151 jobs found in Silver Spring, MD

*Description* This individual will be coming on site full time to help support this Orthopedics organization with their billing processes. They will be billing for 4 providers, but they are bringing in more in the future. And they have 2 off site people who support part time. A lot of it is going to start with clean up, to help them process things from the past that are still pending. Working through the rest of the billing as it comes in. They will start on paper billing, but they are moving everything over to Electronic billing in an older system called Medix Premier. The more of the day to day will focus on: - Payment Posting- They will review the bill, circle the fee, and then put the payment posting in - Denials- Going in to anything that did not get paid, why? What do they need to do to fix it? - HCFA Forms- Mailing these out - Workers Compensation and Liability Billing- Being an Orthopedic clinic, they do a lot of workers comp claims and payments, so any knowledge in...

Job Description Job Description Inpatient Medical Coding Auditor/Trainer- Lead (ON-SITE) Walter Reed National Military Medical Center ABOUT US: Laredo Technical Services, Inc. provides staffing services to federal Government agencies all over the world.   LTSi connects the right opportunities to the right people.  With our experience in placing our Team Members throughout the United States and overseas, we excel at providing experienced, professional personnel for a wide range of Professional and Office Administration as well as Medical Services. Our goal is to provide the highest quality professionals in the industry. LTSi’s culture delivers a strong work ethic while going above and beyond with a sense of urgency.  We are an employee-driven company.  We strive for excellence every day, which is what sets us apart from all the other government contractors. As a Certified Service-Disabled Veteran Owned Small Business (SDVOSB) Minority Business...

About Integrated Management Strategies (IMS) LLC We are a women-owned small business and management consulting firm that provides an array of business and technical services. IMS is headquartered in the 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 Outpatient Medical Coder...

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...

Ivyhill has an immediate need for a Regulatory Analyst Coder that will support their Publication Surveillance project. The position will mostly be remote, but may require travel to our 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.) Key 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 patterns....

Position Description: This position is responsible for reviewing, prioritizing, and analyzing adverse medical events related to medical devices that are submitted on MedWatch reporting forms via hard copy or electronically to our customer, the Food and Drug Administration (FDA). Additionally, this position is responsible for processing and coding a variety of reports from device manufacturers (MFR), importers, user facilities, health care professionals, and customers. While Analyst Coders may be assigned to perform the primary functions shown above, they will also be cross-trained to perform secondary duties according to business needs. Required Qualifications: Must Possess a Bachelor's degree in related health science fields such as nursing, pharmacy, veterinary, and/or certified licensed technicians as appropriate for each center. Good telephone etiquette. Clinical experience in the different medical specialties. Team player, good organizational skills,...

Analyst Coder (FIRF - TO 12) Greater Landover, MD, USA 52,000.00-62,000.00 per year Salary Full Time BlackFish Federal offers a variety of benefits such as Paid Time Off, Medical, Dental, Life, Vision, STD/LTD, and 401(k). Position Description: This position is responsible for reviewing, prioritizing, and analyzing adverse medical events related to medical devices that are submitted on MedWatch reporting forms via hard copy or electronically to our customer, the Food and Drug Administration (FDA). Additionally, this position is responsible for processing and coding a variety of reports from device manufacturers (MFR), importers, user facilities, health care professionals, and customers. While Analyst Coders may be assigned to perform the primary functions shown above, they will also be cross-trained to perform secondary duties according to business needs. Required Qualifications: Must possess a Bachelor's degree in related health science fields such as nursing, pharmacy,...

Job Description Job Description Description: At HeiTech Services, our employees are our biggest assets. HeiTech Services is dedicated to attracting highly skilled and motivated professionals. We value our employees. We offer our employees challenging opportunities that facilitate professional growth and development while also providing the support you need to succeed. We are committed to your success because we understand that our employees are the driving force behind HeiTech Services’ continued growth. Our mission is to help the Federal Government keep Americans safe. * Non-patient care role. This position is responsible for reviewing, prioritizing, and analyzing adverse medical events related to medical devices that are submitted on MedWatch reporting forms via hard copy or electronically to our customer, the Food and Drug Administration (FDA). Additionally, this position is responsible for processing and coding a variety of reports from device...

Ivyhill has an immediate need for a Regulatory Analyst Coder that will support their Publication Surveillance project. The position will mostly be remote, but may require travel to our 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.) Key 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 patterns. Support...

A leading pharmaceutical company is on the lookout for a skilled Associate Director of Medical Strategy and Operations. In this essential position, we seek an individual with a minimum of 7 years of experience in Global Medical Affairs, focused on advancing operational excellence and fostering collaboration across departments. The ideal candidate will have: A solid foundation in project management The ability to implement effective process improvements By joining our dynamic team, your expertise will be highly valued and will play a critical role in shaping the future of our industry. We offer a competitive benefits package and numerous opportunities for professional development and career advancement. If you are ready to make a significant impact in the pharmaceutical landscape, we encourage you to apply!

