8 jobs found in Potomac

A company is looking for a Senior IT Compliance Auditor. Key Responsibilities Conduct IT compliance audits to ensure adherence to regulatory standards Evaluate IT controls and processes for effectiveness and efficiency Prepare audit reports and present findings to management Required Qualifications Bachelor's degree in Information Technology, Computer Science, or related field 5+ years of experience in IT auditing or compliance Knowledge of regulatory frameworks such as SOX, PCI, or ISO Relevant certifications such as CISA, CISSP, or equivalent Experience with risk assessment and management practices

A company is looking for an Outpatient Coding Auditor - Surgical Specialty. Key Responsibilities Perform audits of outpatient surgical encounters, including operative reports and related documentation Validate accurate assignment of CPT, ICD-10-CM, modifiers, and applicable APCs Provide written audit feedback and coding education to support quality improvement Required Qualifications 3+ years of outpatient coding audit experience with a focus on surgical specialties Strong knowledge of CPT (Surgery section), ICD-10-CM, and modifier usage Experience auditing operative reports and post-operative documentation Familiarity with CMS guidelines, NCCI edits, and payer-specific rules Ability to clearly document audit findings and recommendations

A company is looking for a HIM Inpatient Coder III - PRN. Key Responsibilities Assign and sequence diagnosis and procedure codes for various inpatient and outpatient service types Review documentation to ensure accurate coding and resolve billing edits Participate in meetings and assist with coding-related inquiries from other departments Required Qualifications Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent certification High School Diploma or GED; must pass an advanced coder competency exam with a minimum score of 95% Five years of hospital-based coding experience, including complex CPT surgical coding and advanced ICD-10-CM-PCS coding Proficiency of 95% or greater on coding audit reviews Ability to work independently as a remote employee while engaging with the coding team

A company is looking for an Inpatient Coder (REMOTE). Key Responsibilities Coding and abstracting clinical information from medical records and assigning appropriate ICD-10-CM/PCS and CPT codes Ensuring the accuracy of coding and maintaining a minimum accuracy rate of 93% while collaborating with the HIM department Determining appropriate sequencing of diseases and surgeries for DRG coding and participating in educational programs Qualifications RHIT/RHIA with 5 years of acute care coding experience or RHIT/RHIA with ICD-10 curriculum plus 3 years of experience 7 years of acute care coding experience may substitute for the above requirements CCS certification can substitute for 1 year of acute care coding experience High School diploma or equivalent is required

A company is looking for a temporary HCC Coder (CPC Certified). Key Responsibilities Perform HCC / Risk Adjustment coding reviews accurately and efficiently Apply ICD 10 CM and risk adjustment coding guidelines appropriately Review and code medical records using designated EMR platforms Required Qualifications Active CPC certification (AAPC) - Apprenticeship (CPC A) credentials are not accepted 1-2 years of HCC / Risk Adjustment coding experience Experience working with EMR systems Strong knowledge of ICD 10 CM coding guidelines Ability to work independently in a remote environment

A company is looking for a Certified Professional Coder. Key Responsibilities Understanding and translating CPT, HCPC, ICD-9/ICD-10 codes for HCC abstraction Reviewing medical records for completeness, accuracy, and compliance with coding guidelines Identifying, compiling, and coding patient data using standard classification systems Required Qualifications 2+ years of Medical Coding experience High School Diploma / GED RHIT, Certified Professional Coder, or Certified Coding Specialist certification Proficiency in CPT-4, HCPC, ICD-9/ICD-10 coding Knowledge of Medical Terminology and Healthcare Delivery System

A company is looking for a Medical Billing Specialist to join their team in a remote position. Key Responsibilities Follow standard operating procedures for billing support, account follow-up, and reimbursement collections Act as a liaison between clients and clinicians regarding insurance and billing inquiries Resolve problem accounts and payer denials while providing excellent customer service Required Qualifications High school diploma or equivalent Three years of customer service experience, preferably in a medical setting Adherence to HIPAA privacy standards and regulations Ability to manage client accounts and payment collections accurately Remote position; priority given to applicants from Central Oregon

A company is looking for a Senior Medical Coding Specialist with Workers' Compensation experience. Key Responsibilities Review and analyze complex inpatient, outpatient, and practitioner claims for medical appropriateness and billing accuracy Apply national and international coding standards to ensure compliance and accuracy Design and deliver coding education, training, and mentorship for new and existing team members Required Qualifications Minimum of 2+ years of Workers' Compensation coding experience required Current coding certification (AHIMA or AAPC) or active medical license (RN, MD) required 7+ years of experience in a clinically related field (e.g., coding, auditing, nursing) Extensive knowledge of inpatient and outpatient billing, including UB-04, CPT, HCPCS, ICD-10 Familiarity with international coding systems (e.g., ICD-10-AM, OPCS-4) preferred