Medical Coder HealthCare Resolution ServicesMedical CoderColumbia, MDRemoteContractorAs an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding of patient records to optimize reimbursement from government programs such as the Centers for Medicare and Medicaid Services (CMS). Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal reimbursement while maintaining regulatory compliance within a fast-paced healthcare environment!
NewBilling Specialist I Clearway Pain SolutionsBilling Specialist IAnnapolis, MDRemote$20–$24 / hourThe Billing Specialist supports the complete and timely collection of revenue for assigned groups by performing accurate coding and entry of patient and charge information into the billing system. Reviews and resolves payer denials, including appeals, coding corrections, medically necessity rules and other related functions.
PAR I & II TRC Talent SolutionsPAR I & IIWashington, DISTRICT OF COLUMBIAEnsures 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. Responsibilities: Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to: Performing account follow-up activities on high-dollar accounts receivable.
Customer Service Representative TRC Talent SolutionsCustomer Service RepresentativeWashington, 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. Responsibilities: Performs second-tier account follow-up activities in accordance with organizational, client and regulatory guidelines for outstanding insurance receivables including, but not limited to: Performing account follow-up activities on high-dollar accounts receivable .
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.
Medical Coding Auditor Professional Performance Development Group, IncMedical Coding AuditorBethesda, Maryland$35.21–$40.14As a proud Department of Defense Partner Employer and participant in the Military Spouse Employment Partnership (MSEP), PPDG remains committed to supporting our Nation’s Finest through meaningful careers that make a lasting impact. About Company: Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities.
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.
NewMedical Biller Quadrant IncMedical BillerAnnapolis, MDEnsure that patient co-pay amount is correctly entered into system (or conveyed), allowing front desk to collect appropriately. Responsible for obtaining from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.
Coding Compliance Auditor Priority One Staffing ServicesCoding Compliance AuditorBaltimore, MDAudits complex cases utilizing the ICD-10-cm & ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM & POA Assignments. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation & any outpatient visit for appropriate reimbursement.
Principal Software Architect PeopleNTech LLCPrincipal Software ArchitectAlexandria, VARemote$85–$90 / hourArchitecture & Platform Governance Own and evolve the cross-platform architecture spanning (C++/C# Windows applet, BHFTP transmitter, ASP.NET Proactive portal), (cloud SaaS, instrument fleet API, data pipeline), and Unity Next (QC engine, LIS/HL7 integration, Unity Connect middleware, peer-comparison analytics). On-Instrument & Integration Systems Guide Applet architecture: C++ Win32 service host, IMonitoredEntity driver plugin model (Drives Info, Running Processes, System Info, ME Collect), DCC output contract, and AppletSoftwareUpdateManager CAB update pipeline.
Claims Analyst Lumen Solutions Group, Inc.Claims AnalystBaltimore, MDThe ideal candidate will have strong experience in claims research, data validation, data entry, and Excel, with the ability to analyze issues, maintain accurate records, and support day-to-day claims operations. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.
Clinical Coordinator for Pain Management Lifestream Health CenterClinical Coordinator for Pain ManagementBowie, MDFull timePharmacy, Medication, and Inventory OversightPharmacy Tech Supervision: Provide direct operational oversight, workflow management, and day-to-day supervision of the Pharmacy Technician (focusing on operational accountability, metrics, and adherence to practice SOPs rather than clinical/legal pharmacy licensure).Pharmacy Operations & Vendor Liaison: Support general pharmacy operations, act as the pharmacy rep liaison, and co-manage the sample closet. Interdepartmental Collaboration & Quality ImprovementAdministrative Liaison: Partner with the Practice Manager to seamlessly align administrative and clinical workflows, serving as an operational backup during approved absences to maintain clinic continuity.
Learning & Development Specialist (Claims Trainer / Customer Service Trainer) Lumen Solutions Group, Inc.Learning & Development Specialist (Claims Trainer / Customer Service Trainer)Baltimore, MDThe ideal candidates will have strong Instructor-Led Training (ILT) experience, exceptional presentation and facilitation skills, and the ability to effectively train both virtually and in person. CareFirst BCBS is seeking two Learning & Development Specialists to design and deliver engaging training programs for adult learners in a corporate healthcare environment.
Senior .NET Developer Clearwaters.ITSenior .NET DeveloperWashington, DCRemote$125,000–$132,000The ideal candidate will have a strong background in full-stack development, cloud computing, and Agile methodologies, working closely with cross-functional teams to deliver scalable and efficient software solutions. Strong proficiency in developing solutions in the following programming languages (.NET (backend development), Java, Python, JavaScript, C#, etc.).
Senior .NET Developer (Active Public Trust Required) Potawatomi Federal SolutionsSenior .NET Developer (Active Public Trust Required)Rockville, Maryland$95,000–$100,000We are dedicated to fostering a professional, collaborative, and growth-oriented environment where employees are empowered to excel and advance their careers, CCS offers opportunities to contribute to high-impact federal initiatives, supported by robust professional development programs, competitive compensation, comprehensive benefits, and flexible work arrangements. We prioritize investing in our workforce, ensuring each team member has the resources, support, and career pathways to achieve long-term success while delivering meaningful results for our clients.
Sr. DevSecOps Engineer - Active TS/SCI with CI Poly ENS Solutions, LLCSr. DevSecOps Engineer - Active TS/SCI with CI PolyReston, VAENS consults for the Department of Defense (DoD) and Intelligence Community (IC) providing innovative solutions in the core competency area of Identity, Credential and Access Management (ICAM), Software Development, Cyber and Network Security, System Engineering, Program/Project Management, IT support, Solutions, and Services that yield enduring results. Architect and build secure containerized solutions by designing Docker images with security best practices, implementing and optimizing OpenShift deployments and configurations, remediating Prisma security findings, and providing guidance to development teams on container orchestration and best practices.
Senior DevSecOps Engineer - Active TS/SCI with CI Poly ENS Solutions, LLCSenior DevSecOps Engineer - Active TS/SCI with CI PolyReston, VAENS consults for the Department of Defense (DoD) and Intelligence Community (IC) providing innovative solutions in the core competency area of Identity, Credential and Access Management (ICAM), Software Development, Cyber and Network Security, System Engineering, Program/Project Management, IT support, Solutions, and Services that yield enduring results. Architect and build secure containerized solutions by designing Docker images with security best practices, implementing and optimizing OpenShift deployments and configurations, remediating Prisma security findings, and providing guidance to development teams on container orchestration and best practices.
Systems Security Specialist (Senior) ExpediteInfoTech, IncSystems Security Specialist (Senior)Rockville, MDOur clients include the US Department of Education, US Department of Transportation, US Department of Justice, US Department of Health & Human Services, Montgomery County government, Prince George's County Government, the governments of the State of Maryland and the District of Columbia. A minimum of five (5) years conducting network penetration testing, web application and API testing, internal and external vulnerability assessments and threat modeling and attack path analysis.
Full Stack Developer Northramp LLCFull Stack DeveloperWashington, DCRemoteThe Full Stack Developer will collaborate closely with software engineers, cloud architects, data engineers, DevSecOps professionals, product owners, quality engineers, and security teams to develop and deliver secure, reliable applications within a modern Agile environment. Partner with developers, quality engineers, security teams, data engineers, and DevSecOps professionals to resolve technical challenges and deliver integrated solutions.