NewSenior Healthcare Claims Processor J29, IncSenior Healthcare Claims ProcessorMillersville, MDRemoteFull timePreferred Experience Experience supporting a limited health benefit program, specialty benefit program, occupational health program, workers compensation program, or other program in which coverage is tied to defined eligibility and covered conditions. 3-5+ years of experience leading claims supervisors, examiners, analysts, operational teams, or claims quality programs, including responsibility for productivity, performance, and accountability initiatives.
NewInsurance Billing and Collections Assistant II (Hybrid) - Pediatrics Central Administration Washington University in St LouisInsurance Billing and Collections Assistant II (Hybrid) - Pediatrics Central AdministrationWashingtonClaims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Telephone Communications Grade . Performs follow-up on insurance billing and collection activities, verifying the accuracy and completeness of insurance records, and claims, contacting insurance companies as well as other related duties to expedite payments from various payers for physician services.
Patient Billing/Services Representative II - Orthopedic Surgery Washington University in St LouisPatient Billing/Services Representative II - Orthopedic SurgeryWashingtonThis role involves ensuring all check-ins and registration are 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 Auditor - Remote YO AI LabsMedical Auditor - RemoteWashington D.C., DCRemoteWe are seeking experienced Medical Auditors with strong expertise in outpatient professional fee coding and coding audits , preferably within academic medical centers. You will review coding records, identify compliance risks, and provide expert feedback to support AI-focused projects.
Patient Billing/Services Representative II - WUCA WUCare Washington University Clinical AssociatesPatient Billing/Services Representative II - WUCA WUCareWashingtonCustomer 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 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.
Billing Specialist II KureSmart Pain Management LLCBilling Specialist IIAnnapolis, MDRemote$25–$29 / hourEssential Duties and Responsibilities: Reviews and resolves complex issues that result in payer denials, including appeals, coding corrections, medically necessity rules and other related functions. Runs and maintains tracking logs to track complex high dollar procedures and report the results to the billing department management team.
NewWorkforce Development Instructors Academy of Hope Adult Public Charter SchoolWorkforce Development InstructorsWashington, DC$30–$75 / hourAoH is hiring for multiple part-time instructional and instructional-support positions across our Adult Education and Workforce Academy programs, including subject-area instructors, industry-credential instructors, teaching assistants, and tutors. Qualifications: current CompTIA Security+ certification required; Network+ certification or equivalent networking experience strongly preferred; minimum 3 years of experience in cybersecurity, networking, or systems administration.
Medical Coder - Remote YO AI LabsMedical Coder - RemoteWashington D.C., DCRemoteWe are seeking experienced Medical Coders to contribute their healthcare coding expertise to an innovative project focused on improving next-generation AI systems. In this role, you will review and annotate medical records, evaluate coding accuracy, and provide expert feedback to support the development of high-quality medical datasets.
NewRevenue Cycle Specialist Total Health Care IncRevenue Cycle SpecialistBaltimore, MDReporting to the Director of Revenue Cycle Management, Revenue Cycle Manager, and/or designee, the Revenue Cycle Specialist is responsible for supporting revenue cycle operations through accurate insurance verification, eligibility management, patient registration support, claims follow-up, payment posting, accounts receivable management, and patient account resolution. The Revenue Cycle Specialist utilizes electronic health record (EHR), practice management systems, payer portals, and internal reporting tools to ensure accurate patient information, insurance coverage verification, charge capture, billing compliance, and follow-up activities.
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar HealthCompliance Audit/Investigator - CCS / CPC / or CCAWashington, DC$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).
Compliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar HealthCompliance Audit / Investigator / Coder - CCS / CPC / or CCAWashington, DC$65,062–$117,291 / yearFull timePerforms 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).
Revenue Integrity Specialist Seattle Children's HospitalRevenue Integrity 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. Certified Coding Specialist (CCS) certification by the American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC).
Manager of Revenue Cycle Operations and Integrity Rural Staffing ServicesManager of Revenue Cycle Operations and IntegrityWashingtonThe Manager of Revenue Cycle Operations and Integrity leads the hospitals mid and back end revenue cycle functions, ensuring accurate billing, efficient collections, and strong accounts receivable performance. For candidates with deep revenue cycle experience who enjoy building systems, solving problems, and mentoring teams, this is an opportunity to make a real impact inside a respected rural hospital.
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).
Patient Accounts Specialist I - Billing (Hybrid) MedStar HealthPatient Accounts Specialist I - Billing (Hybrid)Baltimore, MD$18.70–$32.72 / hourAs a Patient Accounts Specialist on the Billing team, you will be responsible for processing daily billing to include review and correction of daily edits to ensure that payments are met in a timely manner and that benchmarks are met. 1 year experience in patient accounting, accounts receivable, or related healthcare field, or an equivalent combination of experience and college education in Accounting, Finance or Healthcare Administration.
Director, Revenue Cycle Howard UniversityDirector, Revenue CycleDC$194,000–$241,000 / yearThe Director of Revenue Cycle provides strategic and operational leadership for all revenue cycle functions across the Howard University Faculty Practice Plan (FPP) ambulatory academic practice, including patient registration, charge capture, coding, billing, accounts receivable management, denial prevention and resolution, customer service, financial assistance programs, health information management (HIM), credentialing, and revenue integrity. Direct and optimize accounts receivable operations to achieve key performance targets, including Days in Accounts Receivable, Collection Rate, Aging Accounts Receivable, and other revenue cycle benchmarks, while driving cash flow, reducing receivable balances, and improving overall financial performance.
Patient Accounts Specialist I - Billing (Hybrid) MedStar Health Research InstitutePatient Accounts Specialist I - Billing (Hybrid)Baltimore, MD$18.70–$32.72 / hourAs a Patient Accounts Specialist on the Billing team, you will be responsible for processing daily billing to include review and correction of daily edits to ensure that payments are met in a timely manner and that benchmarks are met. 1 year experience in patient accounting, accounts receivable, or related healthcare field, or an equivalent combination of experience and college education in Accounting, Finance or Healthcare Administration.
NewOP 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.
NewMedical 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.
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.