NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorHarrington, DERemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorMilford, DERemote$57,400–$99,000Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
Coding Manager, Professional Bayhealth Medical Center IncCoding Manager, ProfessionalDover, DE$77,105.60–$119,537.60 / yearBayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. General Summary: The Professional Coding Manager is responsible for overseeing the professional claims coding team and ensuring accurate, efficient coding of patient records for billing, compliance, and reimbursement purposes.
Director, Client Coding Integration Ensemble Health PartnersDirector, Client Coding IntegrationDEEnsemble Health Partners is a Five-time winner of "Best in KLAS" 2020-2022, 2024-2025, Black Book Researchs Top Revenue Cycle Management Outsourcing Solution 2021-2022, and a Leader in Everest Groups RCM Operations PEAK Matrix Assessment 2024. Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.
STEM & Coding Teaching Opportunities Concorde EducationSTEM & Coding Teaching OpportunitiesDover, Kent County$50–$100 / hourPreferred qualifications include: • At least 60 college credits, where required by the applicable assignment or site; • Experience with coding, programming, computer science, or related technology subjects; • Experience teaching, tutoring, coaching, mentoring, or leading activities with school-age students; • Strong communication, organization, and classroom facilitation skills; • Availability to provide services for the accepted assignment schedule and communicate schedule issues as soon as reasonably practicable; and. Payment for completed services is generally made by direct deposit on the fifteenth day of the month following the month in which services were completed, unless otherwise stated in the accepted assignment terms or required by applicable law.
Medical Biller/Certified Coder Bayhealth Medical Center IncMedical Biller/Certified CoderDover, DE$23.32–$34.97 / hourBayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. Preferred Education, Credential(s) and Experience: Education: Credential(s): Experience: To view a full list of all open position at Bayhealth, please visit: https://apply.bayhealth.org/join/ .
NewMedical Office Support Specialist Bayhealth Medical Center IncMedical Office Support SpecialistDover, DE$19.66–$29.49 / hourCharge Capture/Billing a) Accurately posts all technical and professional charges daily in appropriate hospital information system prior to export (i.e., EMR system, Horizon, etc.) b) Verifies charge entries within 24 hours of posting, using defined audit processes and available reports, and regularly resolves charge work queue issues. Responsibilities: Insurance Authorization for Services/Treatment a) Verifies or obtains referring Clinician authorizations and ensures all diagnosis and procedure codes are accurate and appropriate prior to service delivery; works closely and collaboratively with physician offices.
Certified Coder Bayhealth Medical Center IncCertified CoderDover, DE$23.32–$34.97 / hourBayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. Translates diagnostic and procedural information into the International Classification of Diseases codes and sequences these codes in a manner which legitimately optimizes hospital reimbursement through the use of a computerized encoding and DRG grouper application.
Coder Bayhealth Medical Center IncCoderDover, DE$21.68–$32.52 / hourBayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. Translates diagnostic and procedural information into the International Classification of Diseases codes and sequences these codes in a manner which legitimately optimizes hospital reimbursement through the use of a computerized encoding and DRG grouper application.
Special Investigation Unit (SIU) Manager CVS Health CorpSpecial Investigation Unit (SIU) ManagerDE$54,300–$159,120 / yearThe Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record reviews for medical, behavioral, transportation, and other healthcare providers. Ensure staff provide detailed written summaries of medical record review findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state regulators.
Medical Biller Delaware Medical Care PAMedical BillerSmyrna, DEAs a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients. You will also assist other Medical Billers with follow-up inquiries to clients, communicate with physicians' offices and hospitals to obtain records, and accurately record patient information.
Home Healthcare Medical Billing and Collections Home HealthHome Healthcare Medical Billing and CollectionsDelawareIJN Health Systems is a Skilled Home Health Agency in Chadds Ford, PA, looking for an individual to join our strong team of compassionate caregivers and provide billing, Coding, collections, and claim posting services. Our commitment to our patients and families is very simple: By helping our patients or loved ones continue living at home, we help you find peace of mind by providing compassionate, excellent services.
Experienced Medical Biller Allergy & Asthma AssociatesExperienced Medical BillerArnold, MDSkilled in end-to-end claims management, eligibility and benefits verification, charge entry, coding review support, clen-claim submission, payment posting, and targeted denial management. Proven track record reducing AR days and increasing first-pass acceptance through payer-specific edits, worklists and appeals within Athena.
