5 jobs found in Mclean

Greenberg & Larraby, Inc. is looking for a CISA Auditor to assess and ensure the effectiveness of information systems and technology controls. This role involves auditing IT practices, identifying vulnerabilities, and recommending improvements. You will conduct comprehensive audits, prepare reports, and ensure compliance with regulations. The ideal candidate will have a CISA certification and at least 3 years of relevant experience. The position offers benefits including a health care plan and retirement plan. #J-18808-Ljbffr

JOB SUMMARY : The Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing practices. In this role, you will perform bill and chart reviews to identify any variation from quality billing practices and monitor patient bills for accuracy and compliance. This position also requires awareness of international coding systems and healthcare billing practices to support global operations and ensure alignment with international regulatory standards. JOB ROLES AND RESPONSIBILITIES: Review and analyze inpatient, outpatient, and provider billing for medical appropriateness of treatment; analyze charges across various revenue centers with consideration to patient diagnosis, procedures, age, facility type, and international healthcare norms where applicable. Apply recommendation of national coding and international coding and regulation standards (e.g., ICD-10-AM, OPCS-4,...

Guidehouse is seeking a Coding Quality Reviewer to assess medical record documentation, coding accuracy, and abstracting against policy and facility guidelines. You will access records via EMR or scanning tech and enter reviews daily into Guidehouse quality tracking software. The role requires 5+ years of medical coding or review experience, credentials such as RHIT/RHIA/CCS/CPC/CIC/COC, and ongoing credential maintenance. Salary range is $65,000–$108,000 with benefits. #J-18808-Ljbffr

Medical Record ReviewerThe purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; Retrieves information from medical records, ensuring adherence with established methods and procedures.Key Responsibilities/Accountabilities:Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions.Sequence the diagnoses and procedures using coding guidelines.Ensure DRG/APC assignment is accurate.Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges.Serves as backup to other administrative functions as assigned.Meets job standards for achieving contract deliverables.Assists with other job- and education-related duties as assigned.Other duties as assignedRead, understand, and adhere to all corporate policies...

The full-time Outpatient Medical Coder is responsible for performing remote coding on all outpatient visits and surgical procedures by the Veteran Affairs Health Care System (VAHCS). The medical coder will access the Veteran Affairs VistA/CPRS system to read and code medical records identified by the Veteran Affairs and enter codes into the approved encoder or other package. The Medical Coder is required to comply with all HIPAA provisions for a Business Associate, and all provisions in this Performance Work Statement. This is a full-time position supporting a VA medical coding program. Candidates must be available to work a consistent Monday-Friday schedule from 7:30 AM to 4:00 PM CST and be able to commit to full-time hours. This is a Full-Time Outpatient Medical Coding position that is classified as an SCA role which means an hourly rate + $5.55 per hour for Health and Welfare Benefits.