC$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.
PAR I & II TRC Talent SolutionsPAR I & IIWashington, 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 .
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 .
NewMedical Assistant Trinity Washington UniversityMedical AssistantWashington, DC$65,000–$75,000 / yearThe Medical Assistant also provides clinical support to healthcare providers, maintains accurate electronic health records, performs medical coding and billing functions, coordinates insurance activities, and assists in delivering high-quality primary care and women's health services. Responsibilities & Functions: Clinical: Assist the clinical staff in the examination and treatment of routine primary care and women's health services for enrolled students including point of care testing.
NewMedical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Washington, DC$40,736–$73,731 / yearof: a.) 3.0 or higher out of a possible 4.0 (B" or better) as recorded on their official transcript, or as computed based on 4 years of education, or as computed based on courses completed during the final 2 years of the curriculum; or b.) 3.5 or higher out of a possible 4.0 ("B+" or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum. MINIMUM QUALIFICATIONS: GS-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Reviewing medical records to gather information on reasons for admission and length of stay, supporting the medical coding and health information program, and performing routine, well-defined coding and data entry tasks.
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar HealthCompliance Audit/Investigator - CCS / CPC / or CCADC$65,062–$117,291 / yearPerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
MEDICAL RECORDS ADMINISTRATION SPECIALIST (TRAINER/AUDITOR) U.S. Department of DefenseMEDICAL RECORDS ADMINISTRATION SPECIALIST (TRAINER/AUDITOR)Washington, DC$63,795–$82,938 / yearOne-year specialized experience equivalent to the GS-09 grade level in the Federal Service in planning, coordinating, administering, advising, monitoring, and auditing the use of International Classification of Diseases 10th Revision Clinical Modification (ICD-10-CM), Diagnosis Related Group (DRG), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) code assignment to assure all diagnoses and procedures are properly documented through review of medical records. FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university.
NewPatient Access Operations Lead IQVIA Holdings IncPatient Access Operations LeadWashington, DC$111,000–$309,200 / yearUnder the general direction of the VP, RHEMA, the Patient Access Program Operations Lead will lead and provide oversight to the Patient Access Team who are responsible for collaborating with providers and patients, conducting benefit verifications, prior authorization submissions and follow ups, initiating and following up on claim appeals (all levels) and also answering general coding questions that come through the support line for new and novel technologies using a CAT III CPT code or an unlisted CAT I CPT code. Through MCRA supported training and continuing education, reimbursement personnel are required to become experts in the disease states of spine, orthopedics, biologics, cardiovascular and other areas affected by specific clinical/surgical interventions, treatment alternatives and the technologies themselves.
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar Health Research InstituteCompliance Audit/Investigator - CCS / CPC / or CCADC$65,062–$117,291 / yearPerforms concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse. Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
NewPatient Account Specialist - Billing, Follow-up, Cash Specialist Seattle Children's HospitalPatient Account Specialist - Billing, Follow-up, Cash SpecialistWashingtonTogether, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country. Seattle Children’s welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families.
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 Collaboration Grade . The Patient Billing/Services Representative (PSR) is a patient-facing role that obtains insurance information and referral forms as well as counsels patients on financial assistance when seen in department for services.
Patient Accounts Specialist I - Physicians'' Billing MedStar HealthPatient 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.
NewPatient Access Operations Lead IQVIAPatient Access Operations LeadWashington, District of ColumbiaUnder the general direction of the VP, RHEMA, the Patient Access Program Operations Lead will lead and provide oversight to the Patient Access Team who are responsible for collaborating with providers and patients, conducting benefit verifications, prior authorization submissions and follow ups, initiating and following up on claim appeals (all levels) and also answering general coding questions that come through the support line for new and novel technologies using a CAT III CPT code or an unlisted CAT I CPT code. Through MCRA supported training and continuing education, reimbursement personnel are required to become experts in the disease states of spine, orthopedics, biologics, cardiovascular and other areas affected by specific clinical/surgical interventions, treatment alternatives and the technologies themselves.
Patient Billing/Services Representative II - Orthopedic Surgery Washington University in St LouisPatient Billing/Services Representative II - Orthopedic SurgeryWashingtonThis role involves ensuring all check-in and registration is complete and accurate, verifies insurance and referral needs, handles patient inquiries, checks patients out upon completion of their visit and schedules appointments as needed. Customer 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 Collaboration Grade .
Medical Assistant Apprentice Washington University in St LouisMedical Assistant ApprenticeWashingtonPerforms select administrative and certain clinical duties under the direction of a licensed healthcare professional; administrative duties may include scheduling appointments, maintaining medical records, patient billing, and coding medical information for insurance purposes; clinical duties may include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and providing medical attention as directed by physician or nursing staff. We typically hire Medical Assistants to work the clinic back office where they room patients, document in electronic medical record, perform clinical skills associated with the specialty, perform blood draws, phone triage, schedule tests or order lab work, provide patients with follow-up instructions.
NewMedical Pro Fee Coder III Cardiac Cath/EP (Cardiology experience require) SavistaMedical Pro Fee Coder III Cardiac Cath/EP (Cardiology experience require)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.
Health System Specialist U.S. Department of DefenseHealth System SpecialistWashington, DC$62,629–$81,423 / yearFOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. Education: Masters or equivalent graduate degree or 2 full years of progressively higher level graduate education leading to such a degree with a major study in hospital administration, public health administration, or related fields such as business or public administration with course work in health care administration.
NewMedical Services Account Technician U.S. Department of DefenseMedical Services Account TechnicianWashington, DC$51,037–$66,348 / yearFOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. Specialized Experience: One year of specialized experience which includes working with commercial insurance carriers to identify patients with Other Health Insurance (OHI); updating insurance informationin electronic health record to process patient accounts for billing; analyzing medical records to resolve billing discrepancies and process third-party claims; communicating with patients and insurance carriers to resolve billing and claims inquiries.
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.
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting GroupHealth Care | Life Sciences, Senior Associate - Registered Nurse / Certified CoderWashington DC, District of ColumbiaRemoteOur clients include academic medical centers, health systems, physician practice groups, post- and sub-acute providers, health plans, pharmacies, and pharmacy benefit management companies, as well as pharmaceutical and medical device manufacturers. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations.
Inpatient PTF Coders Cooper ThomasInpatient PTF CodersRemote Home Office, DCRemoteExperience including, but not limited to data validation; analyzing and generating reports; reviewing and abstracting health record information, adhering to coding compliance, and ensuring that CPT/AMA and ICD codes and modifiers support clinical and physician documentation for proper and consistent data collection and reimbursement. Cooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has up to immediate openings for VA experienced Inpatient PTF Coders with at least 2 years of experience for (W-2) full-time (40 hours a week) positions.