NewSenior Medical Coder UnitedHealth Group IncSenior Medical CoderWashington, DCRemote$24–$43 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The Senior Medical Coder performs concurrent review of FFS coding rules within Epic, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials.
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) .
Medical Coder III (Cardiology experience require) SavistaMedical Coder III (Cardiology experience require)District of ColumbiaWe partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Washington, DC$50,460–$65,599 / yearRefer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
NewOP Coder Cooper ThomasOP CoderRemote Home Office, DCRemoteKnowledge 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). · Must be able to perform the full scope of multi-specialty OP clinic, ED, minor procedures, radiology, rehabilitation, and lab encounters utilizing ICD-10, CPT, and HCPCS codes.
Inpatient PTF Coders Cooper ThomasInpatient PTF CodersRemote Home Office, DCRemoteExperience including, but not limited to data validation; analyzing and generating reports; reviewing and abstracting health record information, adhering to coding compliance, and ensuring that CPT/AMA and ICD codes and modifiers support clinical and physician documentation for proper and consistent data collection and reimbursement. Cooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has up to immediate openings for VA experienced Inpatient PTF Coders with at least 2 years of experience for (W-2) full-time (40 hours a week) positions.
Health Care | Life Sciences, Senior Associate - Registered Nurse / Certified Coder Ankura Consulting Group LLCHealth Care | Life Sciences, Senior Associate - Registered Nurse / Certified CoderDCRegistered Nurse with active license, unrestricted license • Bachelor of Science in Nursing from an accredited college/university • Substantial clinical experience with demonstrated ability to interpret clinical documentation and medical necessity • Certified Professional Coder (CPC) with coding experience across inpatient, outpatient, and professional services • Familiar with the revenue cycle process and facility and professional claims • Demonstrates excellent communication skills, both written and oral • Experience managing small projects and teams • Familiar with accessing and identifying clinical documentation in electronic medical record systems • Proficient in Excel, Word, and PowerPoint and able to draft reports and presentations and present findings • Ability to problem solve, multi-task, and prioritize assignments • Understands the importance of privileged and confidential communication • Willingness to travel when needed • Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future. Our 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.
Profee Coder III (Radiology (IR), Vascular and Neurosurgery Coding) SavistaProfee Coder III (Radiology (IR), Vascular and Neurosurgery Coding)District of ColumbiaWe partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results.
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.
Certified Risk Adjustment Coder (CRC), Senior Associate Ankura Consulting Group LLCCertified Risk Adjustment Coder (CRC), Senior AssociateDC$85,000–$200,000 / yearAssociates use their experience and knowledge related in coding, revenue cycle and clinical operations, along with their project management capabilities, to contribute to complex investigations, whistleblower lawsuits, internal investigations, payer/provider disputes, and acquisition due diligence, among others. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute.
NewProfessional Fee Coder Seattle Children's HospitalProfessional Fee CoderWashingtonRemoteTogether, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho – the largest region of any children’s hospital in the country. Seattle Children’s welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families.
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.
PT Instructor Pool - Medical Coding Specialist Program Madison Area Technical College DistrictPT Instructor Pool - Medical Coding Specialist ProgramDCMadison College offers degrees, diplomas, apprenticeships and certificates in Architecture & Engineering; Arts, Design & Humanities; Business; Construction, Manufacturing & Maintenance; Culinary, Hospitality & Fitness; Education & Social Services; Health Sciences; Information Technology; Law, Protective & Human Services; Science, Math & Natural Resources; and Transportation. This includes developing a relevant and progressive curriculum, designing and implementing effective learning strategies and environments, delivering instruction of high quality, assessing student learning, advising students, and participating in college service activities at the department, division and college levels.
NewMEDICAL RECORDS ADMINISTRATION SPECIALIST (TRAINER/AUDITOR) U.S. Department of DefenseMEDICAL RECORDS ADMINISTRATION SPECIALIST (TRAINER/AUDITOR)Washington, DC$63,795–$82,938 / yearOne-year specialized experience equivalent to the GS-09 grade level in the Federal Service in planning, coordinating, administering, advising, monitoring, and auditing the use of International Classification of Diseases 10th Revision Clinical Modification (ICD-10-CM), Diagnosis Related Group (DRG), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) code assignment to assure all diagnoses and procedures are properly documented through review of medical records. FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university.
Senior Medical Coding Specialist (Remote) Blue Cross and Blue Shield AssociationSenior Medical Coding Specialist (Remote)DCRemote$67,464–$133,991 / yearThis role utilizes coding expertise, combined with medical policy, credentialing, and contracting rules knowledge, to build effective guidelines and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. Consults with various teams, including the Practice Transformation Consultants, Medical Policy Analysts and Provider Networks colleagues to interpret coding and documentation language and respond to inquiries from providers.
Certified Medical Billing /Coding Specialist Moore OBGYNCertified Medical Billing /Coding SpecialistForestville, MDThe 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.
