162 jobs found in Fairfax, VA

Join to apply for the Hospice medical Biller role at Caregivers Home Health Services, Inc. Prepare and submit billing data and medical claims to insurance companies. Ensure the patient’s medical information is accurate and up to date. Prepare bills and invoices, and document amounts due to medical procedures and services. Collect and review referrals and pre-authorizations. Monitor and record late payments. Follow-up on missed payments and resolve financial discrepancies. Examine patient bills for accuracy and request any missing information. Investigate and appeal denied claims. Help patients develop patient payment plans. Maintain billing software by updating rate change, cash spreadsheets, and current collection reports. Requirements: Bachelor’s degree in business, health care administration, accounting or relevant field. A minimum of 2 years’ experience as a medical biller or similar role. Solid understanding of billing software and electronic medical records. Must have the...

Medical Record Reviewer Position Status Label: Non-Exempt Labor Category: Admin Remote/Onsite: Remote Additional Informations: This job is for new sourcing The 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 ...

Inova Fairfax Medical Campus is seeking a Registered Nurse Unit Supervisor on the Inova Fairfax Hospital is proud to be recognized as one of the top 10 Major Teaching Hospitals in the U.S.We maintain accolades for high-quality patient care and safety, recognized by top ranking in U.S. News & World Report for the past four years. We're also included in the 2024 Fortune/PINC AI 100 Top Hospitals. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. The Registered Nurse (RN) Unit Supervisor serves as a front-line leader who is accountable for delivering highly reliable results related to quality and best practices to improve the clinical operations of the unit. Embraces, uses and understands the research behind nursing practice and quality tools. Supports unit based shared governance and decentralized...

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Job Description Inova Fairfax Medical Campus is seeking a Registered Nurse Unit Supervisor on the Medical/Surgical Unit Full Time Days Sign-on Bonus & Relocation Available Inova Fairfax Hospital is proud to be recognized as one of the top 10 Major Teaching Hospitals in the U.S. We maintain accolades for high-quality patient care and safety, recognized by top ranking in U.S. News & World Report for the past four years. We're also included in the 2024 Fortune/PINC AI 100 Top Hospitals. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. The Registered Nurse (RN) Unit Supervisor serves as a front-line leader who is accountable for delivering highly reliable results related to quality and best practices to improve the clinical operations of the unit. Embraces, uses and understands the research behind...

A local government entity is seeking an Outpatient Medical Coder to perform remote coding for all outpatient visits and surgical procedures. This part-time position requires a commitment of a minimum of 20 hours per week, allowing flexible scheduling. The ideal candidate will have experience with medical coding and familiarity with the VistA/CPRS system while ensuring compliance with HIPAA regulations. #J-18808-Ljbffr

Outpatient Medical Coder (Healthcare) The 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 Part Time opportunity, and we are looking for coders who can commit to a minimum of 20 hours per week, scheduled at your discretion from Monday through Sunday weekly. #J-18808-Ljbffr

A local government agency in Virginia is seeking a part-time Inpatient Medical Coder to support the Department of Veterans Affairs. The role involves analyzing patient health records to assign appropriate codes based on international coding standards. Candidates should possess active certification and have experience in coding, ensuring accuracy and compliance with coding guidelines. A minimum commitment of 20 hours per week is required, scheduled flexibly from Monday to Sunday. #J-18808-Ljbffr

Copy Of Inpatient Medical Coder (Healthcare) The Inpatient Medical Coder will provide support to the Department of Veterans Affairs by analyzing and abstracting patient health records, then assigning appropriate alpha-numeric codes for diagnoses and procedures. This role requires expertise in the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). This is a Part Time opportunity, and coders must commit to a minimum of 20 hours per week, scheduled at your discretion from Monday through Sunday weekly. Position Responsibilities/Duties Working knowledge of CPT, ICD-10, and DRG assignment and must be able to code PTF charts in ICD-10 Ability to code the minimum per-hour productivity, including the related procedures, with 95% accuracy Active credentials as a certified coder and completion of all requirements to maintain active credentials Ability to follow site-specific coding guidelines...

