Medical Billing Specialist Virginia Pediatric GroupMedical Billing SpecialistFairfax, VA$25–$30 / hourFull timeVirginia Pediatric Group, a premier provider of family-centered pediatric care since 1982, is seeking a dedicated Certified Medical Billing and Coding Specialist to join our professional team. Based in our 4 Northern Virginia office(s), this is a fantastic opportunity for an experienced specialist with a passion for accuracy and patient support to contribute to a practice that has served Northern Virginia for over 40 years.
NewAttorney - FCA/Healthcare Fraud Enforcement JobotAttorney - FCA/Healthcare Fraud EnforcementWashington, DC$150,000–$400,000 / 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.
Associate Director, Medical Review Lead, MSRM - Remote Agios PharmaceuticalsAssociate Director, Medical Review Lead, MSRM - RemoteWashington DC, DCRemote$185,369–$308,948 / yearThe current base salary range for this position is expected to be between $185,369 and $308,948 annualized; final salary will be determined based on various factors including, but not limited to, years of relevant experience, job knowledge, skills and proficiency, degree/education, and internal comparators. This role provides oversight of medical review for Individual Case Safety Reports (ICSRs) across investigational and marketed products, ensuring medical accuracy, regulatory compliance, and high-quality safety data to support pharmacovigilance and risk management activities.
NewPhysician Hospitalist - Competitive Salary MedStar HealthPhysician Hospitalist - Competitive SalaryLeonardtown, MD$275,000–$305,000 / yearProvides internal medicine care 24 hours per day 7 days per week in all areas of the hospital including but not limited to management of inpatient referrals from primary care physicians (PCP) and the Primary Care Center (PCC) Emergency Department (ED) admissions and consultations inpatient internal medicine care and inpatient medical consultation on other adult patients. Provides internal medicine care within the inpatient setting to include but not limited to history and physical exams consultative services daily rounding services and discharge planning.
NewSenior Specialist, Federal Full-Stack Developer KPMGSenior Specialist, Federal Full-Stack DeveloperWashington, DCLearn / analyze existing codebases / systems for the full stack and develop code as needed to support products and solutions (Technologies include: Cloud native IaaS / PaaS (Azure, AWS), Web UI frameworks (Angular, React, etc.), API definition (RAML, Swagger, JSON), Backend (Java, Databases, etc.), Integrations (ESB, legacy system integration, etc.). Proficiency with at least one modern JavaScript framework (Angular2/4, ReactJs, etc.), backend / AP RESTful service (Java with SpringMVC, etc.), cloud native solutions utilizing Azure / AWS, and DevOps tooling platforms (Jenkins, Ansible, Chef, or similar).
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.
Senior Staff Research Engineer, 3D Gaussian Splat Coding OfinnoSenior Staff Research Engineer, 3D Gaussian Splat CodingReston, VirginiaCollaborate cross-team to remove blockers, integrate tool interactions, and improve shared infrastructure (pipelines, scripts, datasets, configurations, regression tests). Design and evaluate novel coding tools for 3DGS representations (e.g., geometry/attribute representation, parameter quantization, entropy modeling, structure/cluster coding, streaming and progressive refinement).
Principal Research Engineer, 3D Gaussian Splat Coding OfinnoPrincipal Research Engineer, 3D Gaussian Splat CodingReston, VirginiaAs a Principal Research Engineer in 3D Gaussian Splatting, you will: Define and drive high-impact 3DGS coding directions, setting technical priorities across multiple workstreams and aligning execution across the team. Lead end-to-end design and evaluation of coding approaches for 3DGS representations (e.g., representation design, parameterization, quantization, entropy/context modeling, progressive transmission, complexity reduction), including tool interactions and system-level tradeoffs.
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.
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.
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.
Certified Medical Billing & Coding Specialist CLINICA FAMILIAR DE ARLINGTONCertified Medical Billing & Coding SpecialistFalls Church, VAThe ideal candidate is detail-oriented, organized, and experienced with insurance claims, coding accuracy, and revenue cycle workflows. We are seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice.
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.
NewPT 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.
Medical Coding SME Graham TechnologiesMedical Coding SMEFalls Church, VAFull timeAt Graham Technologies, we've built a family-oriented environment where team members are encouraged to maintain a healthy work-life balance, pursue their passions, and grow professionally through flexible schedules, continued education, and a strong sense of community. Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting our customer.
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.