Payment and Medical Policy Coordinator (Remote) Blue Cross and Blue Shield AssociationPayment and Medical Policy Coordinator (Remote)DCRemote$51,264–$101,816 / yearThis role ensures business readiness across impacted functions, including claims, configuration, provider communications and operations, and provides support during testing, implementation, and post-implementation validation. QUALIFICATIONS: Education Level: Bachelor''s Degree in Health Administration, Business, Finance or related discipline OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
Medical Coding SME Graham TechnologiesMedical Coding SMEFalls Church, VAFull timeAt Graham Technologies, we've built a family-oriented environment where team members are encouraged to maintain a healthy work-life balance, pursue their passions, and grow professionally through flexible schedules, continued education, and a strong sense of community. Graham Technologies is seeking a Medical Coding SME to support coding compliance, coding quality assurance, enterprise coding policy development, and MHS GENESIS optimization initiatives supporting our customer.
Medical Coding Specialist-New Jersey Avenue, Washington, D.C Unity Health Care IncMedical Coding Specialist-New Jersey Avenue, Washington, D.CDCAdvanced knowledge of medical codes involving selections of most accurate and description code using the extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes. Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
Certified Medical Billing & Coding Specialist CLINICA FAMILIAR DE ARLINGTONCertified Medical Billing & Coding SpecialistFalls Church, VAThe 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.
Coding Compliance Audit & Education Specialist Privia Health Group, IncCoding Compliance Audit & Education SpecialistDC$70,000–$80,000 / yearThe 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.
Senior Revenue Cycle Specialist (Hybrid), Day Shift, Ambulatory Revenue Cycle Shady Grove Adventist HospitalSenior Revenue Cycle Specialist (Hybrid), Day Shift, Ambulatory Revenue CycleGaithersburg, MD$24.41–$34.18 / hourPerforms analysis, identifies trends, presents opportunity areas, and prioritizes initiatives for performance improvement in a variety of areas, including but not limited to: coding, claim submission, insurance and self-pay collections, refunds, and write-off approvals. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.
NewProgram Director - Federal Health (CMS) DOMA TechnologiesProgram Director - Federal Health (CMS)Washington, DCRemoteThis is a high-visibility, high-accountability role that demands deep expertise in Medicare Fee-for-Service (FFS) program operations, federal contracting environments, and large-scale healthcare program management. Lead and manage a multi-disciplinary team including clinical reviewers, medical coders, customer service representatives, and IT staff; oversee hiring, training, performance management, and workforce planning.
Coding Quality Review Specialist -Inpatient MedStar HealthCoding Quality Review Specialist -InpatientMD$31.28–$56.39 / hourResponsibility 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.
Coding Quality Review Specialist -Inpatient (CCS Required) MedStar HealthCoding Quality Review Specialist -Inpatient (CCS Required)Maryland$31.28–$56.39 / hourFull timeResponsibility 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.
Director, HRMA | Forensic & Litigation Consulting FTI Consulting IncDirector, HRMA | Forensic & Litigation ConsultingDCOur multi-disciplinary team is comprised of consultants with expertise in data analytics, finance, accounting, economics, information technology and healthcare operations and regulations, and includes former healthcare executives and medical practitioners all of whom are focused on delivering meaningful results in order to manage change, mitigate risk, ensure compliance, resolve disputes, execute significant business transactions and improve performance. The healthcare industry is one of the largest, most dynamic, and complex sectors of the world economy and the HRMA team delivers strategic, analytical, financial, data mining and operational expertise through teams who understand the unique industry and regulatory environment in which our clients operate.
Coding Quality Review Specialist -Inpatient MedStar Health Research InstituteCoding Quality Review Specialist -InpatientMD$31.28–$56.39 / hourResponsibility 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.
Manager, Coding Compliance - Pediatrics Central Administration Washington University in St LouisManager, Coding Compliance - Pediatrics Central AdministrationWashingtonAccounting, 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.
Senior Director, Healthcare Risk Management & Advisory | Forensic and Litigation Consulting FTI Consulting IncSenior Director, Healthcare Risk Management & Advisory | Forensic and Litigation ConsultingWashington, DCOur multi-disciplinary team is comprised of consultants with expertise in data analytics, finance, accounting, economics, information technology and healthcare operations and regulations, and includes former healthcare executives and medical practitioners all of whom are focused on delivering meaningful results in order to manage change, mitigate risk, ensure compliance, resolve disputes, execute significant business transactions and improve performance. The healthcare industry is one of the largest, most dynamic, and complex sectors of the world economy and the HRMA team delivers strategic, analytical, financial, data mining and operational expertise through teams who understand the unique industry and regulatory environment in which our clients operate.
Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG) Elevance Health IncDiagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)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.
Pro Fee Audit Educator University of Maryland Baltimore Washington Medical CenterPro Fee Audit EducatorMD$31.78–$44.50 / hourPrepare reports for the Chief Compliance, Audit and Provider Officer, Vice President, Compliance Operations, Director, Revenue Cycle Billing and Coding Compliance, Manager, Coding Compliance and Training, UMMS Executive Management and the Audit and Compliance Committee of the Board of Directors. • Develop and administer training and educational materials to address documentation and coding deficiencies identified in audits; support the development and administration of system-wide compliance education (e.g., New Provider Compliance Education and Annual Compliance Education).