A leading technology firm in Herndon, Virginia is seeking a detail-oriented Federal Compliance Tester for its Consulting Finance team. The successful candidate will hold a Bachelor’s degree in Accounting/Finance and have experience with FAR and CAS regulations. The role involves testing regulatory compliance and maintaining accurate records to support risk management. Applicants must have US Citizenship. This position promotes independent work with strong stakeholder communication requirements. #J-18808-Ljbffr

Job Description Job Description Creating and submitting medical claims to patients and insurance companies, ensuring accuracy and completeness. Checking patient insurance coverage and eligibility before billing. Following up on unpaid claims and initiating appeals for denied ones within standard billing cycle timeframes. Handling patient inquiries about bills, offering explanations, and setting up payment plans for those unable to pay in full. Collaborating with medical coders and other healthcare professionals to ensure accurate billing and to resolve discrepancies. Navigating and maintaining electronic health records (EHR) and billing software, posting payments to patient accounts. Calling insurance companies for updates on claim status and to clarify billing details. Adhering to HIPAA regulations, ensuring patient confidentiality at all times. Staying updated on healthcare regulations, medical terminology, and coding practices. Tracking, reviewing, and reporting on...

Job Description Job Description The Medical Billing Specialist is responsible for posting charges and receiving payment for all medical services rendered by Pediatric Associates of Alexandria. Employees in this role are held accountable for managing their accounts throughout the entire collections process. Prompt submittal and follow-up of all claims are essential for success. Persistency is vital! Errors will result in slow payment and/or reduced and lost revenue to PAA. Electronic Medical Records (EMR) experience preferred; our practice uses  eClinicalWorks(ECW). Duties & Responsibilities Include But Not Limited To: · Post insurance, patient and credit card payments for all assigned payers on a daily basis. · Complete claim forms, submit patient statements and claims. · Manage the claims submission process for all assigned payers. · Ensures all claims are submitted with minimal error rate. · Maintain a record of electronic claims/Patient Statements to include...

Job Type Full-time Description Medicines are powerful - they can prevent and heal disease, but they can also be costly, ineffective or even harmful if not prescribed and taken correctly. The team at Mosaic Pharmacy Service is helping people get more from their medicines™. Mosaic Pharmacy Service a one-of-a-kind pharmacy experience. The patients don't come to us, we ship to them! This model allows our pharmacy team to do their best work without interruptions and gives our patients the white glove delivery experience of receiving their meds in our innovative easy-to-use packaging. Mosaic Pharmacy Service is a "closed door" pharmacy that provides comprehensive pharmacy care to medically complex and vulnerable seniors, across the country. We provide a patient-focused, pharmacist-driven care model in collaboration with health systems, assisted living facilities and health plans. Our goal is to help our patients feel better about the medications they take every day by...

Medical Facilities Inspector Supervisor The Office of Licensure and Certification is seeking a Medical Facilities Inspector Supervisor. This position is currently offering a $5,000 sign-on bonus and 80 hours of front-loaded annual leave time with a one-year written agreement. The Medical Facilities Inspector Supervisor for the Long Term Care Team formally supervises inspectors/surveyors to ensure that inspections/surveys or reviews of health care facilities are performed in accordance with state and federal regulations. May conduct inspections and investigations directly, as needed. Characteristic activities include supervises inspections/surveys and complaint investigation activities, prepares inspector work schedules, reviews inspection/survey reports, address regulations and survey process questions for provider applicants, verifies applications meet regulatory requirements, manages database reflecting changes in licensed and certified health care facilities as well as...

About Integrated Management Strategies (IMS) LLC We area women-owned small business and management consulting firm that provides an array of business and technical services. IMS is headquartered inthe Washington, D.C. metropolitan area, with employees across 24 US states. What We Do We support the mission critical needs of federal agencies and commercial businesses by leveraging our experience, talent and can-do attitude, and solve their strategic and operational challenges. How We Do It We earn our clients’ trust through our personalized approach and attention to detail, allowing us to collaborate and solve even the most complex problems. About the role Are you ready for your next career adventure?! Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting practice....

Job Title: Medical Billing Specialist (Full Cycle) Location (city, state): Chevy Chase, MD Compensation: $19.00 - $23 per hour (based on experience) Benefits: This position is eligible for medical, dental, vision, 401(k), life insurance, disability coverage, and additional supplemental benefits. Industry: Healthcare / Revenue Cycle Management Work Schedule: Monday-Friday, 9:00am-5:00pm (full-time onsite, hybrid options after probationary period and upon leadership approval) About Our Client: Addison Group is hiring for our client, a healthcare organization seeking a Medical Billing Specialist. These individuals will play a key role in managing accounts receivable, resolving denials, and ensuring accurate and timely revenue capture across multiple clinics. Job Description: The Medical Billing Specialist will work the full revenue cycle process, from claim submission through payment posting and collections. This role requires strong knowledge of AR...

