87 jobs found

Description: Job Summary: Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payors, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisor in responding to coding questions from other levels of coders and in responding to providers. Conducts special projects and focused reviews of encounters as requested. Essential Responsibilities: Required to research and assign. HCPCS Level II codes for ambulatory surgical services and/or professional services performed. Ability to research, analyze and/or review detailed and high complexity code edits and transactions within the Kaiser Permanente system. Provides additional support...

Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and Patient, Training, Part Time, Coder, Remote, Medical, Healthcare

Medical Biller - A/R Baltimore, MD Pay From: $22 per hour MUST: Experienced Medical Biller 2+ years of experience in a medical billing office and resolution of rejections Must have collections and A/R experience Must have strong appeals and denials experience Must have A/R follow up experience Must have a strong understanding of EOBs DUTIES: Medical Biller will be responsible for, but not limited to the following: Serves as lead worker and trainer for junior level staff. Enters charges accurately and timely, ensures charges are balanced and reconciled within department guidelines. Reconciles posted and edited payments against the ERA (Electronic Remittance Advice). Manually posts payments, contractual adjustments, and rejections from EOBs. Reconciles deposits against bank statements and major vendors, Balance Client/IDX daily. Breakdown of deposits by payer or FSC. Reviews and resolves credit balance if refunds or contractual adjustments are needed, or...

Advanced Behavioral Health, Inc. is looking for a Medical Billing Specialist, who is responsible for ensuring all patient encounters have been properly billed and reconciled through the clearinghouse process and ultimately paid by the insurer. The position works under the supervision of the Billing Supervisor and produces weekly aging and reconciliation reports showing status of all account encounters. ABH is a family centered mental health program that offers a wraparound approach to treatment. We specialize in Psychiatry, Off-Site Counseling Services, On-Site therapy, and Therapeutic Mentoring. If you share our mission and vision, we invite you to join a team that wants to make a difference within the community. Location: Frederick, MD Position Status: Full-Time; Non-Exempt Compensation: $21.50 - $27.50/hour Office Hours: Typical days and hours of work are Monday through Friday, 9:00 AM to 5:00 PM. Some flexibility in hours is allowed. Duties and Responsibilities:...

Government Jobs - Full-Time - $26.54 Hourly At The City of Frederick, we value diversity and the respect, engagement, and productivity an inclusive environment produces. We seek to consistently improve internal and external customer satisfaction, innovate, and expand capability of services, and be a government that practices equality, equity, and fairness. We invite you to bring your skills, abilities, and knowledge to The City of Frederick and be a valued addition to a workforce that we know is our greatest asset. Frederick is a progressive, richly diverse, and authentically charming city. Recognized as one of the best places to live in Maryland, Frederick is surrounded by mountain views and centrally located about 45 miles north of...

Job Title : Medical Coder Location : Greater Baltimore Area Type/Duration : Contract, 13 weeks - possible extensions Pay : DOE and Unit We are currently staffing for Medical Coders across several Hospital locations and units. This is a Generic Post for Personnel, who would be working in a Hospital setting in the greater Baltimore area. Specifics on Pay, Location, Unit, and Hours would be provided during your interview. JOB SUMMARY : Following established conventions and guidelines, codes and abstracts the medical records of the diverse population of records within the facility. Meets departmental accuracy and production standards. Reviews medical records to determine the providers diagnosis/procedures for unit and assigns ICD-10-CM codes, CPT, and facility E&M levels to those diagnoses/procedures. Reviews the entire record for codable information. Uses resources (Coding references and guidelines, Coding Clinics, Auditors, CDI staff, Co-workers, internet, etc.) for...

Are you an experienced coder looking for your next career move and not just the next contract position? Do you want to fast-track your career by working for one of the most innovative and reputable healthcare companies in the world? Do you enjoy working from home and the having the opportunity to make overtime pay occasionally? Then please keep reading! The CSI Companies is hiring a Remote Sr. Risk Adjustment Coding Consultant for our Fortune 100 healthcare client. This job can be worked from anywhere in the US as long as you have high speed internet and a distraction-free home office area.As one of the most respected and innovative healthcare companies in the world, you will receive state of the art training within a compassionate company culture, that will allow you to expand your skillset for the future of your career. When future employees see this experience on your resume, you will be a step ahead of the rest. Title of Job: Sr. Risk Adjustment Coder - Remote Pay:...