Care Management Associate, Engagement Hub CVS Health CorpCare Management Associate, Engagement HubDE$18.50–$31.72 / hourStrong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members' needs and create behavioral change.
Revenue Cycle Specialist Excelsia Injury CareRevenue Cycle SpecialistMiddle River, MarylandSitting, standing, walking, reaching above shoulder length, working with body bent over at waist, working in kneeling position, climbing stairs, climbing ladders, working with arms extended at shoulder length, lifting maximum of 20 lbs. As responsible corporate citizens, we integrate environmental, social, and governance (ESG) considerations into our business practices, ensuring that we positively impact the healthcare companies we serve, our employees, and the communities we reach.
NewLocation Manager - Annapolis, MD Advanced Dermatology & Cosmetic SurgeryLocation Manager - Annapolis, MDAnnapolis, MDBenefits packages, including medical, dental, STD, LTD, Life, and other voluntary benefit offerings (for employees working 30+ hours per week). Advanced Dermatology and Cosmetic Surgery's mission is to deliver the highest quality patient care and experience in dermatology and aesthetic services.
Medical Director MPO CVS Health CorpMedical Director MPODE$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
Fraud Waste and Abuse - Sr. Analyst CVS Health CorpFraud Waste and Abuse - Sr. AnalystDE$46,988–$112,200 / yearActivities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.
Senior SAP Technical Engineer First Quality Enterprises IncSenior SAP Technical EngineerDEThis role is purely technical and platform-focused - responsible for system engineering, integration enablement, performance optimization, archiving execution, connectivity, and S/4HANA migration readiness across a complex SAP ecosystem including EWM, TM, SCM, MDG, GRC, BW, SAP PI, and Solution Manager. Our personal care and household product portfolio includes baby diapers, wipes, feminine pads, paper towels, bath tissue, adult incontinence products, laundry detergents, fabric finishers, and dishwash solutions.
Field Reimbursement Manager - Kidney (NJ-MD-DE) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (NJ-MD-DE)DE$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
NewMedical Claim Analyst CVS Health CorpMedical Claim AnalystDE$18.50–$35.29 / hourThis function includes, but is not limited to the following: Review provider re-submissions of ClaimsXten, Clinical Validation, Prospective Claim Accuracy, Novologix and DRG claims and resolve or prepare them for review by an Aetna clinician. The Medical Claim Analyst will be part of the Provider Coding and Reimbursement (PCR) team who reviews provider coding and reimbursement denial disputes from providers.
Solution Architect Yantran LLCSolution ArchitectHOUSTON, DEJob Summary: We are seeking a highly skilled Senior Software Developer with extensive experience in software development and a strong focus on Azure Architecting. This role requires a deep understanding of Azure services and architecture, as well as the ability to lead development teams and collaborate with cross functional stakeholders.
Scheduler Maryland OncologySchedulerEaston, Maryland$18.31–$21.51 / hourUses Technical and Functional Experience: Possesses up-to-date knowledge of the profession and industry; learns quickly in technical/functional areas; accesses and uses expert resources when appropriate. May be responsible for follow-up on pre-operative tests to ensure clearance for surgical procedures and communicate with physicians and patients if additional testing is required.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)DE$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Medical Director - ENT CVS Health CorpMedical Director - ENTDE$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Medical Assistant The Centers for Advanced Orthopaedics LLMedical AssistantAnnapolis, MD$19 / hourPart timeThis role may be responsible for some duties as an Orthopedic scribe, responsibilities include: Navigating efficiently through Modernizing Medicine (EHR), obtaining any pertinent information from the provider and properly documenting this information into the chart, providing physical exam and HPI information to the provider from patient's previous visit (as needed), electronically prescribing medications, and ordering any necessary diagnostic tests, physical therapy, and/or any other conservative treatment plans requested by the provider. The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia.
Informatics Consultant CVS Health CorpInformatics ConsultantDE$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
Physician - Orthopaedic Focus The Centers for Advanced Orthopaedics LLPhysician - Orthopaedic FocusChestertown, MDPart timeDespite early efforts to close the hospital by the system, The Maryland legislature stepped in and the hospital has entered plans to become a “Rural Hospital” a new class of hospital in Maryland thus ensuring its survival and operating rooms to support orthopedic care and hospital beds for orthopedic patients. This positioned the practice as a part of one of the most vibrant and forward thinking groups in the country and also provided a much higher level of expertise in marketing, data management, HR, and negotiations with insurers and suppliers.
