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Executive R1 Rcm Medical Coding Jobs in Ashburn, VA

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

The ideal candidate will have expertise in medical coding, claims submission, payer interactions ... Revenue CycleManagement (RCM): * Oversee theentire claims lifecycle, from eligibility verification ...

Code and submit monthly expense reports on behalf of the partner(s) * Work closely with other ... Medical, dental, vision, 401k, and life insurance. We also offer a paid parental leave program ...

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Code and submit monthly expense reports on behalf of the partner(s) * Work closely with other ... Medical, dental, vision, 401k, and life insurance. We also offer a paid parental leave program ...

Code and submit monthly expense reports on behalf of the partner(s) * Work closely with other ... Medical, dental, vision, 401k, and life insurance. We also offer a paid parental leave program ...

Ability to assess the needs of medical professionals and staff members with a focus on consultative ... Demonstrated values and ethics that support BillionToOne's mission, goals, and professional code of ...

Ability to assess the needs of medical professionals and staff members with a focus on consultative ... Demonstrated values and ethics that support BillionToOne's mission, goals, and professional code of ...

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Executive R1 Rcm Medical Coding information

Can I get a job with medical coding certification?

Yes, obtaining a medical coding certification can help you qualify for roles like Executive R1 Rcm Medical Coder, as it demonstrates your knowledge of coding standards and billing procedures. Many employers prefer certified coders, and certification can improve job prospects and potential salary. However, experience and familiarity with coding software are also important for securing employment in this field.

How much does a RCM specialist make in the US?

An Executive RCM (Revenue Cycle Management) Medical Coder typically earns between $50,000 and $80,000 annually in the US, depending on experience, certifications, and location. Salaries can vary based on the complexity of coding tasks, healthcare setting, and employer size.

Does R1 RCM drug test?

R1 RCM medical coding positions typically do not require drug testing as part of the hiring process. However, some healthcare or administrative roles within the company may have drug testing policies, especially if they involve patient interaction or access to sensitive information. It is advisable to check the specific job posting or contact the employer directly for confirmation.

Is AI replacing medical coders?

AI is increasingly used to assist medical coders by automating routine coding tasks and improving accuracy, but it does not fully replace the need for skilled professionals. Medical coding requires understanding complex medical records and applying coding guidelines, which still benefits from human oversight and expertise. Certified coders with knowledge of coding systems like ICD-10 and CPT are essential for quality assurance and handling complex cases.

What is the difference between Executive R1 Rcm Medical Coding vs Medical Coding Specialist?

AspectExecutive R1 Rcm Medical CodingMedical Coding Specialist
CertificationsAHIMA/ACMEC, CPC, CCSAHIMA/ACMEC, CPC, CCS
Work EnvironmentHealthcare organizations, RCM departmentsHospitals, clinics, outpatient facilities
Job FocusOversees coding processes, compliance, revenue cycle managementPerforms detailed medical coding, billing, and documentation

Executive R1 Rcm Medical Coding roles typically involve overseeing coding operations and ensuring compliance within revenue cycle management, while Medical Coding Specialists focus on accurately coding medical records and supporting billing processes. Both roles require similar certifications and work environments, but differ in scope and responsibilities.

What are the most commonly searched types of R1 Rcm Medical Coding jobs in Ashburn, VA? The most popular types of R1 Rcm Medical Coding jobs in Ashburn, VA are:
What are popular job titles related to Executive R1 Rcm Medical Coding jobs in Ashburn, VA? For Executive R1 Rcm Medical Coding jobs in Ashburn, VA, the most frequently searched job titles are:
What job categories do people searching Executive R1 Rcm Medical Coding jobs in Ashburn, VA look for? The top searched job categories for Executive R1 Rcm Medical Coding jobs in Ashburn, VA are:
Infographic showing various Executive R1 Rcm Medical Coding job openings in Ashburn, VA as of June 2026, with employment types broken down into 3% Locum Tenens, 1% Full Time, and 96% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.
Medical Billing Specialist

Medical Billing Specialist

C-MCI

Fairfax, VA • On-site, Remote

$18.50 - $24/hr

Full-time

Posted 15 days ago


Job description

Job Description
Position: Medical Billing Specialist
Location: Remote / On-site
Department: Revenue Cycle Management
Overview:
CMCI is seeking a detail-oriented and experienced Medical Billing Specialist to oversee claims processing, revenue cycle management, and contribute valuable insights to develop AI-powered tools that enhance medical billing workflows. The ideal candidate will have expertise in medical coding, claims submission, payer interactions, and denial management, ensuring optimized billing practices for maximum reimbursement and minimal claim rejections.
Why Join CMCI?
  • Opportunityto work with cutting-edge AI-driven billing solutions that optimizeRCM efficiency.
  • Work in acollaborative environment with healthcare and AI professionals.
  • Competitivesalary, benefits, and professional development opportunities.

Key Responsibilities:
  • ClaimsProcessing & Submission:
    • Accuratelyprocess, review, and submit medical claims.
    • Verify CPT,ICD-10, and HCPCS codes to ensure claims compliance withpayer-specific policies.
    • Work withclearinghouses and insurance payers to track claims and resolve denials,rejections, and underpayments efficiently.
  • Revenue CycleManagement (RCM):
    • Oversee theentire claims lifecycle, from eligibility verification to final paymentreconciliation.
    • Monitoraccounts receivable (A/R) aging reports and ensure timely follow-upon outstanding claims.
    • Optimizepayer reimbursement rates by leveraging contractual agreements andcoding best practices.
  • Payer &Compliance Coordination:
    • Utilize thepayer lookup database to retrieve Payer IDs and transactiontypes for accurate claim submission.
    • Ensurecompliance with Medicare, Medicaid, and private insuranceguidelines to prevent fraud and billing errors.
    • Stay updatedon coding changes, regulatory requirements, and payer policies tomaintain accuracy in claims processing.
  • Technology& AI Development Support:
    • Provideinsights into billing workflows, common claim errors, and automationopportunities to improve AI-driven billing tools.
    • Assist intesting and refining AI-powered RCM solutions, including automated claimsscrubbing and predictive denial management.
    • Collaboratewith the engineering and data science teams to train AI models forenhanced claims accuracy.

Requirements
Required Qualifications:
  • Education& Certification:
    • Associate'sor Bachelor's degree in Health Information Management, Business, or arelated field (preferred).
    • CertifiedProfessional Biller (CPB) or Certified Professional Coder(CPC) (preferred).
  • Experience:
    • 2+ years ofexperience in medical billing, claims processing, or revenue cyclemanagement.
    • Strongknowledge of CPT, ICD-10, and HCPCS coding systems.
    • Experienceworking with Medicare, Medicaid, and commercial insurance payers.
  • TechnicalSkills:
    • Proficiencywith billing and practice management software such as:
      • ElectronicHealth Records Systems: Epic, Cerner, Athenahealth
      • Clearinghouseplatforms: Emdeon, Availity, Change Healthcare, Waystar, Kareo
    • Experiencewith ANSI X12 837 EDI claims processing.
    • Strong Exceland data analysis skills for tracking claim performance.
    • Familiaritywith AI-based RCM tools is a plus.
  • Soft Skills:
    • Stronganalytical and problem-solving skills for identifying claimdiscrepancies.
    • Excellentcommunication and collaboration skills to liaise with providers andpayers.
    • Ability towork independently and in a team environment in a fast-pacedsetting.

Join CMCI to help revolutionize the future of AI-powered medical billing!
All qualified applicants will receive consideration for employment without regard to any characteristic protected by local, state, or federal laws, rules, or regulations