28 jobs found in District Of Columbia

Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankuras Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also provide investigative assistance in matters involving research...

Job Description Job Description INTRODUCTION Under the supervision of the Medical Coding Manager, the Medical 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 Medical Coding Specialist also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. MAJOR DUTIES/ESSENTIAL FUNCTIONS Essential and other important responsibilities and duties may include, but are not limited to the following: 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 Medical Coding Manager to respond to audit...

Job Description Job Description INTRODUCTION Under the supervision of the Director of Patient Financial Services, the Medical Billing Supervisor is responsible for the day-to-day operations of the denial management and accounts receivables follow-up functions. The Supervisor will train staff and provide positive direction, guidance, and leadership for effective teamwork and motivation. MAJOR DUTIES/ESSENTIAL FUNCTIONS Essential and other important responsibilities and duties may include, but are not limited to the following: Oversee all staff in the Accounts Receivable Follow-up department. Analyzes and researches complex or escalated accounts to determine root cause of open receivables and determine and execute the best approach for rebilling and timely and accurate resolution. Monitors denial management process and identifies gaps; assesses production and quality performance of Accounts Receivable team. Continually works with Accounts Receivable team to...

Job Description Job Description ** Please Note: This position is currently open and contiguous. We are considering candidates on an ongoing basis. We will notify candidates as our needs change.** Company Overview For more than 40 years, Williams Adley has provided expert accounting, auditing, and consulting services to a growing number of federal, state, and local government agencies. Our dedication to operating with the highest levels of honesty, integrity, and transparency means we frequently go beyond the typical “vendor/client” relationship, becoming trusted advisors to our clients. Williams Adley provides its employees with a unique experience for growth, career direction, and mentorship. As a member of our team, you will have a dynamic experience and work with great people. We offer a merit-based opportunity for all individuals that rewards aptitude, hard work, and determination. Join our team and thrive in an environment where your contributions are valued and...

Responsibilities Cedar Hill Regional Medical Center - Opening in 2025! When open in early 2025, Cedar Hill Regional Medical Center GW Health will be 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 will establish a robust network of care for all District residents, but more importantly, it will ensure residents of Wards 7 and 8 have access to high quality care in their community. This full-service hospital will include 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 a HIM Coder...

ORGANIZATION OVERVIEW: At Catholic Charities of the Archdiocese of Washington, your knowledge and service in areas such as immigrants and refugees, mental health, social work, employment and adult education, legal and financial services, health care, food assistance, shelter and housing, developmental disabilities and prison outreach can make a profound difference in the lives of many. Through more than 50 programs across the district and five surrounding counties, Catholic Charities is opening doors to help and hope. At CCADW, we continue to build an inclusive culture that celebrates a diverse workforce. We offer so much more than just a job. We offer careers. We take pride in our "promote from within" culture. We offer professional development, a comprehensive benefits package, a hybrid work model with both remote and in-office work, and a passion for building and motivating world class, high performing teams. Explore your career opportunity with Catholic Charities. Join us in...

Enjoy what you do while contributing to a company that makes a difference in people's lives. Shady Grove Fertility, one of the premier fertility centers in the United States, continually seeks experienced, compassionate, and dynamic team players who are committed to delivering exceptional patient care to join our growing practice. The work we do building families offers stimulation, challenge, and personal reward. We are currently seeking candidates for a full-time Office Supervisor to work in Sibley Hospital/DC location. The schedule is working Monday through Friday from 7 am - 4 pm and one weekend per month at our K-Street office (weekends is a combo of onsite and remote). Pay Range: $62K - $85K How You'll Contribute: We always do whatever it takes, even if it isn't specifically our "job." In general, the Office Supervisor is responsible for: Provides management and direction for the office in all areas of local operations including employee supervision, training and...