IT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, Informatics Kaiser PermanenteIT Consultant IV, Solutions - SNOMED CT, Clinical Coding, Epic, EHR, InformaticsHyattsville, MDEssential Responsibilities: Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating and assigning resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks, as appropriate; and recognizing and capitalizing on improvement opportunities. Ability and/or having the capacity to learn -knowledge representation- logic to create, maintain subsets of clinical records to support reporting, business intelligence in the areas of best practice alerts, population and healthcare management, quality measurements, and health information exchanges.
NewRemote HCC Coding Specialist | Risk Adjustment Expert Highmark HealthRemote HCC Coding Specialist | Risk Adjustment ExpertWashington, DCRemote$27.02–$41.85 / hourThe role involves performing HCC coding for Medicare Advantage and ACA, ensuring compliance with CMS guidelines. A minimum of 3 years of coding experience is required, with preferred education in medical billing and coding.
AI Coding Tools & Pilots Consultant Ampcus IncorporatedAI Coding Tools & Pilots ConsultantChantilly, VAThe ideal candidate will possess expertise in AI coding assistants, software development practices, platform evaluation, DevSecOps, user enablement, and pilot execution, with a strong focus on accelerating developer productivity and enterprise AI adoption. This role will serve as a bridge between engineering teams, AI platform teams, business stakeholders, and program leadership to ensure successful implementation and scaling of AI development solutions.
Epic Resolute Application Developer (Charge Router and Coding Skills) - 6260321 Accenture PlcEpic Resolute Application Developer (Charge Router and Coding Skills) - 6260321Arlington, VAIn addition to delivering innovative solutions for Accenture's clients, you will work with a highly skilled, diverse network of people across Accenture businesses who are using the latest emerging technologies to address today's biggest business challenges. Dropping orders using chart review-> creating new patient encounter -> dropping an order and signing the order/Unite charge entry ->creating new encounter.
NewRevenue Integrity Analyst II: Coding & Reimbursement Intermountain HealthRevenue Integrity Analyst II: Coding & ReimbursementWashington, DCKey qualifications include an Associate's Degree in a related field, CRCR certification, and coding experience. Intermountain Health is seeking a professional in Washington, DC, to manage billing and payment issues for patient accounts.
NewData Analyst Coding Rev Cycle MedStar Health Research InstituteData Analyst Coding Rev CycleDC$71,843–$135,907 / yearMonitors and trends coding-related KPIs including: DNFB (Discharged not final billed); denial trends coding productivity and accuracy audit findings DRG shifts case Mix Index severity of illness (SOI) Risk of Mortality (ROM) query rates and outcomes coding turnaround times physician documentation trends CC/MCC capture rates and quality measure impacts. This role partners closely with Revenue Cycle Operations Coding CDI HIM Revenue Integrity Quality to identify trends monitor coding performance support auditing activities and improve documentation and coding outcomes.
NewData Analyst Coding Rev Cycle MedStar HealthData Analyst Coding Rev CycleDC$71,843–$135,907 / yearMonitors and trends coding-related KPIs including: DNFB (Discharged not final billed); denial trends coding productivity and accuracy audit findings DRG shifts case Mix Index severity of illness (SOI) Risk of Mortality (ROM) query rates and outcomes coding turnaround times physician documentation trends CC/MCC capture rates and quality measure impacts. This role partners closely with Revenue Cycle Operations Coding CDI HIM Revenue Integrity Quality to identify trends monitor coding performance support auditing activities and improve documentation and coding outcomes.
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.
DevOps Engineer w/Automation and coding background Syntricate Technologies IncDevOps Engineer w/Automation and coding backgroundReston, VANote: The manager is extremely picky – candidates need very strong automation skills and he wants candidates who come from a coding background. • Collaborate with cross-functional teams, including product managers, designers, and other developers.
Senior Lead Data Engineer (AWS, Python, Snowflake, Databricks, AI-Assisted Coding Tools) Capital OneSenior Lead Data Engineer (AWS, Python, Snowflake, Databricks, AI-Assisted Coding Tools)McLean, VirginiaShare your passion for staying on top of tech trends, experimenting with and learning new technologies, participating in internal & external technology communities, and mentoring other members of the engineering community. We build data-driven tools that use machine learning to prevent risks & automatically detect issues before they impact our customers, our business, or our communities.
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.
Coding Instructor Code NinjasCoding InstructorBurke, VirginiaWe are looking for a Coding Instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.
