117 jobs found in Maryland

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....

A leading global biopharmaceutical company is seeking an Associate Director, Strategic Planning & Operations located in Annapolis, Maryland. This role is crucial for driving operational excellence and innovation within the Global Medical Affairs organization. Responsibilities include developing strategic plans, managing budgets, and collaborating cross-functionally. Requires a minimum of 7 years in Global Medical Affairs and strong leadership skills. Competitive benefits package offered. #J-18808-Ljbffr

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates...

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. Position Description: * 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...

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...

About the Job Department: Physician Practice - Primary Care Status: Full-time, 40 hours per week, Non-exempt Schedule: Monday-Friday, 7:30am - 4pm Address: 41680 Miss Bessie Dr Leonardtown, Maryland 20650 General Summary of Position Performs clinical and administrative duties in an ambulatory care setting. Is responsible for the day-to-day supervision of clinical associates at the medical practice/ambulatory care site. Performs Medical Assistant and Patient Services Coordinator duties Coaches others for safety and engages in the training orientation and competency assessment of Medical Assistant staff. Assists in quality safety clinical and operational projects for ambulatory practice site and related education. Participates in safety event reviews/follow up and assessment of clinical programs or implementation of new programs. Demonstrates behavior consistent with MedStar Health mission vision SPIRIT Values goals objectives and patient care philosophy....

The Coding Auditor demonstrates expertise in coding and billing compliance while performing audits to determine billing integrity of professional and facility/technical fees including detection and correction of documentation, coding and billing errors and/or medical necessity of services billed. Audits consist of evaluation of the adequacy and accuracy of documentation in support of services billed including ICD-10/CPT/HCPCS and other third party payor codes, DRG and EAPG assignments, medical necessity of the services, reimbursement overpayments and underpayments, and compliance with other documentation, coding and billing standards. The Coding Auditor applies standardized audit scoring methodology to consistently evaluate documentation and coding, and standardized audit findings methodology to report audit results. Qualifications: Minimum Education Associate's Degree Candidates with 3 years of coding experience in lieu of the degree requirement will be considered. ....

Job Title: Medical Biller Type: Contract to hire Location (city, state): Baltimore, MD Industry: Healthcare Administration / Revenue Cycle Pay: $24/hr - $26/hr Schedule: Hybrid after 90 days (2 days onsite, 3 days remote work) About Our Client: Addison Group is partnering with a healthcare organization seeking an enthusiastic individual to join their billing team. This is a great opportunity to start a career in medical billing with training and growth potential. Job Description: The Medical Biller will assist with insurance claim processing, payment posting, and patient account updates. This role is ideal for someone detail-oriented and eager to learn healthcare billing workflows. Key Responsibilities: Submit insurance claims accurately using billing software Verify patient insurance coverage and benefits Post payments and adjustments from EOBs and remittance advice Escalate denied claims for resolution Maintain organized billing records...

Candidate should ideally be located in Baltimore, MD Monro’s family of brands is one of the leading automotive service and tire dealers in the United States. We work on approximately five million vehicles a year, but with us, it is personal. Every guest is important, and every teammate is valued. That is our people-first approach.  Headquartered in our hometown of Rochester, New York, where our founder, Chuck August, opened his first store in 1957, we have grown to 1,115 auto repair shops and tire dealers in 32 states from coast to coast. Monro powers 16 highly respected tire and auto service brands, supporting each company’s regional strength and community connections. From big cities to small towns to rural crossroads, you will find us in neighborhoods of every shape, size, and color.  Under the Monro banner, we are united TEAM, and share the same mission to bring our guests the highest quality tire and auto service in the industry.  Do you have what it takes to shape a...

About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impact-whether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. Position Summary: RELI Group is seeking an experienced Privacy Compliance Auditor Subject Matter Expert (SME) to support privacy-focused audits and assessments under Task 8 of the Information Security and Privacy Services (ISPS), part of the Marketplace System Security and Privacy Support Services (MSSPSS) contract. The Privacy Compliance Auditor SME will provide expert-level evaluation of CMS ACA and NST systems to ensure compliance with the Privacy Act,...

