- Highmark Health (Washington, DC)
- …Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and demographic data, interpret ... accounts receivable days. **ESSENTIAL RESPONSIBILITIES** + Reviews and interprets medical information, physician treatment plans, course, and outcome to determine… more
- Sutherland Global Services (Washington, DC)
- Have you kept up with the changes in medical coding, physician practices, and the healthcare industry in general? Are you proficient with ICD-10, CPT and HCPCS ... ask about our new Global Flexible Vacation Policy!) + Medical , dental, and vision benefits, EAP - and 401K...religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected… more
- CenterWell (Washington, DC)
- …Education, and work as a thought partner with Coding and Documentation Improvement Medical Director. The main responsibilities of the role are: + Determine clinician ... with clinical education team and CDI (coding and documentation improvement) medical director embedded in Clinical excellence. + Align clinician coding education… more
- Highmark Health (Washington, DC)
- …including but not limited to Hierarchical Condition Category (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and ... ACA HCC Models; works independently in various coding applications and electronic medical record systems to support departmental goals. Adheres to CMS Guidelines for… more
- Elevance Health (Washington, DC)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **RN Hospital Audit/Appeal Lead** is responsible for ... + Investigates potential fraud and over-utilization by performing the most complex medical reviews via prepayment claims review and post payment auditing. +… more
- Elevance Health (Washington, DC)
- …Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
- Mastercard (Arlington, VA)
- …pilots, in collaboration with global brands in commerce. This is not a full-time coder position but rather a consultancy role where you will spend a significant ... type of accommodation or assistance you are requesting. Do not include any medical or health information in this email. The Reasonable Accommodations team will… more
- Elevance Health (Washington, DC)
- …abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare related questions as necessary ... an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including… more
- Amentum (Arlington, VA)
- …grant program experience and/or familiarity with the DoD and/or HHS + Experienced coder , programmer, engineer with html knowledge + Hybrid and telework options are ... veteran's status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status,… more
- Meta (Washington, DC)
- …Engineering Manager, Infrastructure Responsibilities: 1. Be both highly technical, hands-on coder and an effective people manager 2. Communicate across functions and ... color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression,… more
- Advanced Technology and Research Corporation (Indian Head, MD)
- …qualifications. ATR offers an attractive comprehensive benefits package, including Medical /Dental insurances, free basic life/ADD, and long-term and short-term ... speed data transit through FPGA + Experience with MATLAB / MATLAB HDL Coder + Ability to effectively communicate orally and in writing OTHER REQUIREMENTS: Candidate… more
- Advanced Technology and Research Corporation (Indian Head, MD)
- …qualifications. ATR offers an attractive comprehensive benefits package, including Medical /Dental insurances, free basic life/ADD, and long-term and short-term ... high-speed data transit through FPGA + Experience with MATLAB / MATLAB HDL Coder + Ability to effectively communicate orally and in writing OTHER REQUIREMENTS:… more