Senior Staff Research Engineer, Neural Network Video Coding OfinnoSenior Staff Research Engineer, Neural Network Video CodingReston, VAFull timeHands-on experience in one or more video coding tool areas, including neural in-loop filtering, neural prediction, learned transforms, or end-to-end neural video compression. Collaborate cross-team to remove blockers, integrate tool interactions, and improve shared infrastructure (e.g., testing pipelines, scripts, datasets, and configurations).
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.
Windows Infrastructure-as-Code Systems Engineer The Aerospace CorpWindows Infrastructure-as-Code Systems EngineerChantilly, VA$135,200–$220,000 / yearIn addition to the above, the minimum requirements for the Windows environments and Infrastructure-as-Code (IaC) (Site Reliability Engineer Staff IV) include: • A minimum of (7) years of hands-on experience in managing enterprise Windows systems, including Active Directory, Group Policy administration, configuration, troubleshooting, and security hardening to maintain a secure operational environment, is required. Minimum Requirements for the Windows environments and Infrastructure-as-Code (IaC) (Site Reliability Engineer Staff III) include: • Bachelor's of Science in Computer Science, Engineering, or a related field-or equivalent hands-on experience that demonstrates your technical expertise and innovative mindset is required.
NewFall 2026 Data and Coding Internship Democratic Governors AssociationFall 2026 Data and Coding InternshipWashington, DCTypical programming tasks will include writing code and using data analysis to help update and replace antiquated research methods, as well as assisting with candidate research, monitoring and summarizing news clips related to governors and their policies, transcribing interviews and news clips of governors and candidates, and providing other support to the DGA Research Team as needed. Assist in media monitoring and the compilation of news articles pertaining to the political landscape of governors and gubernatorial candidates; Assist with transcriptions of media appearances of Republican governors and candidates for use in campaign communications; Help with other special projects, assignments, and tasks as assigned by the Research Associates, Analysts, or other members of the Research Team.
Senior Low-Code Developer Ampcus IncorporatedSenior Low-Code DeveloperChantilly, VAThe ideal candidate will have a strong background delivering enterprise applications and workflow solutions using modern low-code/no-code and Platform-as-a-Service (PaaS) technologies, with experience leveraging AI-enabled capabilities in scalable, secure, and user-centric solutions. Design, develop, and implement enterprise workflow and business process solutions using modern low-code/no-code and PaaS platforms (such as Appian, Power Platform, ServiceNow, Salesforce, OutSystems, Mendix, etc.).
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.
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?.
Customer Support Engineer (Low-code Workflow Software) BizFlowCustomer Support Engineer (Low-code Workflow Software)Falls Church, VAEnhance and streamline support workflows using low-code/no-code capabilities within BizFlow M-building automations, routing logic, and templates to improve support efficiency. Troubleshoot issues across on‑premise platform applications, server environments, integrations, and legacy systems-performing detailed diagnostics, log analysis, and root‑cause investigations across application, middleware, and server layers.
Medical- Front Office & Billing Specialist BirthCare & Women's Health LTDMedical- Front Office & Billing SpecialistAlexandria, VABirthCare & Women’s Health is a freestanding birth center offering home and birth center services with a focus on safety, education, and family-centered midwifery care. Assure that initial contact information is completed in MacPractice when potential clients inquire and/or sign up for BirthCare Beginnings: Info and Tour Session .
NewSr. 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.
Medical Coder Virginia HeartMedical CoderFalls Church, Fairfax, VA$23–$29 / hourFull timeThe Medical Coder is responsible for reviewing, coding and updating charges in various Charge Work Queues, to ensure accuracy and timely release of charges, in a manner consistent with Virginia Heart’s mission of excellence in cardiovascular care. (Click link to view other available openings and locations for our company: https://virginiaheart.hiringplatform.com/list/careers) .
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorVA$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
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.
Medical Reimbursement Technician U.S. Department of Veterans AffairsMedical Reimbursement TechnicianWashington, DC$40,736–$59,031 / yearThe Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position. Please make sure you have included other documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50s (current/former Federal employees), documentation to support Veterans Preference claims, or ICTAP/CTAP documentation (for displaced Federal employees).
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.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistVA$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. At TRC, we take pride in fulfilling our opportunity to add value to our client's business as their staffing partner, while working tirelessly to connect thousands of individuals each year with work opportunities where they can meet the needs of their families and have the potential to build their careers.