55 jobs found in Washington, DC

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...

A community health organization is seeking a Medical Billing Specialist to ensure accuracy in billing records and manage claims. The role involves conducting eligibility reviews, resolving billing issues, and supporting the billing team. Ideal candidates have revenue cycle experience and strong communication skills. This hybrid position in Washington, DC, necessitates attention to detail and ability to meet deadlines, while contributing to the organizations mission of serving marginalized communities. #J-18808-Ljbffr

A leading defense and technology company is seeking a Senior Government Compliance (Auditor) to support compliance and audit activities for the Federal Aviation Administration. The ideal candidate will conduct audits, ensure adherence to regulatory requirements, and maintain audit-ready documentation. This is a crucial role in safeguarding the integrity and efficiency of aviation operations. The position is located in Washington, DC. #J-18808-Ljbffr

Job Description Job Description TrueYou Center is a behavioral health service provider in DC, MD, and VA. We are seeking a detail-oriented and experienced Medical Billing Specialist/ Office Receptionist to join our team. The ideal candidate will have a strong background in medical billing procedures, excellent communication skills, and the ability to work effectively in a fast-paced environment.    As a Medical Billing Specialist, you will be responsible for verifying benefits, accurately billing patients and insurance companies, resolving billing discrepancies and claim denials, and ensuring timely payments. As an Office Receptionist, you will be responsible for answer incoming calls/emails (both must be answered within 24 hours), Schedule/reschedule patients’ appointments, and Manage patient onboarding and uploading patient information into the EHR. YOU MUST LIVE IN CT, PA, MD, VA, or DC. if you do not live in the States stated your application will not be considered. This...

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.

Certified Medical Coder Location: Remote Type: Contract to hire Pay Rate: $21.00/hour Job Summary: We are looking for a Certified Medical Coder to join our remote team in a term-to-perm role. This is a great opportunity for someone with a solid foundation in medical coding who is ready to take the next step in their career. You'll play a key role in ensuring coding accuracy and compliance with industry standards. Key Responsibilities: Assign diagnosis codes and procedure codes to patient records Ensure accurate and timely coding for all patient encounters Maintain compliance with HIPAA regulations and other coding standards Collaborate with healthcare professionals to clarify coding requirements Participate in ongoing training and development to stay current with coding changes Qualifications: Certified Medical Coder (CMC) or equivalent certification Proven experience in medical coding Strong knowledge of ICD-10-CM, CPT, and HCPCS coding systems Excellent attention...

Outpatient Coder 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 Coder to join our healthcare consulting practice. The role is fully remote within the US. We are proud of our national presence, and excited to offer great career opportunities within the organization. What you'll do Accurately assigns diagnosis and procedure codes for Outpatient specialty and any Outpatient primary care encounters billable to a third party. Researches and resolves coding edit failures as assigned. Review medical documentation and codes for compliance with federal coding regulations and DoD guidelines. Obtain clarification of conflicting, ambiguous, or non-specific documentation. Complete training on all government systems, including all annual and short notice...

Medical Surgical/Neuro Ortho RN Clinical Supervisor (Full Time-Nights) Cedar Hill Regional Medical Center GW Health is the first new full-service hospital in Washington, DC in more than 20 years, integrating clinical care with existing community providers, Federally Qualified Health Centers (FQHC's), The George Washington University Hospital, and our Urgent Care Center in Ward 8. This integrated delivery system is a robust network of care for all District residents, but more importantly, it ensures that residents of Wards 7 and 8 have access to high quality care in their community. This full-service hospital includes 136 beds (with the ability to expand to 184 beds), a verified trauma center, adult and pediatric emergency departments, maternal health and newborn delivery, an ambulatory pavilion for clinic visits and other outpatient services, a 500-car garage, and a helipad for emergency transport. We are seeking an experienced Medical Surgical/Neuro Ortho RN Clinical...

