DRG Coding Auditor - Ms-Drg And Apr-Drg Elevance HealthDRG Coding Auditor - Ms-Drg And Apr-DrgHanover, MD$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Medical- Front Office & Billing Specialist BirthCare & Women's Health LTDMedical- Front Office & Billing SpecialistAlexandria, VAFull timeBirthCare & 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.
AI Coding Tools & Pilots Consultant Ampcus IncorporatedAI Coding Tools & Pilots ConsultantChantilly, VAThe ideal candidate will possess expertise in AI coding assistants, software development practices, platform evaluation, DevSecOps, user enablement, and pilot execution, with a strong focus on accelerating developer productivity and enterprise AI adoption. This role will serve as a bridge between engineering teams, AI platform teams, business stakeholders, and program leadership to ensure successful implementation and scaling of AI development solutions.
Medical Coder Virginia HeartMedical CoderFalls Church, Fairfax, VA$23–$29 / hourFull timeThe 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) .
Insurance Billing/Collection Assistant II - Occupational Therapy Washington University in St LouisInsurance Billing/Collection Assistant II - Occupational TherapyWashingtonClaims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Telephone Communications Grade . The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
Senior Medical Billing Clerk [RP-N] Roswell Park Cancer InstituteSenior Medical Billing Clerk [RP-N]WashingtonIn this role, you'll use your knowledge of medical billing and claims processes to investigate complex account issues, resolve billing discrepancies, and support the overall success of the revenue cycle team. We're looking for someone who enjoys problem-solving, has strong attention to detail, and takes pride in delivering high-quality work that supports both patients and the organization.
NewInsurance Billing/Collection Assistant III (Hybrid) - Anesthesiology Washington University in St LouisInsurance Billing/Collection Assistant III (Hybrid) - AnesthesiologyWashingtonClaims Resolution, Collections Strategies, Communication, Computer Literacy, Confidential Data Handling, Epic EHR, Health Insurance Billing, Health Insurance Portability & Accountability Act (HIPAA), ICD-10 Procedure Coding System, Insurance Follow Up, Medical Billing and Coding, Medical Terminology, Microsoft Excel, Microsoft Word, Office Equipment, Team Leadership, Telephone Communications Grade . Performs advanced follow-up on insurance billing and collection activities, makes collection calls, verifies the accuracy and completeness of insurance records, and claims, contacts insurance companies and/or collection agencies as well as other related duties to expedite payments from various payers for physician services.
NewMedical Auditor (Billing and Coding) West End Orthopaedic Clinic IncMedical Auditor (Billing and Coding)VA$26.44–$39.66 / hourLicensing, certification/degree as one of the following: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist - Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Evaluation and Management Coder (CEMC) required. With more than 159 physicians in over 35 locations-including Lynchburg, Northern Virginia, Richmond, Southwest Virginia, and Hampton Roads-OrthoVirginia is a leader in orthopedic surgery, non-surgical care, and physical, hand, and occupational therapy.
Compliance Audit / Investigator / Coder - CCS / CPC / or CCA MedStar HealthCompliance Audit / Investigator / Coder - CCS / CPC / or CCAWashington, DC$65,062–$117,291 / yearFull timePerforms 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).
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Hanover, MD$86,560–$155,808 / 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. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
CBO Billing Relations Manager MedVanta Interco, LLC.CBO Billing Relations ManagerBethesda, MDPart timeFunctions as a floating Revenue Cycle leader by providing interim management coverage, operational support, special project leadership, and hands-on claims assistance across multiple RCM teams as organizational needs dictate. Through a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health.
CBO Billing Relations Manager MedVanta CareersCBO Billing Relations ManagerBethesda, MarylandFunctions as a floating Revenue Cycle leader by providing interim management coverage, operational support, special project leadership, and hands-on claims assistance across multiple RCM teams as organizational needs dictate. Through a combination of innovative technology, clinical expertise, data-driven insights, and care navigation services, MedVanta delivers solutions that support prevention, performance, treatment, recovery, and long-term musculoskeletal health.
Field Reimbursement Manager Syneos - Commercial - ProdField Reimbursement ManagerWashington, DC$150,000–$160,000 / year5+ years’ experience pharmaceutical and/or biotech experience and 2+ years’ relevant experience in the following: patient journey navigation, payer, reimbursement, medical billings & coding, specialty pharmacy & distribution, and patient support services engagement. Provide information to HCP on how the products are covered under the benefit design and educate key private and public payer coverage and changes that impact the products access for patients.
NewAccounts Receivable Representative - MedStar Ambulatory Services MedStar HealthAccounts Receivable Representative - MedStar Ambulatory ServicesColumbia, Maryland$18.70–$32.72 / hourFull timeMeets monthly departmental key performance indicators (KPIs) as it applies to days in A/R, open receivables, aged A/R, cash collections, credit balances and high dollar accounts. Under the supervision of the Reimbursement Manager the representative will be responsible for thorough and timely patient account follow up to ensure accurate accounts receivable reporting.
Patient Billing/Services Representative II - Obstetrics and Gynecology Washington University in St LouisPatient Billing/Services Representative II - Obstetrics and GynecologyWashingtonCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade . The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
Patient Billing/Services Representative II - Department of Medicine Washington University in St LouisPatient Billing/Services Representative II - Department of MedicineWashingtonCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade . The Patient Billing/Services Representative (PSR) is a patient-facing role that obtains insurance information and referral forms as well as counsels patients on financial assistance when seen in department for services.
Specialist Billing Projects (Hybrid) - Anesthesiology Washington University in St LouisSpecialist Billing Projects (Hybrid) - AnesthesiologyWashingtonThe screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. It includes but is not exclusive to the following: Maintains documentation on procedures and processes and assists staff and clinicians as needed, with daily operations including pre-certification.
Certified Medical Billing /Coding Specialist Moore OBGYNCertified Medical Billing /Coding SpecialistForestville, MDFull timeThe 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.
Patient Billing/Services Representative II - Neurology Washington University in St LouisPatient Billing/Services Representative II - NeurologyWashingtonDemonstrates a high commitment to excellence in service and quality through interactions with team members, Neurology faculty, staff, referring physicians, patients and their families while focusing on service culture and continuously striving to align with the Department of Neurology’s mission and vision. Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade .
Medical Assistant Apprentice Washington University in St LouisMedical Assistant ApprenticeWashingtonPerforms 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. We typically hire Medical Assistants to work the clinic back office where they room patients, document in electronic medical record, perform clinical skills associated with the specialty, perform blood draws, phone triage, schedule tests or order lab work, provide patients with follow-up instructions.