4 jobs found in Hyattsville

Kaiser Permanente is seeking a skilled Medical Coder to ensure accurate coding of diagnostic and procedure codes for ambulatory and professional services. The role requires extensive experience in healthcare coding, compliance knowledge, and strong collaboration with clinical teams. The candidate will research HCPCS Level II codes, support colleagues, and contribute to education materials while maintaining regulatory standards and accurate reimbursement processes. #J-18808-Ljbffr

Job Summary: Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payors, other regulatory agencies and Kaiser Permanente policy.  Functions includes, but are not limited to working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisor in responding to coding questions from other levels of coders and in responding to providers. Conducts special projects and focused reviews of encounters as requested. Essential Responsibilities: Required to research and assign. HCPCS Level II codes for ambulatory surgical services and/or professional services performed. Ability to research, analyze and/or review detailed and high complexity code edits and transactions within the Kaiser Permanente system. Provides additional support to the...

Summary of Responsibilities Analyze, prioritize and organize daily workloads for the team for the many different types of reports. Accountable for ensuring that the contract deliverables are met and/or exceeded on the daily basis. Edit reports to maintain the specified Federal privacy and anonymity guidelines. Analyze daily workloads to identify the product, manufacturer, device problems or malfunctions that contributed to the adverse event of the device. Perform editorial responsibilities to assist and guide the data entry staff in the entry of reports into the FDA database. Monitor performance outcomes and conduct periodic evaluations for direct reports. Coach, counsel and discipline direct reports as needed to achieve favorable performance outcomes. Perform strategic thinking to mitigate problems that could adversely impact the project. Supporting Responsibilities Participate in team and management meetings to discuss coding and personnel issues. Participate in...

Overview Ivyhill has an immediate need for a Regulatory Analyst Coder to support their Publication Surveillance project. The position will mostly be remote, but may require travel to the Hyattsville, MD location. This is an excellent opportunity for a detail-oriented professional with strong analytical skills to join a dynamic team focused on regulatory compliance and data evaluation. Note: This position does not involve IT or programming coding. It entails inputting, organizing, and classifying data to identify themes and relationships within regulatory content. Base pay range $43,680.00/yr - $44,720.00/yr Responsibilities Apply analytical methodologies and regulatory principles to support compliance initiatives Evaluate industry data and advertising materials to identify trends and implement strategic response Collect, code, and model data to create performance measurements aligned with project goals Organize and classify regulatory data to identify key themes, issues, and...