Become a part of our caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

Medical Science Liaison At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. We're looking for people who are determined to make life better for people around the world. Organization Overview At Lilly, we believe in the talent of our workforce. One of the best ways to utilize and develop that talent is to use our existing workforce to fill new and/or open positions. If you are looking for a new position within Lilly, you can view and apply to open roles posted in the internal job posting system. You must meet the minimum qualifications outlined in the job description and...

Medical Biller Location: Remote Position Type: [Full-Time/Part-Time/Contract] Job Summary: We are seeking a detail-oriented and organized Medical Biller to join our healthcare team. The Medical Biller will be responsible for handling billing processes, ensuring accuracy in coding, submitting claims to insurance companies, and following up on outstanding payments. The ideal candidate will possess excellent communication skills, a strong understanding of medical billing procedures, and the ability to work collaboratively with medical and administrative staff. Key Responsibilities: Review and verify patient information, insurance coverage, and medical records for accuracy and completeness. Accurately code diagnoses, procedures, and treatments using standard medical coding systems (e.g., ICD-10, CPT, HCPCS). Submit insurance claims and follow up on denials or rejections to ensure timely reimbursement. Communicate with insurance companies, patients, and healthcare providers to...

Job Title Responsible for the review and coding of inpatient and/or ambulatory surgery records utilizing ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions for the establishment of diagnoses and procedures. The coded data is utilized for reimbursement, clinical care assessment, education, research, case mix and health care statistical reporting.

Medical Coder Quality Assurance Location: Remote Type: Contract Interview Process: 1 Round (MS Teams) Job Description: We are seeking an experienced Medical Coder Quality Assurance professional to support a high-volume urgent care provider. This role will focus heavily on Evaluation & Management (E/M) coding review, pre-payment claim audits, and medical record adjudication.

Spec, Phys Svc Coding III The primary purpose of the SPEC, PHYS SVC CODING III is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level III roles include but are not limited to invasive and surgical coding such as general surgery, interventional radiology, invasive cardiology, and anesthesia. Essential duties and responsibilities include: Assign ICD-10, CPT, HCPCS and modifiers codes from documentation Review and appropriately resolve pre-bill edits Review and appropriately resolve coding denials Meet or exceed productivity standards Meet or exceed accuracy rate of 95.5% in monthly internal audits Effectively present coding issues to internal team members, internal...

Be the First to Apply Focus on the core content of the job post, removing any extra metadata, navigation mentions, and redundant headers. Keep the formatting beautiful and high signal to noise ratio.

Datavant is a leading data platform company specializing in health data exchange, dedicated to empowering healthcare decisions with timely and accurate data. We harness the power of the largest health data network in the U.S. to ensure data is secure and effectively used to enhance health outcomes. Joining Datavant means becoming a vital part of a high-performing, values-driven team that is addressing complex healthcare challenges with innovative solutions. Our team members come from diverse professional, educational, and personal backgrounds to pursue our ambitious vision for healthcare. We are actively seeking skilled and credentialed outpatient coders to enhance our team. The ideal candidate will demonstrate exceptional attention to detail and possess a profound understanding of medical terminology. This remote position offers flexibility, allowing you to contribute significantly to the future of healthcare from your own home! What You Will Do: Review medical records...

Join Our Innovative Health Information Management Team! About the Opportunity: We are on the lookout for a Lead Inpatient Medical Coding Specialist to become a vital part of our forward-thinking healthcare information management team. In this pivotal role, you will seamlessly connect clinical data with cutting-edge technology, contributing to the evolution of AI-driven solutions for medical coding and billing. Your extensive expertise will shape our product development strategies and help us redefine the future of healthcare. Key Qualifications: A minimum of 3 years of substantial experience in inpatient medical coding within a hospital setting. Demonstrable proficiency in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and relevant modifiers from patient records. A comprehensive understanding of the evidence requirements for precise and accurate coding. Hands-on experience with grouper software for MS-DRG and...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Job Purpose: The Coding Specialist III can maintain up to two concurrent client assignments that are short-term in nature. For each client, the Coding Specialist III reviews documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs. For both professional and technical claims and data needs, the Coding Specialist III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also validates MS-DRG and APC calculations,...

Associate Director, Medical Science Liaison At Insmed, every moment and every patient counts and so does every person who joins in. As a global biopharmaceutical company dedicated to transforming the lives of patients with serious and rare diseases, you'll be part of a community that prioritizes the human experience, celebrates curiosity, and values every person's contributions to meaningful progress. For patients, for each other, and for the future of science, we're in. Are you? About the Role: We're looking for an Associate Director, Medical Science Liaison on the US Medical Affairs team to help us expand what's possible for patients with serious diseases. Reporting to the National Sr Director, US Field Medical you'll develop and maintain professional relationships with external healthcare practitioners to provide comprehensive medical and scientific support for the therapeutic area of Hidradenitis Suppurativa (HS). Mid-Atlantic Territory - KY, VA, MD, WV, MI, OH, DC...

Corporate Coder The Corporate Coder ("CC") functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC's and/or other projects where indicated. Responsibilities: Accurately and productively code/abstract patient health documentation for Tenet facilities. Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. Assisting in coding quality reviews/audits and second level reviews as needed. Attends Tenet coding educations and maintains coding credentials. Required: Ability to work 20...