Essential Function 70% Enroll subscribers and dependents for all lines of business as requested via fax, mail, and e mail for complex accounts. Verify enrollment status, make changes to membership records, research and resolve enrollment system discrepancies, process membership terminations, and other forms of enrollment events. Complete monthly reconciliation processes a

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,

Under the supervision of the Director of Quality and Patient Safety (GBMC) with reporting responsibility to the Chief Medical Officer (CMO), the Clinical Documentation Improvement Specialist is responsible for supporting the reduction of hospital acquired conditions (MHACs and PSI 90s). Through review of clinical quality outcomes, supports and coaches providers in accurat

Certified Professional Coder OBGYN Baltimore, MD MUST Experienced Certified Professional Coder 2+ years of experience as a Certified Professional Coder 2+ years of experience of CPT and ICD 10 coding Knowledge of government regulations as they relate to teaching physician documentation and billing guidelines Understanding of the importance of compliance with all governmen

Responsible for performing a variety of clerical duties related to maintenance, processing, and completion of medical records. These functions are performed in accordance with all applicable laws and regulations and MedStar Georgetown University Hospital's philosophy, policies, procedures and standards. Primary Duties and Responsibilities Retrieves all records of discharg

Medical Biller Cardiology Chevy Chase, MD MUST Experienced Medical Biller 2+ years billing experience in an outpatient medical office 2+ years of Insurance Verification and Prior Authorization experience is a must 1+ years of experience working as a biller 1+ years of experience working with accounts receivable Experience posting payments A/R experience Good tenure DUTIES

Responsible for performing a variety of clerical duties related to maintenance, processing, and completion of medical records. These functions are performed in accordance with all applicable laws and regulations and MedStar Georgetown University Hospital's philosophy, policies, procedures and standards. Primary Duties and Responsibilities Retrieves all records of discharg

Under the supervision of the Manager of Coding and Clinical Documentation Improvement, the Clinical Validation Specialist is responsible for improving the overall quality and completeness of clinical documentation; facilitates and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected

Performs complex technical analysis of trauma patient data. Assumes direct responsibility for accuracy, completeness, and data entry of information collected. In compliance with JHMI, and the State of Maryland, analyzes and interprets all available patient data to determine extensive coding classifications including ICD O. Determines selection, evaluation and analysis of

Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations. Manages the intake of patients into the practice, screens for emergent conditions, registers, verifies insurance and explains patient responsibility

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Records Examiner / Analyst Supporting the DEA Washington DEA 801 I St NW DC015 DEA Full time Be a part of the nationwide law enforcement initiative that removes the tools of crime from criminal organizations, depriving wrongdoers of proceeds from their crime and impacting the infrastructure of criminal enterprises. Centre Law & Consulting (Centre) offers the rare blend of

Responds to in coming customer/'provider' inquiries and complaints while entering data in a call center environment. Researches information, resolves issues and explains eligibility claims, appeals, and reprocessing of claims to billing providers; makes outbound calls to providers; logs all customer calls Returns claims, when necessary, with a write up, indicating