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...

Medical Biller - A/R Baltimore, MD Pay From: $22 per hour MUST: Experienced Medical Biller 2+ years of experience in a medical billing office and resolution of rejections Must have collections and A/R experience Must have strong appeals and denials experience Must have A/R follow up experience Must have a strong understanding of EOBs DUTIES: Medical Biller will be responsible for, but not limited to the following: Serves as lead worker and trainer for junior level staff. Enters charges accurately and timely, ensures charges are balanced and reconciled within department guidelines. Reconciles posted and edited payments against the ERA (Electronic Remittance Advice). Manually posts payments, contractual adjustments, and rejections from EOBs. Reconciles deposits against bank statements and major vendors, Balance Client/IDX daily. Breakdown of deposits by payer or FSC. Reviews and resolves credit balance if refunds or contractual adjustments are needed, or...

Job Description Job Description Company Description The University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health and physical rehabilitation. UMMS is the fourth largest private employer in the Baltimore metropolitan area and one of the top 20 employers in the state of Maryland. No organization will give you the clinical variety, the support, or the opportunities for professional growth that you’ll enjoy as a member of our team.  Job Description I. General Summary Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. II. Principal...

REMOTE WORK OPPORTUNITY Acceptable remote locations: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia COMPETITIVE BENEFITS REQUIRED CERTIFICATIONS - CCS or CCA with 5+ years' experience or RHIT or RHIA JOB SUMMARY: Following established conventions and guidelines, codes and abstracts the medical records of inpatients. Groups codes to determine diagnosis related groupings (DRGs-CMS and/or APR). May be asked to code day surgery, emergency and outpatient records. Meets departmental accuracy and production standards. ESSENTIAL FUNCTIONS: Codes Reviews medical records to determine the physicians diagnosis/procedures for the patient and assigns ICD-10CM/PCS codes to those diagnoses/procedures. Abstracts predetermined information from inpatient, day surg, ER, and outpatient records and enters that information on to the medical record abstract. Communicate Assures that co-workers and management are well-informed and adequately prepared by...

Personalized Health Partners is currently recruiting Nurse Practitioner Coding Auditors. These positions can be mostly remote and work from anywhere within the Eastern Time Zone. The PHP Nurse Practitioner Coding Auditor has a passion for inspecting medical documentation for clinical and coding accuracy. The nurse practitioner coding auditor will review documentation of PHP providers for accuracy and provide feedback to clinical leadership and education to providers based on audit findings. Job Summary : The primary role of the Nurse Practitioner Coding Auditor is to review and assesses the accuracy, completeness, specificity and appropriateness of diagnosis codes identified in the medical record completed by Personalized Health Partner clinical providers. In addition, this role will be responsible for understanding the relationship between ICD-10-CM coding and HCC (hierarchical condition categories) and communicating audit findings with the providers so that optimal...

HIM OUTPATIENT CODER FULL-TIME REMOTE OPPORTUNITY SIGN-ON BONUS ELIGIBLE $10,000 Acceptable remote locations: District of Columbia, Maryland, Pennsylvania, Virginia, West Virginia Join LifeBridge Health, a 6-time winner of 'Best Places to Work'! Competitive Benefits : Enjoy excellent health insurance, retirement plans, and more. Growth Opportunitie s: Advance your career with robust training and development programs. Flexible Work Option s: Coders are able to work remotely for a balanced lifestyle. AHIMA Membership : Gain valuable professional development resources through our membership. Build a rewarding career with a leading healthcare organization. JOB SUMMARY: Following established conventions and guidelines, the HIM Outpatient Coder codes and abstracts the medical records of the diverse population of facility outpatient records. Assists with coding and leveling ERs as needed. Assists with coding and charging infusion cases as needed. Meets...

