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JobsJobs in WashingtonJobs in White, WAHealthcare Jobs in White, WAMedical Billing and Coding JobsCoding Jobs in White, WA
139 Results for

Coding Jobs in White, WA

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    Jobs

    V

    Assistant Medical Director - Holy Cross Germantown Hospital Vituity

    Assistant Medical Director - Holy Cross Germantown Hospital
    Germantown, MD8 days ago

    Strong interpersonal and leadership skills; ability to motivate physicians and non-physicians, manage multiple assignments, work successfully with a diversity of people and locations, maintain good working relationships; Supportive team member; Ability to establish effective relationships quickly with both clients and non-clients preferred. Residents enjoy a variety of outdoor activities at local parks like Black Hill Regional Park and South Germantown Recreational Park, which features hiking trails, a splash park, and the expansive Maryland SoccerPlex.

    C

    DSCA .Net Core Developer (Software Engineer) - 28637 Company Confidential

    DSCA .Net Core Developer (Software Engineer) - 28637
    Arlington, VA7 days ago
    Remote
    • $80,000–$150,000
    • Full-time
    • Employee

    Determines computer user needs; analyzes system capabilities to resolve problems on program intent, output requirements, input data acquisition, programming techniques and controls; prepares operating instructions; designs and develops compilers and assemblers, utility programs, and operating systems. 9 years relevant experience with Bachelors in related field; 7 years relevant experience with Masters in related field; 4 years relevant experience with PhD in related field; or High School Diploma or equivalent and 13 years relevant experience.

    M

    Medical Billing, Coding and Denial Specialist (CareVue, Billing, Coding) MicroHealth, LLC

    Medical Billing, Coding and Denial Specialist (CareVue, Billing, Coding)
    Vienna, VA13 days ago
    • Full-time

    MicroHealth is seeking an experienced Medical Billing, Coding and Denial Specialist with CareVue (or similar EHR) experience to provide hospital medical billing and coding support services. This position will ensure accurate clinical coding and timely preparation and submission of hospital medical billing claims for both inpatient and outpatient hospital services.

    C

    Certified Medical Billing & Coding Specialist CLINICA FAMILIAR DE ARLINGTON

    Certified Medical Billing & Coding Specialist
    Falls Church, VA30+ days ago

    The ideal candidate is detail-oriented, organized, and experienced with insurance claims, coding accuracy, and revenue cycle workflows. We are seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice.

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    New!

    Medical Coding Specialist - Outpatient iMedX, a Rapid Care Group company

    Medical Coding Specialist - Outpatient
    Edgewater, MD6 days ago
    • Part-time

    In addition to E/M coding, iMedX is actively recruiting for outpatient facility based coding experience in Emergency Room services such as Injections and Infusions, and procedures such as wound repairs and fracture reductions, Injections and Infusions including chemotherapy in an infusion center, and recurring charges in a PT/OT/ST department. Experience: Minimum of three years’ coding work experience encompassing a working knowledge of the ICD and CPT coding systems; medical terminology; anatomy and physiology; and health record content.

    L

    Risk Adjustment Coding Specialist Lumen Solutions Group Inc

    Risk Adjustment Coding Specialist
    Washington, DC30+ days ago
    Remote
    • Full-time

    Job Title: Risk Adjustment Coding Specialist Location: Remote (primarily remote; onsite once a quarter or as needed) Type: Contract to Hire Job Summary: We are seeking experienced and certified Medical Coders to join our Special Investigation Unit (SIU) at CareFirst. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.

    M

    Certified Medical Billing /Coding Specialist Moore OBGYN

    Certified Medical Billing /Coding Specialist
    Forestville, MD30+ days ago

    The ideal candidate will have strong OB/GYN coding knowledge, payer compliance expertise, and the ability to manage accounts receivable efficiently. Moore OB/GYN is seeking an experienced and detail-oriented Certified Medical Billing & Coding Specialist to join our growing team.

    M

    Coding Specialist III - Plastics/Podiatric Surgery MedStar Health

    Coding Specialist III - Plastics/Podiatric Surgery
    Maryland27 days ago
    • $28.76–$48.96 Per Hour
    C

    Outpatient Coding Auditors (FT and PT) Cooper Thomas

    Outpatient Coding Auditors (FT and PT)
    Remote Home Office, DC12 days ago
    Remote

    As a result of recent new multi-year VHA contracts awarded, Cooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has up to five (5) immediate openings for experienced Outpatient Auditors. · Knowledge 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).

