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.
Software Engineer - Developer 4 The Structures CompanySoftware Engineer - Developer 4Chantilly, VA$105.50Experience with HTML, CSS, JavaScript, React/OpenLayers, Spring Framework, Hibernate, REST/Open API , and RDBMS/NoSQL databases (SQL Server, Oracle, MySQL, MongoDB) . As trusted partners to leading aerospace and defense OEMs and Tier 1 suppliers, we connect professionals with career opportunities to grow and excel in aviation, aerospace, and defense.
Software Engineer - Developer 4 The Structures Company, LLCSoftware Engineer - Developer 4Chantilly, VAExperience with HTML, CSS, JavaScript, React/OpenLayers, Spring Framework, Hibernate, REST/Open API, and RDBMS/NoSQL databases(SQL Server, Oracle, MySQL, MongoDB). As trusted partners to leading aerospace and defense OEMs and Tier 1 suppliers, we connect professionals with career opportunities to grow and excel in aviation, aerospace, and defense.
Remote IP Quality Reviewer GuidehouseRemote IP Quality ReviewerMcLean, VirginiaRemoteThe Coding Quality Reviewer shall report directly to the Internal Quality Control Director and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as defined in quality review policies and facility guidelines utilizing ICD-10 CM/PCS and CPT coding classification systems. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
Patient Care Associate I - Ophthalmology Washington University in St LouisPatient Care Associate I - OphthalmologyWashingtonPerforms 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. File Maintenance, Healthcare Environments, Interpersonal Communication, Medical Terminology, Microsoft Office, Office Administration, Office Procedures, Oral Communications, Patient Communications, Stenography Grade .
Patient Care Associate (Trainee) - Medicine Multispecialty Center - CAM13 Washington University in St LouisPatient Care Associate (Trainee) - Medicine Multispecialty Center - CAM13WashingtonPerforms 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. Prepares treatment rooms for patient examinations, keeping the rooms neat and clean; cleans and sterilizes equipment, instruments, rooms, etc., and appropriately disposes of contaminated supplies.
Patient Care Associate I (Float) - Ophthalmology Washington University in St LouisPatient Care Associate I (Float) - OphthalmologyWashingtonPerforms 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. File Maintenance, Healthcare Environments, Interpersonal Communication, Medical Terminology, Microsoft Office, Office Administration, Office Procedures, Oral Communications, Patient Communications, Stenography Grade .
DRG Clinical Validation Lead Elevance HealthDRG Clinical Validation LeadHanover, MD$89,520–$161,136 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. How you will make an impact: Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.
Nurse Practitioner - PPV CompassusNurse Practitioner - PPVReston, VAThe Nurse Practitioner, if providing hospice care, functions as an extension of the interdisciplinary team (IDT) and hospice physician to provide routine recertification and emergency assessments, educational, and evaluative services to meet the needs of patients and their families. If providing Hospice Face to Face Visits: Performs routine and emergency assessments: Completes routine and emergency recertification visits on each patient entering their 3rd benefit period or beyond (including admissions and transfers).
Medical Billing & Collections Specialist Globus MedicalMedical Billing & Collections SpecialistColumbia, MarylandAs a Medical Billing and Collections Specialist with NuVasive Clinical Services, you will provide administrative support in the billing and collections function of the medical revenue cycle process. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure.
NewBusiness Analyst II - Payment Integrity Datamining Elevance HealthBusiness Analyst II - Payment Integrity DataminingHanover, MD$64,764–$97,146 / yearFor URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position¿ work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions.
Pre-Certification Coordinator II - Pediatric Endocrinology Washington University in St LouisPre-Certification Coordinator II - Pediatric EndocrinologyWashingtonCommunication, Detail-Oriented, Epic EHR, Fast-Paced Environments, Health Insurance Portability & Accountability Act (HIPAA), Insurance Claim Processing Software, Insurance Precertification, Insurance Terminology, Interpersonal Communication, Medical Coding Software, Multitasking, Organizational Savvy, Prioritization Grade . Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and non-surgical procedures, outpatient testing, and medications; notifies financial counselor for pre-payment of un-coded services.
Business Analyst II - Payment Integrity Datamining Elevance Health IncBusiness Analyst II - Payment Integrity DataminingHanover, MD$64,764–$97,146 / yearFor URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position¿ work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions.
Medical Billing & Collections Specialist NuVasive Clinical ServicesMedical Billing & Collections SpecialistColumbia, MarylandNuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities, through the acquisitions of Impulse Monitoring, Biotronic NeuroNetwork, Safe Passage, and others. As a Medical Billing and Collections Specialist with NuVasive Clinical Services, you will provide administrative support in the billing and collections function of the medical revenue cycle process.
NewArea 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.
Inpatient Coder Omm IT SolutionsInpatient CoderBaltimore, MarylandRemoteMinimum of 3 years ICS-10-CM/ICD-10-PCS coding and abstracting experience with a Level 1 trauma and rehab hospital or 4 years of experience with coding inpatient hospital medical records required . The Inpatient Coder is responsible for reviewing inpatient medical records and assigning accurate ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines, regulatory requirements, and Clint policies.
Inpatient Medical Coder- FULL TIME Sierra7Inpatient Medical Coder- FULL TIMEMcLean, VAFull timeThe medical coder will access the Veteran Affairs VistA/CPRS system to read and code medical records identified by the Veteran Affairs and enter codes into the approved encoder or other package. The full time Inpatient Medical Coder is responsible for performing remote coding on all outpatient visits and surgical procedures by the Veteran Affairs Health Care System (VAHCS).
Outpatient Medical Coder-FULL TIME Sierra7Outpatient Medical Coder-FULL TIMEMcLean, VAFull timeThe medical coder will access the Veteran Affairs VistA/CPRS system to read and code medical records identified by the Veteran Affairs and enter codes into the approved encoder or other package. The full-time Outpatient Medical Coder is responsible for performing remote coding on all outpatient visits and surgical procedures by the Veteran Affairs Health Care System (VAHCS).
Remote Pro Fee Quality Reviewer GuidehouseRemote Pro Fee Quality ReviewerDistrict of ColumbiaRemoteThe Coding Quality Reviewer shall report directly to the Pro Fee Quality Review Supervisor and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse coding team by utilizing ICD-10 CM, CPT and HCPCS coding classification systems. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
Nocturnist Hospitalist Physician - MedStar Southern Maryland Hospital Center MedStar HealthNocturnist Hospitalist Physician - MedStar Southern Maryland Hospital CenterClinton, Maryland$306,840–$336,840 / yearFull timeProvides 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.