Sr. Java Engineer Spark RecruitingSr. Java EngineerAnnapolis, Maryland$180,000–$235,000 / yearWhether you're a seasoned engineer with decades of experience or a strong mid-level developer ready to take the next step, you'll have the chance to make a significant impact in an environment that values innovation, technical excellence, and continuous growth. We're seeking a Senior Java Engineer to join a highly collaborative software engineering team developing scalable, high-performance applications that power critical missions.
Physical Therapist The Centers for Advanced Orthopaedics LLPhysical TherapistAnnapolis, MD$35–$45 / hourPart timeThe Physical Therapist administers necessary physical therapy treatment as determined through a comprehensive evaluation process, for patients suffering from injuries or dysfunction of systems including but not limited to the musculoskeletal, neuromuscular, central nervous system, cardiovascular and integumentary systems. The Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, West Virginia, and the District of Columbia.
Licensed Physical Therapy Assistant The Centers for Advanced Orthopaedics LLLicensed Physical Therapy AssistantAnnapolis, MDPart timeThe Centers for Advanced Orthopaedics LLC (CAO) is one of the nation’s largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. Performs and documents tests and measurements appropriate for the given condition which may include strength, range of motion, sensory perception, functional capacity, and respiratory and circulatory efficiency of the patient.
Application Security Engineer Ryder System IncApplication Security EngineerDover, DECompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Staff Development Engineer - Fulfillment CVS Health CorpStaff Development Engineer - FulfillmentDE$106,605–$284,280 / year7+ years of software development in enterprise / web / cloud applications • 5+ years of backend software development experience with programming languages/tools including: Java, Spring Boot, Kafka • 3+ years of distributed caching experience • 3+ years of experience having a track record developing in AWS or GCP or Azure or similar public cloud environments (GCP preferred) • 3+ years of experience in design, development and operationalizing microservices based web/webservices application in cloud native environment • 3+ years of technical lead experience within a matrixed environment, including mentoring junior engineers and working cross collaboratively between architecture, product, etc. • Understand security threats and patterns and ensure adherence to all regulatory initiatives, HIPAA, PHI, PII, locational and contractual data restrictions • Experience with build automation technologies like Maven, Gradle, Jenkins, Harness • Expert knowledge with functional, imperative and object-oriented languages and methodologies • Experience with Cassandra and Postgres - preferred • Experience with test-driven development and automated testing frameworks • Experience with Scrum/Agile development methodologies.
Staff Software Development Engineer CVS Health CorpStaff Software Development EngineerDE$106,605–$284,280 / yearFurthermore, the Staff Engineer role includes closely working with a team of engineers to drive delivery excellence, partner with business and other IT leaders to build digital assets, provide expert level support to resolve complex issues and provide RCA, identify gaps in systems in current digital eco system and provide solutions to enhance overall performance. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.
Staff Software Development Engineer - Fulfillment CVS Health CorpStaff Software Development Engineer - FulfillmentDE$106,605–$284,280 / yearCollaborate closely with engineering, platform, and business teams to deliver cost optimized, scalable solutions-leveraging cloud cost profiling tools, storage tiering strategies, service right sizing, and architectural simplification. Apply advanced software engineering practices across the full SDLC-including domain driven design (DDD), design patterns, secure coding, automated testing strategies (unit, contract, integration), code quality gates, trunk based development, and continuous observability.
Insurance Follow-Up Specialist Bayhealth Medical Center IncInsurance Follow-Up SpecialistDover, DE$19.18–$28.77 / hourSpecific duties involve researching unpaid claims, responding to insurance company information requests, submitting reconsiderations for partially paid claims, interpreting payer denials and reviewing medical records as appropriate, appealing denied claims and resolving payment variances as encountered to facilitate timely patient billing. The position requires advanced knowledge of all payers and claim types, and the ability to prioritize workflow to meet insurance company filing deadlines for claim submission, claim reconsiderations, and appeals, and achieve targeted receivables monthly, and expedite cash flow.
Nurse Practitioner (Per Diem) ComplexCare SolutionsNurse Practitioner (Per Diem)Dover, Delaware$2,400–$10,000 / yearPer diemAbility to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision. Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income.