Patient Access Associate I (PRN Night Shift) MedStar Health Research InstitutePatient Access Associate I (PRN Night Shift)Baltimore, MD$18.70–$32.72 / hourConfirms coverage using online electronic verification systems; selects appropriate insurance codes and may obtain authorizations by utilizing online electronic verification system or other resources such as HDX EVS or Blueline; follow up on insurance authorizations and referrals if needed. This includes greeting patients providing information answering phones registering outpatients and/or inpatients coding lab accounts and entering orders as required.
NewPatient Access Associate II (PRN) MedStar Health Research InstitutePatient Access Associate II (PRN)Baltimore, MD$18.70–$32.72 / hourConfirms coverage using online electronic verification systems; selects appropriate insurance codes and may obtain authorizations by utilizing online electronic verification system or other resources such as HDX EVS or Blueline; follow up on insurance authorizations and referrals if needed. This includes greeting patients providing information answering phones registering outpatients and/or inpatients coding lab accounts and entering orders as required.
NewPatient Access Associate I (PRN) MedStar Health Research InstitutePatient Access Associate I (PRN)Baltimore, MD$18.70–$32.72 / hourConfirms coverage using online electronic verification systems; selects appropriate insurance codes and may obtain authorizations by utilizing online electronic verification system or other resources such as HDX EVS or Blueline; follow up on insurance authorizations and referrals if needed. This includes greeting patients providing information answering phones registering outpatients and/or inpatients coding lab accounts and entering orders as required.
Diabetes Educator/Dietitian MedStar Health Research InstituteDiabetes Educator/DietitianWashington, DC$74,214–$134,596 / yearREG DIET - Dietitian - Registered Valid license in Maryland as a Dietitian (must be registered by the Commission on Dietetic Registration) required or. Completes timely documentation in the patient's medical record and timely coding of services to optimize patient safety and assure compliant billing practices are followed.
NewPatient Access Associate II MedStar Health Research InstitutePatient Access Associate IIBaltimore, MD$18.70–$32.72 / hourConfirms coverage using online electronic verification systems; selects appropriate insurance codes and may obtain authorizations by utilizing online electronic verification system or other resources such as HDX EVS or Blueline; follow up on insurance authorizations and referrals if needed. This includes greeting patients providing information answering phones registering outpatients and/or inpatients coding lab accounts and entering orders as required.
NewPatient Accounts Specialist I - Pre Visit MedStar Health Research InstitutePatient Accounts Specialist I - Pre VisitBaltimore, MD$18.70–$32.72 / hourThe Pre-visit team is responsible for providing a positive patient experience by contacting the patients prior to their visit in our facilities to advise of their estimated financial responsibility for the upcoming scheduled service. 1-2 years' Experience in patient accounting, accounts receivable or related healthcare field required or an equivalent combination of experience and college education in accounting, finance or healthcare administration.
Manager, Payment Integrity Auditing Premera Blue CrossManager, Payment Integrity AuditingWashingtonYou will monitor audit performance, oversee internal and vendor audit activities, identify payment and billing trends, and leverage data-driven insights to improve payment accuracy, reduce inappropriate healthcare expenditures, and strengthen the organization's overall payment integrity strategy. This role is responsible for developing and executing audit strategies across multiple audit types, including DRG validation, itemized bill reviews, level of care reviews, hospital readmission audits, and other post-payment and pre-payment audit initiatives.
Specialist, Health Policy and Payment American Physical Therapy AssociationSpecialist, Health Policy and PaymentAlexandria, VA$75,000–$80,000 / yearSupport APTA advocacy with commercial payers, federal agencies, members, coalitions, and other industry players; Monitor, analyze and develop communication on commercial payer policies, Medicare payment policies, and other reimbursement developments affecting physical therapy practice for members and other constituents; Create content and resources for company website and other communications and presentations to educate and inform members and other audiences on efforts to support the association's health payment priorities; Collaborate with Government Affairs, Communications, and other APTA departments and external teams on issues impacting the physical therapy profession; Support outreach and communication with insurance companies, federal agencies, member leaders, coalitions, and other external; Participate in some evening virtual meetings. The position serves as a key contributor to APTA's payment strategy, supporting efforts involving commercial insurers, traditional Medicare and Medicare Advantage, CPT coding Relative Value Scale Update Committee (RUC) processes, payment valuation, value-based care, administrative burden reduction, quality initiatives, and health information technology.