MedVanta is the nation's largest physician-owned and operated next generation management services organization (MSO). Our services are specifically designed for musculoskeletal (MSK) providers and go beyond that of a traditional MSO, empowering our clients with the precise infrastructure, data, technology, and administrative processes needed to thrive both today and tomorrow. MedVanta has an employee centered culture that supports and promotes diversity and inclusion. Our encouraging and empowering management style makes MedVanta a great place to further grow your knowledge while building a team driven path to success. The Central Billing Office (CBO) Accounts Receivable Representative is responsible for performing a variety of complex accounts receivable-related functions for the Central Billing office. The CBO Accounts Receivable Representative reports directly to the designated Central Billing Office leader. Duties include, but are not limited to: Investigates and...

A leading management consulting firm in Bethesda, MD, is looking for an experienced Outpatient Medical Coder to join their healthcare consulting practice. The role requires accuracy in coding and a minimum of 3 years of experience. Candidates must hold active coding certifications and be capable of working with sensitive patient data. The position offers competitive benefits including a 401(k) retirement plan and personal development opportunities. #J-18808-Ljbffr

A healthcare staffing company is seeking a Medical Billing Specialist in Bethesda, MD. The role will manage the full revenue cycle, resolve denials, and ensure timely revenue capture across multiple clinics. Candidates should have at least 2 years of Profee AR follow-up experience and strong knowledge of medical billing and insurance requirements. This position offers hybrid work potential after 90 days and other benefits such as medical and dental coverage. #J-18808-Ljbffr

The Associate Director, Congress and Medical Education Strategy & Execution is responsible for executing and contributing to the global medical strategy and tactical implementation for congresses and medical education, and supporting Otsuka's non-promotional scientific communication initiatives across the diverse Rare Disease portfolio. This role leads scientific engagement through impactful congress planning & execution educational programs, and evidence-based content that support Otsuka's mission to improve patient outcomes through deep scientific understanding and collaborative partnerships. The Associate Director partners closely with global and regional cross-functional stakeholders - including Global Medical Affairs, Clinical Development, Global Integrated Evidence & Innovation (GIE&I) and Commercial, to ensure scientific alignment, operational excellence and consistency in Otsuka's external scientific exchange. Job Description Key Responsibilities...

A leading pharmaceutical company in Washington, D.C. is seeking an Associate Director, Strategic Planning & Operations. This role requires a minimum of 7 years in Global Medical Affairs and focuses on enhancing operational excellence and collaboration across departments. Candidates should possess a strong background in project management and process improvements. The position offers a comprehensive benefits package and opportunities for professional development. #J-18808-Ljbffr

Job Title: Regulatory Analyst Coder (Publication Surveillance Project) Location: Washington, DC Metro Area (Remote with occasional travel to Hyattsville, MD) Employment Type: Immediate Opening | Full-Time We are currently seeking a Regulatory Analyst Coder to support our Publication Surveillance project. 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. Key Responsibilities: Apply analytical methodologies and regulatory principles to support compliance initiatives. Evaluate industry data and advertising materials to identify trends and implement strategic responses. Collect, code, and model data to create performance measurements aligned with project goals....

Job Description Job Description Benefits: 401(k) matching Dental insurance Health insurance Vision insurance Lead the medical claims and coding analyses, identifying and resolving process, payment, and systems issues. Provide support in developing and maintaining bill processing controls, including determining restrictions on service code utilization based on code descriptions (HCPCS/CPT). Analyzing the performance of bill processing contractors by reviewing claim transactions to ensure accurate billing and processing, designing and implementing medical coding studies, and providing analysis and recommendations on medical coding practices, and response to customer inquiries. RESPONSIBILITIES: Plans, designs, and implements assignments, projects, and/or studies in the areas of medical coding. Utilizes current medical and scientific knowledge available in reference manuals, books, and other documents on how they clinically and administratively apply to the OWCP...

Job Description Job Description INTRODUCTION Under the supervision of the Medical Billing Coding Manager, the coding specialist is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding specialist also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. DUTIES AND RESPONSIBILITIES Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Supports the Senior Medical Billing and Coding Specialist to respond to audit findings and make applicable coding additions or corrections. Registers and analyzes claims in the EMR...