    P

    Medical Coding Auditor Professional Performance Development Group, Inc

    Medical Coding Auditor
    Bethesda, Maryland20 days ago
    • $35.21–$40.14

    As 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.

    O

    Senior Staff Research Engineer, 3D Gaussian Splat Coding Ofinno

    Senior Staff Research Engineer, 3D Gaussian Splat Coding
    Reston, VA30+ days ago
    • Full-time

    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).

    O

    Principal Research Engineer, 3D Gaussian Splat Coding Ofinno

    Principal Research Engineer, 3D Gaussian Splat Coding
    Reston, VA30+ days ago
    • Full-time

    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.

    Mercy Medical Center logo

    CDI Coding Liaison Mercy Medical Center

    CDI Coding Liaison
    Baltimore, Maryland23 days ago

    Utilizes extensive coding knowledge to ensure accuracy of final coded data and collaborates with the CDI team to ensure the coding reflects the most current health record documentation, clinical treatment, decisions, diagnoses, and interventions. Mercy Medical Center is honored to be recognized by Newsweek as one of America's Most Trustworthy Companies for three consecutive years (2023–2025) and as one of America's Greatest Workplaces for Women in 2025.

    I

    Clinical Nurse Coding Auditor (Full-time, Remote) Integrity Management Services, Inc.

    Clinical Nurse Coding Auditor (Full-time, Remote)
    Alexandria, VA14 days ago
    Remote

    This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers.

    S

    DevOps Engineer w/Automation and coding background Syntricate Technologies

    DevOps Engineer w/Automation and coding background
    Reston, VA30+ days ago
    • Full-time

    Submission format – please complete in full: First Middle Last Name Bill rate: Create a skill matrix for Skill Highlights- please indicate the # of years on each of the following skills: • DevOps • Automation • Development/coding background- language proficiency and # of years: • Terraform • Gitlab • Jenkins • Artifactory Visa Status: Location: Can the candidate interview in person in Reston VA this week? Note: The manager is extremely picky – candidates need very strong automation skills and he wants candidates who come from a coding background.

    S

    DevOps Engineer w/Automation and coding background Syntricate Technologies Inc

    DevOps Engineer w/Automation and coding background
    Reston, VA30+ days ago

    Note: The manager is extremely picky – candidates need very strong automation skills and he wants candidates who come from a coding background. • Collaborate with cross-functional teams, including product managers, designers, and other developers.

    B

    Summer Camp Coding, Digital Arts, or Game Development Assistant Teacher Black Rocket Productions

    Summer Camp Coding, Digital Arts, or Game Development Assistant Teacher
    Arnold, MD30+ days ago

    Strong technology skills are preferred, such as 3D modeling, coding, game creation or design, animation, robotics, modifying games, video editing, digital arts, competitive gaming, significant knowledge of Minecraft or Roblox, etc. 2. No specific formal experience required to apply: We train teachers, college students and content area experts on technology and instruction: You provide the desire to work with children using technology and creativity.

    B

    Summer Camp Coding, Digital Arts, or Game Development Assistant Instructor Black Rocket Productions

    Summer Camp Coding, Digital Arts, or Game Development Assistant Instructor
    Reston, VA30+ days ago
    • $13–$15 Per Hour

    Strong technology skills are preferred, such as 3D modeling, coding, game creation or design, animation, robotics, modifying games, video editing, digital arts, competitive gaming, significant knowledge of Minecraft or Roblox, etc. 2. No specific formal experience required to apply: We train teachers, college students and content area experts on technology and instruction: You provide the desire to work with children using technology and creativity.

    O

    Senior Staff Research Engineer, Neural Network Video Coding Ofinno

    Senior Staff Research Engineer, Neural Network Video Coding
    Reston, VA30+ days ago
    • Full-time

    Hands-on experience in one or more video coding tool areas, including neural in-loop filtering, neural prediction, learned transforms, or end-to-end neural video compression. Collaborate cross-team to remove blockers, integrate tool interactions, and improve shared infrastructure (e.g., testing pipelines, scripts, datasets, and configurations).

    M
    New!

    Construction Codes Coordinating Board Mayor's Office of Talent and Appointments

    Construction Codes Coordinating Board
    Washington, DC3 days ago

    Description: The purpose of the Board is 10 promote the health, safety, and welfare of the occupants or users or buildings and structures and the general public by the provision of Construction Codes for the District of Columbia to meet present-day demands for adequate and safe construction and maintenance of new and existing buildings and structures through the use of comprehensive and up-to-date codes and regulations. The CCCB is charged with "reviewing and updating the Construction Codes for the District of Columbia to meet present-day demands for adequate and safe construction and maintenance of new and existing buildings and structures." .