POSTION TYPE: Hybrid PAY RANGE: $53,600 - $67,000 depending on years of experience POSITION SUMMARY The Medical Billing Specialist is responsible for managing insurance claims processing, accounts receivable, and insurance verification to ensure accurate and timely reimbursement for services. This position is responsible for key revenue cycle processes that have an impact on the company's cash flow including but not limited to entering third party billing information and subsequent medical billings and ensuring all documentation is present and claims are billed in a timely manner and without error. This position will handle questions, complaints, or problems from insurance companies, Medicaid offices and their associated Managed Care Plans, Medicare regions and their associated Health Maintenance Organizations, and consumers regarding insurance payments. Key Responsibilities Claims Processing Prepare, submit, and track insurance claims (electronic and paper) to...

INTRODUCTION Under the supervision of the Medical Coding Manager, the Medical 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 Medical Coding Specialist also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. MAJOR DUTIES/ESSENTIAL FUNCTIONS Essential and other important responsibilities and duties may include, but are not limited to the following: 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 Medical Coding Manager to respond to audit findings and make applicable coding...

Position Description : Serco is excited to continue our support to the Defense Health Agency (DHA) Medical Coding Program Branch. The DHA is a joint, integrated Combat Support Agency that enables the Army, Navy, and Air Force medical services to provide a medically ready force to Combatant Commands in both peacetime and wartime. The essential mission of the DHA Medical Coding Program Branch (DHA-MCPB) is to improve the accuracy and quality of medical coding and documentation across DHA in support of the DHA mission. This is a 100% Remote position. Our Medical Coding Compliance Specialists seek to prevent activity or actions in medical coding and documentation that could lead to fraud, waste, or abuse. It involves performing analysis, auditing, investigation, research, reporting, and other tasks to support development, implementation, operation, and oversight of DHA medical coding compliance. In this role, you will: The work will encompass all 400...

Coder - Health Information Management - Full Time (40 hours/week) Full-time KVH is an integrated healthcare delivery system that includes 24-hour emergency care, inpatient, and outpatient hospital services through KVH Hospital. Clinics and services provided include family medicine, internal medicine, a geriatric nurse practitioner program, home health and hospice, physical therapy, orthopedics, general surgery, pediatrics, women’s health, and urgent care. Kittitas Valley Healthcare expects all employees to uphold our Vision & Mission. The KVH Vision, Mission & Guiding Principles can be found at this link . KVH puts ‘employee care’ high on the priority list, with health benefits like low-cost medical, dental, and vision insurance and a robust employee wellness program. We offer company contributions toward your choice of medical, dental, and vision insurance coverage, including coverage available for spouses/domestic partners and dependent children. KVH believes that...

Job Description Job Description Remote Inpatient Facility Fee (PTF) Medical Coders-Full-Time and Part-Time Positions Available Summary As a result of recent new contracts awarded in the last month under the VHA National Medical Coding BPA, Cooper Thomas, LLC, a leading provider of medical coding services to the Department of Veterans Affairs (VA), has immediate openings for VA experienced Inpatient PTF Coders with at least 2 years of experience for full-time (W-2) for 40 hours a week or part-time (1099) remote coding positions, with the opportunity for a flexible schedule of a minimum of 20 hours a week for part-time PTF coders. Part-time employment can be an ideal opportunity for a candidate looking to supplement their primary income with a predictable, steady, weekly volume of PTF coding. Part-time PTF coders can earn up to $30.00 per hour with all productivity and quality incentives. Previous experience with the Department of Veterans Affairs (VA) is required,...

Job Description Job Description Job Title: Medical Billing Specialist Location (city, state): Remote (Candidates can be from anywhere in the DMV area) Industry: Healthcare Billing Pay: $19-$21 per hour, based on experience About Our Client: Our client is seeking a dedicated medical billing specialist for a new position. This role focuses on handling EDI rejections, claims review, and high-level claim scrubbing prior to submission. Job Description: This full-time remote position will primarily involve managing EDI rejections and reviewing claims that require manual intervention before submission. High-level scrubbing of claims to ensure accuracy before sending them to payors is a key responsibility. Key Responsibilities: Manage EDI rejections (primary function) Review and work claims requiring manual intervention before submission Scrub claims at a high level prior to submission to payors Maintain effective communication and resolve billing issues...

