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MedStar Health logo
New

Coding Quality Review Specialist -Inpatient (CCS Required) MedStar Health

Coding Quality Review Specialist -Inpatient (CCS Required)
MD
Remote
  • $31.28–$56.39

Responsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.

1 day ago
MedStar Health logo
New

Compliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar Health

Compliance Audit / Investigator / Coder - CCS / CPC / or CCA
Washington, DC
  • $65,062–$117,291

Performs 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).

1 day ago
Jobot logo

Attorney - FCA/Healthcare Fraud Enforcement Jobot

Attorney - FCA/Healthcare Fraud Enforcement
Washington, DC
  • $150,000–$400,000 / year

Experience 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.

14 days ago
Jobot logo

Staff Accountant | AIA Billing Specialist Jobot

Staff Accountant | AIA Billing Specialist
Jessup, MD
  • $60,000–$65,000 / year

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. This position offers hands-on exposure to multiple areas of accounting, including accounts receivable, accounts payable, collections, account reconciliations, invoicing, vendor management, and AIA billing.

14 days ago
System One logo
New

Technical Lead / Solution Architect System One

Technical Lead / Solution Architect
Merrifield, VA

The ideal candidate brings deep expertise in enterprise architecture, cloud-native platforms, DevSecOps, CI/CD, and large-scale system integrations, along with the ability to influence technical strategy and drive complex transformation initiatives across the organization. We are seeking an experienced Technical Lead / Solution Architect to lead the architecture, design, and implementation of a mission-critical enterprise platform focused on release certification, governance, quality engineering, and operational readiness.

6 days ago
Leidos logo

Senior Data Scientist (Machine Learning & Geospatial Analytics) – TS/SCI Required Leidos

Senior Data Scientist (Machine Learning & Geospatial Analytics) – TS/SCI Required
Annandale, VA
  • $92,300–$166,850

The analyst will work closely with Intelligence Community (IC) partners, geographic names experts, and multi-INT analysts to ensure imagery-derived assessments are geospatially precise, linguistically accurate, and operationally relevant. Bachelor’s degree and 12+ years of relevant experience, or Master’s degree and 10+ years of relevant experience in Data Science, Computer Science, Analytics, or related field.

30+ days ago

Manager, Coding Compliance - Pediatrics Central Administration Washington University in St Louis

Manager, Coding Compliance - Pediatrics Central Administration
Washington

Accounting, 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.

26 days ago

Coding Compliance Auditor Priority One Staffing Services

Coding Compliance Auditor
Baltimore, MD

Audits 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.

30+ days ago

VP HIM, Coding & CDI- Johns Hopkins Health System Johns Hopkins Hospital

VP HIM, Coding & CDI- Johns Hopkins Health System
Baltimore, MD

Reporting to the Chief Financial Officer, Cheryl Sadro, and serving on the Executive Operations and Enterprise Finance Leadership Team, this executive will be responsible for integrating HIM, Coding, and CDI into a unified organization while helping prepare the health system for evolving reimbursement models, AI-enabled documentation, and future growth. Work collaboratively with functions such as Medical Executive Boards, Regulatory Finance, Revenue Cycle Management, Supply Chain, contracting, payer relations, and accounting to set expectations, coordinate activities, and drive continuous improvement.

12 days ago
MedStar Health logo

Coding Quality Review Specialist -Inpatient MedStar Health

Coding Quality Review Specialist -Inpatient
Maryland, MD
  • $31.28–$56.39 / hour

Responsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.

30+ days ago

Coding Quality Review Specialist -Inpatient MedStar Health Research Institute

Coding Quality Review Specialist -Inpatient
Maryland, MD
  • $31.28–$56.39 / hour

Responsibility includes validating ICD-10-CM/PCS codes by examining medical record documentation the assignment of present on admission (POA) indicators and discharge disposition status. Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality.

30+ days ago

Coding Compliance Audit & Education Specialist Privia Health Group, Inc

Coding Compliance Audit & Education Specialist
DC
  • $70,000–$80,000 / year

The 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.

30+ days ago

Coding Compliance Auditor, Outpatient University of Maryland Baltimore Washington Medical Center

Coding Compliance Auditor, Outpatient
Baltimore, MD
  • $36.61–$45.71 / hour

Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems.

30+ days ago

CODING COMPLIANCE AUDITOR, Inpatient University of Maryland Baltimore Washington Medical Center

CODING COMPLIANCE AUDITOR, Inpatient
Baltimore, MD
  • $36.61–$45.71 / hour

Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems.

30+ days ago

Coding Compliance Auditor, Inpatient University of Maryland Baltimore Washington Medical Center

Coding Compliance Auditor, Inpatient
Baltimore, MD
  • $33.36–$46.70 / hour

Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability. Assist coding specialists in writing appropriate coding queries, works collaboratively with CDI, understand Potentially Preventable Complications (PPC's)/Maryland Hospital Acquired Conditions (MHAC's), Prevention Quality Indicators (PQI's) and their impact and other indicators as needed.

30+ days ago
UnitedHealth Group Inc. logo
New

Senior Consultant, Coding Quality Measures - Remote UnitedHealth Group Inc.

Senior Consultant, Coding Quality Measures - Remote
Washington, DC
Remote
  • $112,700–$193,200 / year

Optum Serve Consulting/The Lewin Group (OSC/Lewin), a premier national health care and human services consulting and policy analysis firm, brings 50 years of experience finding answers and solving problems for leading organizations in the public, non-profit, and private sectors. Primary Responsibilities: Evaluate evidence on effectiveness for clinical measures derived from administrative or claims data, health records, electronic health records, other data sources in compliance with Centers for Medicare & Medicaid Services (CMS), the Agency for Healthcare Research and Quality, and the National Quality Forum (NQF) requirements.

4 days ago

Risk Adjustment Coding Specialist II - Maryland Astrana Health Inc

Risk Adjustment Coding Specialist II - Maryland
Maryland, MD

In this role, you will support risk adjustment efforts by conducting high-volume chart reviews to identify coding gaps, trends, and opportunities for improved accuracy for our providers. Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs, and other KPIs, helping drive provider performance and overall program success.

30+ days ago

Senior Staff Research Engineer, 3D Gaussian Splat Coding Ofinno

Senior Staff Research Engineer, 3D Gaussian Splat Coding
Reston, VA

Collaborate 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).

30+ days ago

Principal Research Engineer, 3D Gaussian Splat Coding Ofinno

Principal Research Engineer, 3D Gaussian Splat Coding
Reston, VA

Key Responsibilities: As 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.

30+ days ago
New

Medical Coding Specialist-New Jersey Avenue, Washington, D.C Unity Health Care Inc

Medical Coding Specialist-New Jersey Avenue, Washington, D.C
Washington, DC

This position reviews medical documentation, assigns appropriate diagnosis and procedure codes, supports compliance with federal and payer regulations, and helps maintain the integrity of the organization's electronic medical record and billing systems. Under the supervision of the Medical Billing Coding Manager, the Coding Specialist plays a critical role in ensuring accurate medical coding, charge capture, and reimbursement for healthcare services.

1 day ago
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