    B

    Customer Support Engineer (Low-code Workflow Software) BizFlow

    Customer Support Engineer (Low-code Workflow Software)
    Falls Church, VA11 days ago
    • Full-time

    Enhance and streamline support workflows using low-code/no-code capabilities within BizFlow M—building automations, routing logic, and templates to improve support efficiency. Troubleshoot issues across on‑premise platform applications, server environments, integrations, and legacy systems—performing detailed diagnostics, log analysis, and root‑cause investigations across application, middleware, and server layers.

    S

    Infrastructure as Code (IaC) Automation Engineer (5001) (US, DC, Tampa, San Antonio) (Secret) SMX

    Infrastructure as Code (IaC) Automation Engineer (5001) (US, DC, Tampa, San Antonio) (Secret)
    Washington, DC30+ days ago
    • $123,900–$206,400 Per Year

    The SMX salary determination process takes into account a number of factors, including but not limited to, geographic location, Federal Government contract labor categories, relevant prior work experience, specific skills, education and certifications. We build, integrate, and operationally support our customer's emerging space-ground systems to include real-time data processing frameworks, sensor data processing, and data visualization.

    U
    New!

    Medical Billing and Coordinator Faculty Practice Position Control Number MB-26-700-01 U M FDSP Associates PA

    Medical Billing and Coordinator Faculty Practice Position Control Number MB-26-700-01
    Baltimore, MD6 days ago
    • $24–$24 Per Hour

    A medical billing coordinator will ensure the appropriate appointments are made for the specialty providers, verifying insurance and making sure the appropriate referrals are attached to the visits, handle pre-authorizations for physical therapy, prescriptions and radiology requests (MRI & CBCT), and ensure all pre-operative results are received prior to surgery dates. Key responsibilities include managing electronic records, verifying insurance, following up on denied claims, and maintaining patient data confidentiality while collaborating with both patients and insurance providers.

    B

    Medical- Front Office & Billing Specialist BirthCare & Women's Health LTD

    Medical- Front Office & Billing Specialist
    Alexandria, VA16 days ago

    BirthCare & Women’s Health is a freestanding birth center offering home and birth center services with a focus on safety, education, and family-centered midwifery care. Assure that initial contact information is completed in MacPractice when potential clients inquire and/or sign up for BirthCare Beginnings: Info and Tour Session .

    H

    Medical Billing Specialist / AR Specialist Odenton MD HEALTHCARE RECRUITMENT COUNSELORS

    Medical Billing Specialist / AR Specialist Odenton MD
    Odenton, MD12 days ago
    • Full-time

    Must have experience working directly for a private practice, not a hospital or billing company, doing billing, coding, charge entry, and AR work only. We are a well-established specialty surgery group focused on helping patients live pain-free, active lives.

    V

    Medical Coder Virginia Heart

    Medical Coder
    Falls Church, Fairfax, VA19 days ago
    • $23–$29 Per Hour

    The Medical Coder is responsible for reviewing, coding and updating charges in various Charge Work Queues, to ensure accuracy and timely release of charges, in a manner consistent with Virginia Heart’s mission of excellence in cardiovascular care. (Click link to view other available openings and locations for our company: https://virginiaheart.hiringplatform.com/list/careers).

    L

    Medical Coder Lumen Solutions Group Inc

    Medical Coder
    Washington, DC30+ days ago
    Remote
    • Full-time

    Job Title: Medical Coder Location: Remote Type: Contract Interview Process: 1 Round (MS Teams) Job Description: We are seeking an experienced Medical Coder – Quality Assurance professional to support a high-volume urgent care provider. The ideal candidate must have strong QA experience in medical coding and be comfortable reviewing large volumes of claims in a fast-paced environment.

    D
    New!

    Profee Audit Specialist - FT Datavant

    Profee Audit Specialist - FT
    Annapolis, MD3 days ago
    Remote
    • $35–$45 Per Hour

    As a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.

    I
    New!

    Medicaid Audit and Compliance Specialist UPIC SE (Full-time, Remote) Integrity Management Services, Inc.