$5000 Sign-On Bonus At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. PEOPLE ESSENTIAL FUNCTIONS Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders. SERVICE ESSENTIAL FUNCTIONS Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician...

Description Coder will be responsible for assigning diagnostic/procedural codes to patient charts of high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Coder will respond to audits, conduct coding/provides consultation on specific projects. Responsibilities : • Assign ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts. • IP/OP edits • Select and sequence principal and secondary diagnosis and procedure codes. • Assign appropriate DRG. • Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. • Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility. • Maintain productivity standards, tracking and deadlines. • Maintain and complete accurate productivity and tracking logs. • May act as a mentor to training coders and/or new hires by...

Job Description Remote Inpatient Facility Fee (PTF) Medical Coders-Full-Time and Part-Time Positions Available Summary As a result of recent new contracts awarded in the last month under the VHA National Medical Coding BPA, Cooper Thomas, LLC, a leading provider of medical coding services to the Department of Veterans Affairs (VA), has immediate openings for VA experienced Inpatient PTF Coders with at least 2 years of experience for full-time (W-2) for 40 hours a week or part-time (1099) remote coding positions, with the opportunity for a flexible schedule of a minimum of 20 hours a week for part-time PTF coders. Part-time employment can be an ideal opportunity for a candidate looking to supplement their primary income with a predictable, steady, weekly volume of PTF coding. Part-time PTF coders can earn up to $30.00 per hour with all productivity and quality incentives. Previous experience with the Department of Veterans Affairs (VA) is required, either as a VA employee or a...

Description Coder will be responsible for assigning diagnostic/procedural codes to patient charts of high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Coder will respond to audits, conduct coding, and provide consultation on specific projects. Responsibilities : Assign ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts. IP/OP edits. Select and sequence principal and secondary diagnosis and procedure codes. Assign appropriate DRG. Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Demonstrate ability to achieve accuracy and consistency in abstracting elements defined by per facility. Maintain productivity standards, tracking, and deadlines. Maintain and complete accurate productivity and tracking logs. May act as a mentor to training coders and/or...

Responsibilities Cedar Hill Regional Medical Center – Opening in 2025! When open in early 2025, Cedar Hill Regional Medical Center GW Health will be 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 will establish a robust network of care for all District residents, but more importantly, it will ensure residents of Wards 7 and 8 have access to high quality care in their community. This full-service hospital will include 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 a HIMCoder (Full...

Description Job Summary The Medical Support Supervisor’s primary job function is to provide direct supervision to departments, teams and staff as assigned within the medical clinic. The Medical Support Supervisor is responsible for all daily operations related to the clinical support staff duties of their designated Medical Clinic site and is responsible for assisting with the budget, hiring, and maintaining staff who strive for excellence, and maximizing productivity for the Providers and staff. The Medical Support Supervisor will demonstrate competency in providing patient care, evaluating initial and annual staff competencies, directing and coordinating care to align with the CVCH clinical support services. The Medical Support Supervisor will be expected to fulfill nursing duties on the floors as needed to support operational needs. Job Specific Competencies 1. Supervision and Mentoring Provides direct supervision to departments, teams and staff as assigned. Establish...

Description Coder will be responsible for assigning diagnostic/procedural codes to patient charts of high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Coder will respond to audits, conduct coding, and provide consultation on specific projects. Responsibilities : Assign ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts. Perform IP/OP edits. Select and sequence principal and secondary diagnosis and procedure codes. Assign appropriate DRG. Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses. Demonstrate ability to achieve accuracy and consistency in abstracting elements defined by per facility. Maintain productivity standards, tracking, and deadlines. Complete accurate productivity and tracking logs. May act as a mentor to training coders and/or new...