Medical Biller Charge Entry Baltimore, Maryland Pay From: $21 per hour MUST: Experienced Medical Biller Charge Entry 2 plus years of professional experience as a Medical Biller 2 years of experience doing charge entry Must have medical coding knowledge Must have experience with EMR DUTIES: Medical Biller will be responsible for, but not limited to the following: Receive and review charge entry data from all practice locations Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record Accurately and efficiently enter charges and adjustments Apply patient payments in Practice Management system Inform supervisor of consistent issues when identified Perform edit checks on data entered prior to transmittal and corrects errors as indicated Keep current on informational changes in billing procedures Analyze medical record documentation for consistency and completeness for...

Medical Biller - Durable Medical Equipment Hanover, MD Pay From: $26 per hour MUST: The Medical Biller must have experience: Working in a Durable Medical Equipment environment Strong understanding of Medicare, Medicaid, and private insurance billing processes Must be detail-oriented and have strong communication skills Must have the ability to work independently DUTIES: Process and submit DME claims to insurance companies, Medicare, and Medicaid Verify patient insurance coverage and eligibility Review and correct denied or rejected claims Post payments and reconcile billing discrepancies Maintain accurate billing records and documentation Communicate with insurance providers and patients regarding billing inquiries Ensure compliance with all healthcare regulations and billing guidelines Complete full cycle medical billing Ensuring accurate and timely claim submissions, insurance verifications, payment postings, and follow-ups with both insurance providers and...

Certified Professional Coder Specialty Baltimore, Maryland Pay From: $25 per hour MUST: Experienced Certified Professional Coder / Certified Professional Coder - Apprentice Must have 2 plus years of medical billing and coding experience Must be a Certified professional coder (CPC) or a Certified Professional Coder Apprentice (CPC-A) Must have knowledge of ICD-10 Must have revenue cycle experience that includes billing and collections Must have strong Microsoft office Suite experience Must have high attention to detail DUTIES: Certified Professional Coder will be responsible for but not limited to the following: Generates revenue by making payment arrangements; collecting accounts; monitoring and pursuing delinquent accounts Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur Utilizes collection agencies and small claims court to collect accounts by evaluating...

Medical Biller - A/R Baltimore, MD Pay From: $22 per hour MUST: Experienced Medical Biller 2+ years of experience in a medical billing office and resolution of rejections Must have collections and A/R experience Must have strong appeals and denials experience Must have A/R follow up experience Must have a strong understanding of EOBs DUTIES: Medical Biller will be responsible for, but not limited to the following: Serves as lead worker and trainer for junior level staff. Enters charges accurately and timely, ensures charges are balanced and reconciled within department guidelines. Reconciles posted and edited payments against the ERA (Electronic Remittance Advice). Manually posts payments, contractual adjustments, and rejections from EOBs. Reconciles deposits against bank statements and major vendors, Balance Client/IDX daily. Breakdown of deposits by payer or FSC. Reviews and resolves credit balance if refunds or contractual adjustments are needed, or...

Job Description Job Description Benefits: 401(k) Competitive salary Paid time off Fast-paced medical practice is seeking an experienced and highly organized Medical Front Desk Supervisor to lead our front office team and ensure a smooth, efficient patient experience from check-in to check-out. You will oversee the daily operations of the front office, including patient scheduling, insurance verification and staff supervision. The ideal candidate is a hands-on leader with a strong background in medical office procedures, excellent communication skills, and a passion for delivering outstanding customer service. Responsibilities: -Supervise and support front desk staff, ensuring professional and efficient patient interactions -Oversee scheduling, registration, and insurance verification process -Train and mentor front office team members

Luminis Health Title: Clinical supervisor Department: CP Med 1 Reports To: Clinical Director – Nursing Job Code/Cost Center: 20000-10070-000747 FLSA Status: Non-Exempt Position Objective The Clinical Supervisor directly supervises staff and is a clinical expert practitioner specific to the unit at education/staff development functions as well as designated management functions to promote high quality, cost effective health care. Essential Functions Clinical Decision Making/Judgment Demonstrates expert clinical knowledge and skill in the specialization of the unit or initiative. Provides for the coordination of patient care throughout the continuum for areas of responsibility. Serves as an expert clinician, acting as a clinical resource for the staff. Works collaboratively with other disciplines in problem analysis and resolution for pathways, protocols And patient care delivery. Expertly organizes and reprioritizes patient care activities based on subtle and overt...

