25 jobs found in Silver Spring, MD

Medical Coder Job Duties: Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications. Researches and analyzes data needs for reimbursement. Analyzes medical records and identifies documentation deficiencies. Serves as resource and subject matter expert to other coding staff. Reviews and verifies documentation supports diagnoses, procedures and treatment results. Identifies diagnostic and procedural information. Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes. Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines. Follows coding conventions. Serves as coding consultant to care providers. Identifies discrepancies, potential quality of care, and billing issues. Researches, analyzes, recommends, and facilitates plan of action...

Join our dynamic team as a Financial Compliance Auditor and be a key player in safeguarding our organization’s financial integrity. Your expertise will not only help us comply with regulations, but also enhance operational efficiencies and identify potential risks. Discover the impact you can make with us through the following responsibilities: Strategic Audit Planning: Grasp our organizational goals and structures to prepare meticulous audit scopes that align with policies, processes, and external regulations. Compliance Verification: Conduct audits that rigorously test general ledgers, account balances, and financial statements while reviewing documentation and operational practices. Risk Assessment & Control Evaluation: Identify non-compliance areas and evaluate financial processes to uncover weaknesses and suggest avenues for improvement. Asset Accuracy Checks: Ensure precision by validating items and collateral against existing documentation. Thorough...

Join Stout, where our commitment to delivering exceptional results is paramount. Our philosophy of Relentless Excellence drives our approach, creating a culture built on core values such as positivity, teamwork, accountability, and effective communication. If you're ready to thrive in a supportive environment, we invite you to apply for this exciting opportunity. About Stout's Forensics and Compliance Group Our Forensics and Compliance group assists organizations in navigating intricate compliance, investigative, and regulatory challenges. With our strong technical skills and healthcare industry expertise, we identify issues like fraud, waste, and operational inefficiencies while fostering integrity. We collaborate closely with clients, legal counsel, and stakeholders to manage investigations, regulatory inquiries, and litigation while developing sustainable compliance solutions. Your Role Engage in client projects: Work independently and collaboratively 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...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Medical Coder to join our growing team. Job Summary: The Medical Coder is responsible for reviewing inpatient medical record documentation to ensure the accuracy, completeness, and clinical...

Description Sierra7 is looking for a Outpatient Medical Coding Auditor to support the Department of Veterans Affairs. The Auditor will have expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). The Medical Coding Auditors will serve as experts of current coding conventions and guidelines related to professional and facility coding and perform audits of encounters to identify areas of non-compliance in coding. This is a Part Time opportunity, and we are looking for auditors who can commit to a minimum of 20 hours per week, scheduled at your discretion from Monday through Sunday weekly. Position Responsibilities: Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Medical Coder Supervisor to join our growing team. Job Summary: Acentra Health is seeking an experienced Medical Coding Supervisor to lead and oversee medical coding operations in support of...

Description 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...

Description 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. Requirements Responsible for being qualified and competent to perform coding activities. There shall be no reimbursement charge for mileage, travel times, meals, parking, etc. Comply with all VA privacy and security requirements Must maintain above a minimum of 95% on all...

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 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...

Inpatient Medical Coder 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 medical coding field.

Outpatient Medical Coder 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...

Inova Fairfax Medical Campus is seeking a Registered Nurse Unit Supervisor on the Medical/Surgical Unit Full Time Nights 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 nursing practice...

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 ...

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Job Description Inova Fairfax Medical Campus is seeking a Registered Nurse Unit Supervisor on the Medical/Surgical Unit Full Time Nights 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...

Job Description Job Description We are seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice. The ideal candidate is detail-oriented, organized, and experienced with insurance claims, coding accuracy, and revenue cycle workflows. Responsibilities: Accurate medical coding (ICD-10, CPT, HCPCS) Submit and follow up on insurance claims Verify eligibility & benefits and resolve denials Post payments, adjustments, and reconcile accounts Work A/R reports and maintain clean claim rate Communicate with providers and staff for documentation support Qualifications: Certification required: CPC, CCS, or equivalent Minimum 1–2 years experience in billing/coding preferred Strong knowledge of CPT/ICD-10 and payer rules Must have experience with eClinical Works EMR Strong attention to detail and ability to meet deadlines We offer: Competitive pay (based on experience), benefits package...

Job Description Job Description Benefits: 401(k) 401(k) matching Competitive salary Dental insurance Free uniforms Health insurance Paid time off Vision insurance We are seeking a Certified Medical Billing & Coding Specialist to join our busy healthcare practice. The ideal candidate is detail-oriented, organized, and experienced with insurance claims, coding accuracy, and revenue cycle workflows. Responsibilities: Accurate medical coding (ICD-10, CPT, HCPCS) Submit and follow up on insurance claims Verify eligibility & benefits and resolve denials Post payments, adjustments, and reconcile accounts Work A/R reports and maintain clean claim rate Communicate with providers and staff for documentation support Qualifications: Certification required: CPC, CCS, or equivalent Minimum 12 years experience in billing/coding preferred Strong knowledge of CPT/ICD-10 and payer rules Must have experience with eClinical Works...

A private family practice office located in northern Virginia looking for a certified biller/coder to work in person with flexible hours. The candidate should be dedicated, energetic and be a team player. Experience with eclinical works EMR is a plus.  This job is offered with competitive salary and full benefits including health and dental insurance, matching 401K and paid time off. please send the resume to md@virginiafamilydr.com

Position: Medical Billing Specialist Location: Remote / On-site Department: Revenue Cycle Management Overview CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal claim rejections. Why Join CMCI? Opportunity to work with cutting-edge AI-driven billing solutions that optimize RCM efficiency. Work in a collaborative environment with healthcare and AI professionals. Competitive salary, benefits, and professional development opportunities. Key Responsibilities Claims Processing & Submission: Accurately process, review, and submit medical claims. Verify CPT, ICD-10, and HCPCS codes to...

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 patients 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: Bachelors 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...

Inova Systems Operations is looking for a dedicated Medical Records Coder 4 for Inpatient. This role will be full-time day shift with a negotiable schedule. This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. 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. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their spouses/partners, and...

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...

Certified Medical Coder Specialist Our Business Department is currently welcoming a temporary full-time Certified Medical Coder Specialist! This position is fully in-person and not remote. Key responsibilities include assembling and analyzing all discharged records and maintaining an organized system for notification of deficiencies. Responsible for sending reports to referral sources and healthcare providers as identified. Assigns appropriate medical codes to charts to assure accurate billing. Assists with data collection and presentation for facility PI activities. Responsible for release of medical record information from active and discharge files in accordance with all applicable legal, accrediting, and regulatory agency requirements. Files all loose reports into discharged records. Maintains "copy" file and outside information file. Maintains permanent file and incomplete chart file. Coordinates the transcription of dictated or written materials for medical record reports....