Clinical Documentation Integrity Educator Johns Hopkins HospitalClinical Documentation Integrity EducatorBaltimore, MDThe Clinical Documentation Integrity Educator is responsible for providing education and training to clinical documentation specialists, coders, compliance auditors, quality improvement staff, physicians, and advanced practice providers on effective and compliant clinical documentation practices. Develops, maintains, and administers a formal Clinical Documentation Integrity (CDI) orientation program for onboarding new hires and applies teaching or learning principles to establish an overall educational program related to effective clinical documentation.
Professional 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.
NewDRG Appeals Nurse (RN) CorroHealth IncDRG Appeals Nurse (RN)DCRemoteValidates that all ICD-10-CM/PCS, discharge disposition codes, and Hospital Acquired Condition (HAC), Present on Admission (POA) indicators impacting payment are documented, clinically supported, and assigned following Official Coding Guidelines, compliant query practices and current clinical validation criteria. Possess regulatory ICD-10-CM/PCS coding expertise coupled with subject matter expertise in MS/APR DRG payment methodologies, including Hospital Acquired Conditions (HACs), POA assignment, and Discharge Disposition codes.
Clinical Data AMS Sr. Consultant Deloitte Touche Tohmatsu LtdClinical Data AMS Sr. ConsultantMcLean, VA$120,200–$140,000 / yearThis role owns the health, stability, and compliance posture of a suite of clinical and regulatory R&D platforms - including Axway Secure Transport (ST), eClinical Elluminate, Eclipse (medical coding), and EAST - across the full engagement lifecycle: implementation, configuration, validation, and steady-state managed services. The team operates at the intersection of IT infrastructure, clinical operations, and quality/regulatory compliance, partnering closely with global business and technology stakeholders to support end-to-end clinical trial data lifecycles from data capture and coding through statistical analysis and submission-ready outputs.
Remote Pro Fee Quality Reviewer GuidehouseRemote Pro Fee Quality ReviewerDistrict of ColumbiaRemoteThe Coding Quality Reviewer shall report directly to the Pro Fee Quality Review Supervisor and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse coding team by utilizing ICD-10 CM, CPT and HCPCS coding classification systems. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
NewDirector Clinical Documentation Integrity MedStar HealthDirector Clinical Documentation IntegrityMaryland, MD$134,118–$241,488 / yearExcellent interpersonal skills including verbal and written communications; Good public speaking and presentation skills; attention to detail; follow up on outstanding issues; ability to organize priorities and meet deadlines ability to listen and collaborate yet stand firm in communications with physicians and other clinicians. Collaborates with CDI Physician Advisor in leading education as needed to Physician leads to align on best practices and education around compliant and ethical means of achieving accurate and complete documentation that promotes best clinical practice in the organization.
NewDirector Clinical Documentation Integrity MedStar Health Research InstituteDirector Clinical Documentation IntegrityMaryland, MD$134,118–$241,488 / yearExcellent interpersonal skills including verbal and written communications; Good public speaking and presentation skills; attention to detail; follow up on outstanding issues; ability to organize priorities and meet deadlines ability to listen and collaborate yet stand firm in communications with physicians and other clinicians. Collaborates with CDI Physician Advisor in leading education as needed to Physician leads to align on best practices and education around compliant and ethical means of achieving accurate and complete documentation that promotes best clinical practice in the organization.
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.
Inpatient Coder Omm IT SolutionsInpatient CoderBaltimore, MarylandRemoteMinimum of 3 years ICS-10-CM/ICD-10-PCS coding and abstracting experience with a Level 1 trauma and rehab hospital or 4 years of experience with coding inpatient hospital medical records required . The Inpatient Coder is responsible for reviewing inpatient medical records and assigning accurate ICD-10-CM and ICD-10-PCS codes in accordance with official coding guidelines, regulatory requirements, and Clint policies.
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.
Remote Pro Fee Quality Reviewer Guidehouse IncRemote Pro Fee Quality ReviewerMcLean, VARemote$65,000–$108,000 / yearWhat You Will Do: The Coding Quality Reviewer shall report directly to the Pro Fee Quality Review Supervisor and will be responsible for accessing and reviewing the medical record documentation, coding and abstracting accuracy as performed by the Guidehouse coding team by utilizing ICD-10 CM, CPT and HCPCS coding classification systems. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
Certified Medical Coder, Medicare Operations, Amazon One Medical Senior Health Amazon.com IncCertified Medical Coder, Medicare Operations, Amazon One Medical Senior HealthArlington, VAAs a member of the Amazon One Medical Senior Health Revenue Cycle team, the Medical Coder I will be responsible for supporting Clinical and Revenue Cycle teams in reviewing the coding accuracy of claims. As part of Amazon Health Services, you will find yourself working with exceptionally talented and dedicated people committed to driving financial improvement, scalability, and process excellence.