Job Opportunity At Takeda Principal responsibilities include: Supports the Global Safety Lead (GSL) for assigned oncology pharmaceutical/biological/drug-device combined products. Responsible for safety surveillance, signal detection, and risk management activities. Supports cross-functional assessment of benefit-risk profile and communication of safety information for assigned compounds and products. Provides pharmacovigilance functional area expertise and support to project teams for assigned developmental and/or marketed products. Represents pharmacovigilance, both regionally and globally, as an authoritative and knowledgeable member of Global Program Teams (GPTs) and subteams, commensurate with position's seniority/experience. Coordinates all aspects of signal detection and safety surveillance and review activities, in collaboration with the GSL, for assigned product(s). Accountabilities include: Analyze and interpret safety data from various sources including...

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...

Inpatient Coder Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Include the following. Others may be assigned. Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA). Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and...

Job Title Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role.

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,...

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Job Description: The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. Essential Functions Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for 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...

A distinguished healthcare organization is looking for a detail-oriented Medical Biller in Washington, D.C. The candidate will manage billing processes, ensuring accurate coding and timely collections. Responsibilities include processing claims, reviewing records, and ensuring compliance with regulations. Ideal candidates have 2+ years in healthcare, proficiency in medical software, and a strong understanding of medical terminology. Competitive compensation of $20$25 per hour based on experience offered. #J-18808-Ljbffr

A government support services firm in Washington, DC, is looking for a Human Resources Specialist (Accountability). This entry-level position focuses on reviewing HR transactions, conducting audits, and ensuring compliance with federal hiring regulations. Candidates must be U.S. citizens, hold Delegated Examining Certification, and be able to clear a DHS Public Trust background check. This full-time role plays a critical part in enhancing HR program accountability and efficiency. #J-18808-Ljbffr

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...

Join to apply for the Front Office Supervisor (Overnight Shift) - Night Auditor role at The Watergate Hotel . The Watergate Hotel is a luxurious urban resort located along the banks of the Potomac River in Washington, D.C. The hotel blends modern design with a storied past and offers personalized service and attention to detail for both leisure and business guests. Location: Washington, D.C., centrally located within walking distance of the citys attractions. Reports To: Front Office Manager. General Duties And Responsibilities Provide exceptional service to guests with personalized, efficient, and friendly check?in and check?out procedures. Handle and assist with resolution of all guest issues; communicate with appropriate departments and follow up to ensure complete guest satisfaction. Possess a high level of expertise on all hotel services, banquet events, group events, and local attractions. Handle cash drawer properly in accordance with hotel cash...

Join Datavant, a leading data platform company revolutionizing health data exchange. Our mission ensures that every healthcare decision is guided by the right data at the right time and in the right format. As the world's foremost health data network, our platform enables secure, accessible, and actionable data, empowering healthcare stakeholders including life sciences firms, government agencies, and care providers. By becoming part of Datavant's high-performing, values-driven team, you'll contribute to innovative technology solutions that address some of healthcare's most challenging issues. Our diverse team brings various professional, educational, and life experiences together to achieve our ambitious goals for the healthcare sector. What You'll Be Doing: Conduct audits of coded medical charts according to the client's guidelines as assigned by the quality supervisor. Navigate multiple client guidelines with ease. Maintain a 95% quality average at the...

Job Description About the Role: We invite you to be part of our forward-thinking healthcare information management team as a Senior Inpatient Medical Coding Specialist. This critical role will enable you to bridge the gap between clinical data and cutting-edge technology, directly contributing to the evolution of AI-driven solutions for medical coding and billing. Your extensive knowledge will play a vital role in shaping our product development strategies. Requirements and Qualifications: At least 3 years of in-depth experience in inpatient medical coding within a hospital environment. Proven expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. Thorough understanding of the evidence requirements necessary for precise coding. Hands-on experience with grouper software for MS-DRG and APR-DRG assignment. Strong communication skills for effective collaboration...