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.
DRG Clinical Validation Lead Elevance Health IncDRG 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.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistVA$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Pre-Certification Coordinator I - Pediatric Allergy & Pulmonary Medicine Washington University in St LouisPre-Certification Coordinator I - Pediatric Allergy & Pulmonary MedicineWashingtonThe 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. Contacts appropriate insurance companies for benefit verification and pre-certification of surgical and nonsurgical procedures; notifies financial counselor for pre-payment of un-coded services.
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. Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.
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. Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow.
SIU Senior Analyst, Lead Investigator (Must Reside in Maryland) CVS Health CorpSIU Senior Analyst, Lead Investigator (Must Reside in Maryland)MD$46,988–$112,200 / yearThe lead reviewer is accountable for the validation of existing Fraud, Waste and Abuse business rules/leads designed to detect aberrant billing patterns as reviewing incoming referrals. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar HealthCompliance Audit/Investigator - CCS / CPC / or CCADC$65,062–$117,291 / yearPerforms 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).
Compliance Audit / Investigator - CCS / CPC / or CCA MedStar HealthCompliance Audit / Investigator - 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).
Compliance Audit/Investigator - CCS / CPC / or CCA MedStar Health Research InstituteCompliance Audit/Investigator - CCS / CPC / or CCADC$65,062–$117,291 / yearPerforms 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).
Professional Coding Auditor & Educator Trinity HealthProfessional Coding Auditor & EducatorSilver Spring, MD$28–$43.40 / hourResponsibilities: Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for providing innovative, high-quality health care services.
Dental Billing Specialist Howard UniversityDental Billing SpecialistDC$43,641–$48,006 / yearResearches and resolves submission issues and claim denials, acts as a liaison with third-party carrier professionals regarding reimbursement/ claim denial issues, requests and submits additional documentation/ radiographs as needed, and identifies the root cause of submission issues/denials and implements process and system or policy enhancements to limit issues and denials. MINIMUM REQUIREMENTS: Prefer an Associate's Degree or equivalent from a 2-year college or completion of a certified coding program and 2-3 years related experience - will consider applicants with relevant experience and minimum 2-3 years CPT or CDT coding experience.
Supervisor, Patient Access Sentara Healthcare IncSupervisor, Patient AccessVAOur clinical services include advanced imaging, cancer services, cardiovascular care, emergency care, lab services, orthopedics, weight loss services and more, all powered through Sentara eCare, a comprehensive electronic medical record system. In addition to our hospital, Sentara Health is enhancing access to healthcare services in Northern Virginia with outpatient and imaging centers in Lake Ridge, Lorton, Springfield and Alexandria, Va.
NewCoding Support RadNetCoding SupportMaryland$18–$20 / hourFull timeWhen you join RadNet as our Coding Support , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21 st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience.
NewCoding Support RadNet IncCoding SupportMD$18–$20 / hourWhen you join RadNet as our Coding Support, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes. Ideal Candidate will possess: Communicates, cooperates, and consistently functions professionally and harmoniously with all levels of supervision, co-workers, patients, visitors, and vendors.
HIM Clinical Documentation Specialist University of Maryland Baltimore Washington Medical CenterHIM Clinical Documentation SpecialistMD$38.67–$58.05 / hourKey Responsibility 1: • Performs concurrent initial chart reviews within 24-48 hours after admission with follow-up reviews occurring every 1-3 days, and retrospective chart reviews, when applicable, to accurately assign/capture the APR-DRG, severity of illness (SOI) and risk of mortality (ROM) in order to reflect quality indicators, resource consumption and outcome measures to ensure accurate and complete documentation for final coding and billing. Registered Nurse (RN); Physician (MD); Physician Assistant (PA), Certified Registered Nurse Practitioner (CRNP); Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); Certified Clinical Documentation Specialist (CCDS) via ACDIS; or a Certified Documentation Integrity Practitioner (CDIP) via AHIMA.
Payment Policy Analyst (Remote) Blue Cross and Blue Shield AssociationPayment Policy Analyst (Remote)DCRemote$58,320–$115,830 / yearQUALIFICATIONS: Education Level: Bachelor''s Degree in Health Administration, Business, Finance, Nursing or related discipline OR in lieu of a Bachelor''s degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
NewBilling Specialist CCI Health & Wellness ServicesBilling SpecialistSilver Spring, MDPOSITION SUMMARY: The Billing Specialist will perform a range of responsibilities requiring data analysis, critical evaluation, and sound judgment, including maintaining billing software, appealing denied claims, and recording late payments. Coordinate communications with payers to ensure accurate billing practices, enhance reimbursement opportunities, achieve cash collection targets, and maintain accounts receivable (A/R) over 120 days at or below target levels.
Clinical Provider Auditor II - Maryland Behavioral Health Elevance Health IncClinical Provider Auditor II - Maryland Behavioral HealthHanover, MD$61,320–$76,650 / yearMinimum Requirements: Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background. Born out of one of the largest healthcare systems organization in the United States, our rich history gives us a unique and valuable perspective on how to solve the most pressing healthcare challenges.