    Medicaid Audit and Compliance Specialist UPIC SE (Full-time, Remote)
    Alexandria, VA6 days ago
    Remote

    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. The Medicaid Audit and Compliance Specialist will perform audits as assigned which consist of but are not limited to performing licensing and exclusion reviews on providers and work with the medical staff to ensure services are reimbursed meet regulatory requirements.

    V

    Patient Care Coordinator Virginia Cancer Specialists

    Patient Care Coordinator
    Lansdowne, Virginia30+ days ago

    Virginia Cancer Specialists, affiliated with McKesson Specialty Health and US Oncology, a leader in cancer care, is seeking an experienced full time Patient Care Coordinator/Treatment Care Coordinatorfor our Loudoun office. -On behalf of the patient, coordinates physician referrals, schedules oncology related medical appointments within and outside the practice, resolves insurance billing and coding issues, contacts agencies.

    T

    Customer Account Specialist (DHS) (Future Contract Opportunity) Talentwise LLC

    Customer Account Specialist (DHS) (Future Contract Opportunity)
    Arlington, VA30+ days ago

    The position requires strong communication, analytical, and customer service skills, particularly when working with diverse populations and individuals experiencing complex needs. The Customer Account Specialist provides client-facing support for financial and billing services within human services programs.

    M

    Patient Accounts Specialist II - Physicians Billing MedStar Health

    Patient Accounts Specialist II - Physicians Billing
    Maryland30+ days ago
    Remote
    • $20.57–$36.27 Per Hour

    Collects insurance accounts by contacting insurance carriers and other third party payers to verify receipt of billing and other information needed to process claims secure approximate date of payment negotiate with claims personnel for prompt payment and resolve discrepancies in billings within appropriate time frames. Under general supervision performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on moderately complicated invoices in a Direct Contract assignment and/or with an invoice balance.

    HCA Healthcare logo
    New!

    Medical Collections Specialist HCA Healthcare

    Medical Collections Specialist
    Reston, VA3 days ago

    Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Under the supervision of the Business Office Manager/Business Office Supervisor, you will obtain payment from third party payers and self-pay accounts to enhance cash flow and gather reimbursement based on established contracts.

    S

    Revenue Cycle Specialist Sunbound

    Revenue Cycle Specialist
    Washington, DC30+ days ago
    • $60,000–$70,000 Per Year

    We recently closed our Series A with top-tier investors including TTV Ventures, Fika Ventures, Bling Capital, Liquid2 Ventures, Cambrian Ventures, and Max Ventures - firms that have collectively backed 20+ unicorns like Square, Lyft, and Rippling. Sunbound is building the financial OS for senior living: the first modern platform that manages the entire payments process end-to-end, saving operators time, reducing costs, and removing unnecessary stress for families.

    O

    MEDICAL OFFICE MANAGER ORIENTED HEALTHCARE LLC

    MEDICAL OFFICE MANAGER
    Baltimore, MD23 days ago
    • $20–$26 Per Hour

    You’ll play a key role in ensuring smooth clinic operations, excellent patient care, and efficient workflow across administrative and clinical functions. Oriented Healthcare, LLC is seeking a Full-Time Medical Office Manager to oversee daily clinic operations in our integrated Primary Care and Behavioral Health clinic.

    P
    New!

    Medical Biller PROSPER HEALTH AND BEHAVIORAL CARE

    Medical Biller
    Baltimore, MDToday

    As 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.

    V

    Chargemaster Analyst VHC Health

    Chargemaster Analyst
    Alexandria, Virginia30+ days ago

    This role involves resolving charge and coding issues, managing databases and reports, The position requires strong knowledge of billing, coding, and financial operations, along with expertise in medical terminology and healthcare billing systems. The role of the Chargemaster Analyst has several components including routine data validation, collaboration with outside vendors, performing monthly Chargemaster maintenance and leading code update initiatives.

    C
    New!

    Sr. Analyst, Risk Adjustment (0779) CINQCARE

    Sr. Analyst, Risk Adjustment (0779)
    Washington, DC5 days ago
    • $81,390–$101,732 Per Year

    This role is responsible for conducting advanced data analysis, building and maintaining HCC performance reporting, and supporting predictive modeling initiatives that drive risk score accuracy and reimbursement optimization across Medicare Advantage, Medicaid Managed Care, and ACO REACH programs. Design, develop, and maintain risk adjustment performance dashboards and reports using Power BI, Tableau, or equivalent tools to monitor HCC capture rates, RAF score trends, and coding completeness.