Introduction OPEN TO ALL QUALIFIED APPLICANTS This is a position specific recruitment. The resulting certified eligible list may be used to staff several current and future vacancies for this position/function only. This recruitment will be closed once all positions have been filled. GRADE 16 (*Please note, state salary guidelines may apply for current state employees) LOCATION OF POSITION Baltimore, Maryland POSITION DUTIES The Comptroller of Maryland's Compliance Division is looking to add new tax auditors to their Business Tax Audit and Individual Tax Audit teams. We offer flexible work schedules that include telework options and opportunities to work from the field (outside of the office) for certain audit assignments. If you're interested in tax auditing and want to join our team, please consider applying. We look forward to meeting you! Business Tax Audit : The main purpose of this position is to audit business entities for compliance with the...

Job Description Job Description Job Title: Medical Biller Type: Contract to hire Location: Baltimore, MD Industry: Healthcare Administration / Revenue Cycle Pay: $24 - $26 / Hour Schedule: Hybrid after 90 days (2 days onsite, 3 days remote work) Benefits: This position is eligible for medical, dental, vision, and 401(k). About Our Client: Addison Group is partnering with a healthcare organization seeking an enthusiastic individual to join their billing team. This is a great opportunity to start a career in medical billing with training and growth potential. Job Description: The Medical Biller will assist with insurance claim processing, payment posting, and patient account updates. This role is ideal for someone detail-oriented and eager to learn healthcare billing workflows. Key Responsibilities: Submit insurance claims accurately using billing software Verify patient insurance coverage and benefits Post payments and adjustments from EOBs...

Job Description Job Description Company Description The University of Maryland Medical System (UMMS) is an academic private health system, focused on delivering compassionate, high quality care and putting discovery and innovation into practice at the bedside. Partnering with the University of Maryland School of Medicine, University of Maryland School of Nursing and University of Maryland, Baltimore who educate the state’s future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland. UMMS puts academic medicine within reach through primary and specialty care delivered at 11 hospitals, including the flagship University of Maryland Medical Center, the System’s anchor institution in downtown Baltimore, as well as through a network of University of Maryland Urgent Care centers and more than 150 other locations in 13 counties. For more information, visit...

Job Description Job Description Description: About the Company NextStep Technology Inc. is seeking a Medical Records Analyst. The medical records analyst is primarily responsible for review of health information. The MRA reviews the medical records for specific criteria and validation of specific code year sets submitted from selected organizations to government and commercial client. The position requires review of protected health information and must maintain strict confidentiality when addressing or referring to such records. The incumbent must have the ability to use a variety of office equipment, computer software, the ability to use sound and professional judgement, and to work independently. The candidate(s) will be hired as an employee up to 40 hours per week (flexible scheduling). This is a remote position About the Role The medical records analyst is primarily responsible for review of health information. Responsibilities Analyze protected health...

Vendor Compliance Auditor JOB SUMMARY: This role is responsible for auditing the quality of incoming loads, ensuring compliance with established standards, and identifying any deviations. SUPERVISORY RESPONSIBILITIES: None ESSENTIAL FUNCTIONS: Responsibilities: Observe the quality of loads on arrival Review loads for violations Identify and document root causes through tablet procedures Communicate violations by gathering up to 30 photographs using multiple angles if necessary Validate information prior to reporting violations QUALIFICATIONS: education and/or experience: High school diploma knowledge, skills and abilities: Demonstrated interpersonal and communication skills (written and verbal) Attention to detail Familiarity with pallet building standards Demonstrated commitment to safety standards physical requirements: Ability to work in a warehouse environment (concrete floors, changing temperatures) Ability...

Become a part of our caring community and help us put health first The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and...

Job Description About the Role: We are seeking a detail-oriented Billing Support Specialist to support our existing in-house billing function and improve speed and accuracy across the revenue cycle. This role will focus on behavioral health billing operations, credentialing, authorizations, and claims follow-up. Accuracy, consistency, and strong process discipline are essential. This is a full-time, remote role. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status,...

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...

Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to "improve the health of people in the communities we serve." Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care. This position is located on the campus of Carroll Hospital in Westminster, MD. Consideration will be given for a potential hybrid work model after 6 months of successful employment. About the Role: Supports the LifeBridge Health Institutional Compliance. The auditor works under the under general direction of the Director of Institutional Compliance to perform institutional (e.g., hospital, post-acute care (DME, Home Health, etc.) compliance related audit activities to ensure compliance with federal health care program requirements and federal and state laws and regulations. Responsible...