OP Coder Cooper ThomasOP CoderRemote Home Office, DCRemoteKnowledge 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). · Must be able to perform the full scope of multi-specialty OP clinic, ED, minor procedures, radiology, rehabilitation, and lab encounters utilizing ICD-10, CPT, and HCPCS codes.
Chargemaster Analyst Remote! Virginia Hospital CenterChargemaster Analyst Remote!Arlington, VARemoteThis role involves resolving charge and coding issues, managing databases and reports, The position requires strong knowledge of billing, coding, and financial operations, along with expertise in medical terminology and healthcare billing systems. Purpose & Scope: The role of the Chargemaster Analyst has several components including routine data validation, collaboration with outside vendors, performing monthly Chargemaster maintenance and leading code update initiatives.
Dental Billing Specialist Howard UniversityDental Billing SpecialistWashington, DC$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.
Medical Clinical Reviewer Doctor (MD/DO) (Part-time, Remote) Integrity Management Services, Inc.Medical Clinical Reviewer Doctor (MD/DO) (Part-time, Remote)Alexandria, VARemoteThe Medical Clinical Review Consultant provides professional medical expertise in support of healthcare claim reviews by conducting independent clinical evaluations of claims and supporting documentation, including medical records, treatment plans, clinical notes, diagnostic testing, imaging, procedure documentation, and relevant claims data. Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs.
NewMedical 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.
California Rural Healthcare Finance and Revenue Cycle Leadership Opportunities Rural Staffing ServicesCalifornia Rural Healthcare Finance and Revenue Cycle Leadership OpportunitiesCalifornia, CaliforniaRemoteRural Staffing Services partners with rural hospitals, clinics, public hospital districts, regional health systems, community health centers, tribal healthcare organizations, long-term care providers, and community healthcare organizations throughout California to identify experienced finance and revenue cycle leaders who understand the unique realities of rural healthcare. Strong finance and revenue cycle leadership helps protect emergency care, outpatient services, long-term care, behavioral health, primary care access, tribal healthcare services, and other essential services that patients might otherwise have to travel significant distances to receive.
Revenue Cycle Specialist District PartnersRevenue Cycle SpecialistGaithersburg, MarylandThis role is best suited for someone who understands how to work aged hospital A/R, investigate payment delays and denials, communicate effectively with insurance carriers, and determine the appropriate action needed to move an account forward. The successful candidate will be comfortable reviewing complex account histories, identifying the underlying issue, and following through until the balance is appropriately resolved.
Healthcare Expert - Remote YO AI LabsHealthcare Expert - RemoteCaliforniaRemote2+ years of experience in healthcare administration, clinical documentation, medical billing/coding, or a related field. You'll apply your healthcare knowledge to assess AI outputs, workflows, and real-world use of healthcare systems.
Statistician Code360StatisticianHyattsville, MarylandRemoteIdentifying data priorities in the areas of health care resources and utilization; Plan and implement sample surveys and evaluation studies to address data priorities; Develop survey methodologies that address the unique data collection requirements of national surveys of health care providers and institutions; Apply sampling theory and design to complex, multi-stage national probability surveys of health care providers and institutions; Develop data reduction methods and analysis of data from national surveys of health care providers and institutions; Apply and modify established methods, modeling techniques, and procedures in conducting analysis to improve sample surveys or experimental designs and to conduct evaluations of data collection, reduction and processing. Prepare reports, manuals and other directives necessary to convey medical coding information and improve the quality of our data; Design and develop new mathematical statistical models, methods and/or techniques such as sample and survey designs for related data collection; Evaluate data resulting from application of mathematical statistic tools, model, method and techniques to the public health area; Contribute to various project reports and presentations, including memos summarizing interim project findings; reports describing final algorithm methodology and application; and presentations to stakeholders and Federal partners; and.
Convergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation DeloitteConvergehealth - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationRosslyn, VA$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
Area 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.
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.
