- Elevance Health (Hanover, MD)
- Medical Coding Education Associate Sr (Hospital / Professional Claims) **Hybrid 1:** This role requires associates to be in-office **1 - 2** days per ... considered for employment, unless an accommodation is granted as required by law._ The ** Medical Coding Education Associate S** r is responsible for the… more
- Elevance Health (Hanover, MD)
- Medical Coding Education Associate (JR176657) **Hybrid 1** : This role requires associates to be in-office **1 - 2** days per week, fostering ... employment, unless an accommodation is granted as required by law._ The ** Medical Coding Education Associate ** is responsible for comprehensive analysis… more
- CareFirst (Baltimore, MD)
- …use of CPT and ICD 10 codes in claims submissions. Utilizes extensive coding knowledge, combined with medical policy, credentialing, and contracting rules ... and respond to inquiries from providers. + Keeps up to date on coding rules and standards. **QUALIFICATIONS:** ** Education Level:** High School Diploma or… more
- CareFirst (Baltimore, MD)
- …work experience. **Experience:** 3 years progressive work experience in a risk adjustment, medical coding or health insurance operations within a health plan or ... **Resp & Qualifications** **PURPOSE:** The Risk Adjustment Coding Operations Supervisor supports the execution of the corporate coding strategy across Medicare… more
- PwC IT Services Co. (Baltimore, MD)
- …Applicable **Specialism** IFS - Internal Firm Services - Other **Management Level** Senior Associate **Job Description & Summary** At PwC, our people in software and ... contribute to root cause analysis. Participate in architecture decisions, enforce coding standards, and promote development best practices. Required Skills &… more
- CareFirst (Baltimore, MD)
- …of and/or recuperation of losses to CareFirst through the clinical review of medical records and claims, resulting in the savings and/or recovery of funds. ... reviews and/or post-payment investigations. **ESSENTIAL FUNCTIONS:** + Review of medical records and claims. Investigate potential fraud and over-utilization by… more
- CareFirst (Baltimore, MD)
- …to provider experience scores, STAR ratings, HEDIS measures, and CAHPS program. **QUALIFICATIONS:** ** Education Level:** Associate 's Degree OR in lieu of an ... Skills and Abilities (KSAs)** + Working knowledge of provider billing and coding mechanisms, including special pricing, medical terminology, CPT coding… more
- CareFirst (Baltimore, MD)
- …will result in improved outcomes in business operations and provider satisfaction. **QUALIFICATIONS:** ** Education Level:** Associate 's Degree OR in lieu of an ... Skills and Abilities (KSAs)** + Working knowledge of provider billing and coding mechanisms, including special pricing, medical terminology, CPT coding… more
- CareFirst (Baltimore, MD)
- …requirements. **SUPERVISORY RESPONSIBILITY:** This position manages people. **QUALIFICATIONS:** ** Education Level:** Bachelor's Degree in Finance, Accounting, Health ... used in healthcare provider contracting. + Knowledge of provider billing and coding mechanisms. + Negotiation skills. + Strong analytical skills: able to transform… more
- Johns Hopkins University (Baltimore, MD)
- The Manager of the COMPASS Center reports to the Associate Dean for Community Programs and Initiatives and works in close collaboration with school leadership to ... as well as delegated monitoring duties + Support the Associate Dean and CNO in all interactions with the...support the execution of best practices for community-engaged practice, education and research, and conduct rigorous evaluation of both… more
- Amentum (Baltimore, MD)
- …and Customers. **Requirements:** **Clearance Required:** * TS/SCI with Polygraph **Minimum Education :** * Bachelor's Degree in Computer Science or related field is ... * Certification required, at a minimum, Cisco Certified Network Associate (CCNA) as well as SEC+CE or equivalent (DoD...related to servers, networks, and applications. * Knowledge of coding languages for scripting (eg Python, Perl). * Awareness… more
- CareFirst (Baltimore, MD)
- …regulatory requirements. + Strong understanding of CPT-4, HCPCS, revenue and ICD coding , medical terminology, claims payment, contract negotiations and problem ... staff. May lead a team of matrixed resources. **QUALIFICATIONS:** ** Education Level:** Bachelor's Degree in Business Administration, Healthcare, Public Health,… more
- CareFirst (Baltimore, MD)
- …of CMS risk score methodology, risk score calculation, enrollment, premiums, medical and pharmacy claims, and provider data. Incumbent is responsible for ... tracking and monitoring mechanisms for all Risk Adjustment and Coding programs. Support management in ensuring that key risk...staff. May lead a team of matrixed resources. **QUALIFICATIONS:** ** Education Level:** Bachelor's Degree OR in lieu of a… more
- CareFirst (Baltimore, MD)
- …regulatory requirements. + Solid understanding of CPT-4, HCPCS, revenue and ICD coding , medical terminology, claims payment, contract negotiations and problem ... ensuring timely and correct payments for services rendered. **QUALIFICATIONS:** ** Education Level:** Bachelor's Degree in Business Administration, Healthcare, Public… more
- Amentum (Fort Meade, MD)
- …Data Analysts with at least two years of experience in website coding , basic graphics techniques, Structured Query Language (SQL), Hypertext Markup Language (HTML), ... degree and 14 years of relevant experience, or * Associate degree and 16 years of relevant, or *...Your future. Eligible employees and their dependents may elect medical , dental, vision, and basic life insurance. Employees are… more
- Amentum (Hanover, MD)
- …and Customers. **Requirements:** **Clearance Required:** * TS/SCI with Polygraph **Minimum Education :** * Bachelor's Degree in Computer Science or related field is ... * Certification required, at a minimum, Cisco Certified Network Associate (CCNA) as well as SEC+CE or equivalent (DoD...related to servers, networks, and applications. * Knowledge of coding languages for scripting (eg Python, Perl). * Awareness… more
- T. Rowe Price (Owings Mills, MD)
- …to the table-because that's how we help our clients succeed . You'll be hands-on coding through the entire development lifecycle as well as leading an Agile team of ... Required: + Bachelor's degree or the equivalent combination of education and relevant experience AND 8+ years of total...and needs, at work and in life. As an associate , you'll be supported with resources , benefits ,… more