    T

    Physical Therapy Assistant The Arora Group

    Physical Therapy Assistant
    Joint Base Andrews, MD30+ days ago

    Ability to independently assess and evaluate the indications and contra-indications for treatment, assuming responsibility for initiating patient care treatment programs, evaluating and communicating the reactions and result of treatment to therapist, and modifying such treatments as appropriate. ABOUT THE ARORA GROUP: The Arora Group is an award-winning, Joint Commission-certified nationwide healthcare services company that, for almost 30 years, has provided medical care for the men and women who serve our country in the U.S. Armed Forces.

    V

    Medical Appointment Scheduler Virginia Cancer Specialists

    Medical Appointment Scheduler
    Fairfax, Virginia7 days ago

    May be responsible for follow up on all pre-operative tests to ensure cleared for surgical procedure and communicates with physician and patients if further testing is required before surgery is performed. May communicate to patient about surgeries or tests being scheduled and potential prep work needed, inquiring about test specifics from necessary parties and gathering patient information as needed.

    M
    New!

    Emergency Department Registrar (All Shifts Required) MedStar Health

    Emergency Department Registrar (All Shifts Required)
    Washington, DC6 days ago
    • $25.28–$38.36 Per Hour

    Completes Pre-registration activities and documents results in the registration system for scheduled patients including contacting patients by phone or in person to obtain and verify demographic and insurance information communicate outstanding liability and relay necessary pre-arrival instructions. Updates patient accounts with appropriate insurance codes authorization of treatment number calculates number of inpatient days allowed contacts referring or primary physicians if necessary and obtains provider numbers etc.

    M
    New!

    Patient Registration Representative (Admitting & Discharge) MedStar Health

    Patient Registration Representative (Admitting & Discharge)
    Washington, DC6 days ago
    • $25.28–$38.36 Per Hour

    Completes Pre-registration activities and documents results in the registration system for scheduled patients including contacting patients by phone or in person to obtain and verify demographic and insurance information communicate outstanding liability and relay necessary pre-arrival instructions. Updates patient accounts with appropriate insurance codes authorization of treatment number calculates number of inpatient days allowed contacts referring or primary physicians if necessary and obtains provider numbers etc.

    T

    Sr Claims Reviewer TriWest Healthcare Alliance

    Sr Claims Reviewer
    Baltimore, MD30+ days ago
    Remote
    • Full-time

    Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.

    H

    Medical Biller Healthy Mind Foundation Limited

    Medical Biller
    Baltimore, MD30+ days ago

    As 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.

    C

    Medicare and Medicaid Billing Specialist/ LifeBridge Health City of Baltimore, Mayor's Office of Employment Development

    Medicare and Medicaid Billing Specialist/ LifeBridge Health
    Westminister, MD30 days ago

    Identifies administrative denials by working denial work-items and through remittances; follows through with appeal or corrective action to obtain claim payment. Applies appropriate HOLDS and subsequently releases claims based on billing requirements, coding needs and data deficiency.

    M

    Managed Care Payment Integrity Liaison MedStar Health

    Managed Care Payment Integrity Liaison
    Columbia, Maryland30+ days ago
    • $65,062–$117,291 Per Year

    Tracks and reviews updates from payers including policy bulletins coverage determinations medical necessity guidelines coding updates and reimbursement rule changes. The Managed Care Payment Integrity Associate will bridge the gap between managed care and revenue cycle ensuring accurate reimbursement and minimizing payment delays.

    T

    Claims Recoup & Collect Anlyst TriWest Healthcare Alliance

    Claims Recoup & Collect Anlyst
    Baltimore, MD30+ days ago
    Remote
    • Full-time

    Under limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.

    R

    Billing & Reconciliation Specialist Release Recovery

    Billing & Reconciliation Specialist
    Washington, DC20 days ago
    • $65,000–$75,000

    This individual will work closely with the Director of Business Operations and Director of Revenue Operations to ensure that cash pay invoicing, contracting, and insurance claims are accurate, timely, and reimbursed in full. Manage extension requests and contracts, including communication with clients and guarantors regarding billing questions and account needs.

    T

    Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare Alliance

    Program Integrity Clinical Specialist (RN or PA Req'd)
    Baltimore, MD30+ days ago
    Remote
    • Full-time

    Technical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.

    A

    Experienced Medical Biller Allergy & Asthma Associates

    Experienced Medical Biller
    Arnold, MD7 days ago

    Skilled 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.

    123

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