NewMedical Clinical Reviewer Doctor (Md/Do) (Part-Time, Remote) Integrity Management Services, Inc.Medical Clinical Reviewer Doctor (Md/Do) (Part-Time, Remote)Alexandria, VARemote$80–$145 / hourThe Medical Clinical Review Consultant provides professional medical expertise in support of healthcare claim reviews by conducting independent clinical evaluations of claims and supporting documentation, including medical records, treatment plans, clinical notes, diagnostic testing, imaging, procedure documentation, and relevant claims data. Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs.
ConvergeHEALTH - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_Transformation Deloitte Touche Tohmatsu LtdConvergeHEALTH - Forward Deployed Engineer, Data Studio Revenue Cycle - Innovation_Delivery_TransformationVA$105,400–$207,800 / yearWorking knowledge of the retrieval and knowledge layer behind agentic systems - RAG pipelines, embeddings and vector stores, and increasingly knowledge graphs - including how to ground use cases in large volumes of unstructured healthcare data (e.g., clinical notes, payer policies, contracts) alongside structured sources. Partner with Health Care consulting teams and Converge for Healthcare's account and product teams during the sales cycle - running technical discovery, demonstrations, and use-case fit assessments - such as denial prevention, prior authorization automation, or AR follow-up - that qualify client needs and shape a credible path to production value.
NewCertified Asthma Educator - Pediatric Allergy & Pulmonary Medicine Washington University in St LouisCertified Asthma Educator - Pediatric Allergy & Pulmonary MedicineWashingtonThe Center for Pediatric Pulmonary Disease & Allergy (PPD&A) is seeking a Certified Asthma Educator (AE-C) to provide comprehensive, home-based asthma education and self-management support to pediatric patients and their families following emergency department (ED) visits for asthma at St. Louis Children’s Hospital (SLCH). The educator’s primary responsibilities include conducting home visits—typically within four to seven days of a child’s ED discharge —to review discharge instructions, demonstrate proper medication and inhaler use, and provide education on environmental trigger management and symptom control.
Senior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI - Remote Sentara Healthcare IncSenior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI - RemoteVARemote$25.60–$42.67 / hourExperience utilizing data analytics to identify high-risk providers and claims for pre-payment review within a healthcare payer, SIU, Program Integrity, or Payment Integrity environment is strongly preferred. Experience conducting pre-pay investigations, provider risk assessments, data mining, fraud, waste and abuse (FWA) analysis, and proactive identification of billing anomalies and emerging provider trends.
Field Reimbursement Manager-Mid-Atlantic Harrow IncField Reimbursement Manager-Mid-AtlanticDCMembers of our Harrow Family often express their pride in being a part of our commitment to (1) innovation, (2) patient access to affordable medicines, and (3) our track record of having never turned down an ophthalmologist doing mission work around the world - providing free medicines in support of mission work aimed at giving or maintaining the gift of sight to those most in need. This individual will provide non-promotional, compliant education on coverage, coding, billing, and claims processes - giving customers the confidence and technical know-how to appropriately access and be reimbursed for Harrow brands.
Epic Resolute Professional Billing (PB) & Claims Analyst InterscriptsEpic Resolute Professional Billing (PB) & Claims AnalystChantilly, VirginiaThe ideal candidate will have hands-on experience in implementing, configuring, supporting, and optimizing the Epic Resolute Professional Billing (PB) module, with expertise in claims management and physician revenue cycle workflows. The candidate will collaborate with billing, coding, revenue cycle, and operational teams to enhance billing accuracy, streamline claims processing, and improve reimbursement outcomes.
Medicare/Medicaid - Patient Account Representative Med-Metrix, LLCMedicare/Medicaid - Patient Account RepresentativeArlington, VAPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts.
Patient Account Representative - Medicare/Medicaid Exp Med-Metrix, LLCPatient Account Representative - Medicare/Medicaid ExpArlington, VAPhysical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear. Ability to use various workflow system and client host system such as STAR, SMS, EAGLE and EPIC, as well as other tools available to them to collect payments and resolve accounts.