Medical Biller - Full A/R Rockville, MD Pay From: $20 per hour MUST: 2+ years of Medical Biller - Full A/R experience MUST have general billing knowledge with different insurance providers MUST have full A/R and Revenue Cycling experience MUST have self-pay collections MUST have experience with Excel MUST have an understanding of ICD9, ICD10, HCPCS and CPT coding guidelines MUST have worked with all insurances Experience working with large scale transactions and heavy volume Proficiency working with accounting software and Microsoft Office Ability to exercise independent judgement, organize own work, set priorities and meet critical deadlines. Highly attentive to details Team player, intensely committed to success and getting the job done well in a highly dynamic environment DUTIES: Summarizing receivables by maintaining invoice accounts; coordinating monthly transfer to accounts receivable account; verifying totals; preparing report. Updating receivables by...

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...

Job Description Job Description VECRA is seeking Full-Time and Part-Time Medical Coder III- Inpatient Medical Coder VECRA, Inc. has a requirement for professional Medical Coders. Applicant must be a current Certified Medical Coder(s), Certified Coding Specialists (CCS), Certified Coding Specialist(s)-Physician based (CCS-P), Certified Professional Coder(s) (CPC), Registered Health Information Administrator(s), (RHIA) or Registered Health Information Technician(s) (RHIT) who has current or recent  experience to code, recode, abstract, analyze and assemble medical record data. Applicant must be able to accurately assign ICD-10 CM, E/M, ICD-10 PCS, CPT, HCPCS, modifiers and units based on provider and other qualified healthcare professional documentation. Applicant must be able to maintain and follow applicable information that the systems and/or software required for Multi-specialty Outpatient Clinical encounters, Ambulatory (APV), Emergency Room, Same day surgeries,...

Job Description Job Description Job Title: Financial Analyst/ Medical Biller (Entry-Level) Walter Reed National Military Medical Center (Hybrid) Location: WRNMMC - Bethesda, MD Contract: Walter Reed Contractor Period of Performance: Full-time position Start Date: Open Additional: THIS POSITION IS FIVE (5) DAYS IN THE OFFICE/ NO TELEWORK Salary: $21.47 per hour + $4.57 health & welfare allowance= $26.04 per hour Clearance Requirement: Must be able to pass a NACI background check/ still checking for background clearance requirements. Preference: Must have a High School Diploma, Associate Degree, or higher/ preferred BA Degree, and must have a minimum of 2–3 years of experience with standard office financial and administrative functions, especially in the medical field. **** Veterans friendly encourage to apply**** Note: The Ravens Group, Inc. requests that all interested parties complete the attached questionnaire to be considered...

Medical Biller - Full A/R Rockville, MD Pay From: $20 per hour MUST: 2+ years of Medical Biller - Full A/R experience MUST have general billing knowledge with different insurance providers MUST have full A/R and Revenue Cycling experience MUST have self-pay collections MUST have experience with Excel MUST have an understanding of ICD9, ICD10, HCPCS and CPT coding guidelines MUST have worked with all insurances Experience working with large scale transactions and heavy volume Proficiency working with accounting software and Microsoft Office Ability to exercise independent judgement, organize own work, set priorities and meet critical deadlines. Highly attentive to details Team player, intensely committed to success and getting the job done well in a highly dynamic environment DUTIES: Summarizing receivables by maintaining invoice accounts; coordinating monthly transfer to accounts receivable account; verifying totals; preparing report. Updating receivables by...