5 jobs found in Silver Spring

A healthcare organization in Silver Spring is seeking an experienced Medical Biller to manage the revenue cycle, ensuring accurate and timely processing of claims. Candidates should have a minimum of 5 years of full cycle medical billing experience, proficiency with EMR systems, and relevant certification. This role will involve communication with insurance companies and patients, as well as the generation of billing reports to assist management. Benefits offered include healthcare eligibility per ACA compliance. #J-18808-Ljbffr

Description The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation in support of services billed including ICD-10/CPT/HCPCS and other third party payor codes, DRG and EAPG assignments, medical necessity of the services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing standards. The Coding Auditor applies standardized audit scoring methodology to consistently evaluate documentation and coding, and standardized audit findings methodology to report audit results. Qualifications Minimum Education Associate's Degree Candidates with 3 years of coding experience in lieu of the degree requirement will be considered. ....

Medical Biller - Orthopedic Silver Spring, MD Pay From: $24 per hour MUST: EMR experience is required Experience processing Workman's Comp and Liability claims 5 plus years of full cycle medical billing experience Certified Professional Coder or Certified Medical Biller DUTIES: Responsible for following entire revenue cycle from charge entry through insurance and patient payments Work through an electronic claims worklist to follow up with insurance companies to investigate status of claims Appeal denials, resubmit claims, send medical records and process any additional information as needed Answers telephone, and responds to inquiries from insurance carriers, patients, case workers and co-workers Investigate and resolve billing discrepancies resulting in overpaid/underpaid accounts Establishes payment plans to help patients manage payment of bills Confers with doctors, nurses, and other health personnel to assure complete, current, and accurate medical records...

Coding Auditor (250002UP) Job Description Description The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation in support of services billed including ICD-10/CPT/HCPCS and other third party payor codes, DRG and EAPG assignments, medical necessity of the services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing standards. The Coding Auditor applies standardized audit scoring methodology to consistently evaluate documentation and coding, and standardized audit findings methodology to report audit results. Qualifications Minimum Education Associate’s Degree. Candidates with 3 years of coding experience in lieu of...

A leading children's hospital in Silver Spring, Maryland is seeking a Coding Auditor to ensure compliance in coding and billing practices. The ideal candidate will have an Associate's Degree or equivalent experience, along with certifications such as CCS or CPC. Responsibilities include performing audits, evaluating documentation and coding, and communicating effectively with team members. The position offers a salary range of $64,188.80 to $106,995.20, with additional job benefits in a full-time role. #J-18808-Ljbffr