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Executive R1 Rcm Medical Coding Jobs in Ashburn, VA

C-MCI

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 Cycle Management (RCM): * Oversee the entire claims lifecycle, from eligibility ...

Public Citizen

Executive Assistant

Washington, DC · On-site

$75K - $90K/yr

Have you color-coded something in your life? Do you set reminders for yourself? Then this might be ... Great medical and dental coverage, including full coverage for children * Three weeks paid vacation ...

Alutiiq

Operations Manager

Sterling, VA

... executive orders related to sustainability, safety, and environmental management. Manage and ... Strong knowledge of federal codes, regulations, and industry standards, including OSHA, NFPA, and ...

Alutiiq, LLC

Operations Manager

Sterling, VA · On-site

$135K - $170K/yr

Strong knowledge of federal codes, regulations, and industry standards, including OSHA, NFPA, and ... Our full range of benefits include medical, dental, vision, disability protection, life insurance ...

Howard

Executive Assistant

Chevy Chase, DC

$75K - $85K/yr

Comprehensive medical, dental, and vision insurance, plus mental health support * Work-Life Balance ... Maintains financial records for departmental revenues and expenditures; assigns proper budget codes ...

Howard University

Executive Assistant

Washington, DC · On-site

$75K - $85K/yr

Comprehensive medical, dental, and vision insurance, plus mental health support * Work-Life Balance ... proper budget codes and reconciles accounts. • Prepares and processes financial and ...

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Executive R1 Rcm Medical Coding information

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:
Executive R1 Rcm Medical Coding jobs near you
Medical Billing Specialist

Medical Billing Specialist

C-MCI

Fairfax, VA • On-site, Remote

$18.50 - $24/hr

Full-time

Posted 24 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?
  • Opportunity to work with cutting-edge AI-driven billing solutions that optimize RCM efficiency.
  • Work in a collaborative environment with healthcare and AI professionals.
  • Competitive salary, benefits, and professional development opportunities.

Key Responsibilities:
  • Claims Processing & Submission:
    • Accurately process, review, and submit medical claims.
    • Verify CPT, ICD-10, and HCPCS codes to ensure claims compliance with payer-specific policies.
    • Work with clearinghouses and insurance payers to track claims and resolve denials, rejections, and underpayments efficiently.
  • Revenue Cycle Management (RCM):
    • Oversee the entire claims lifecycle, from eligibility verification to final payment reconciliation.
    • Monitor accounts receivable (A/R) aging reports and ensure timely follow-up on outstanding claims.
    • Optimize payer reimbursement rates by leveraging contractual agreements and coding best practices.
  • Payer & Compliance Coordination:
    • Utilize the payer lookup database to retrieve Payer IDs and transaction types for accurate claim submission.
    • Ensure compliance with Medicare, Medicaid, and private insurance guidelines to prevent fraud and billing errors.
    • Stay updated on coding changes, regulatory requirements, and payer policies to maintain accuracy in claims processing.
  • Technology & AI Development Support:
    • Provide insights into billing workflows, common claim errors, and automation opportunities to improve AI-driven billing tools.
    • Assist in testing and refining AI-powered RCM solutions, including automated claims scrubbing and predictive denial management.
    • Collaborate with the engineering and data science teams to train AI models for enhanced claims accuracy.

Requirements
Required Qualifications:
  • Education & Certification:
    • Associate's or Bachelor's degree in Health Information Management, Business, or a related field (preferred).
    • Certified Professional Biller (CPB) or Certified Professional Coder (CPC) (preferred).
  • Experience:
    • 2+ years of experience in medical billing, claims processing, or revenue cycle management.
    • Strong knowledge of CPT, ICD-10, and HCPCS coding systems.
    • Experience working with Medicare, Medicaid, and commercial insurance payers.
  • Technical Skills:
    • Proficiency with billing and practice management software such as:
      • Electronic Health Records Systems: Epic, Cerner, Athenahealth
      • Clearinghouse platforms: Emdeon, Availity, Change Healthcare, Waystar, Kareo
    • Experience with ANSI X12 837 EDI claims processing.
    • Strong Excel and data analysis skills for tracking claim performance.
    • Familiarity with AI-based RCM tools is a plus.
  • Soft Skills:
    • Strong analytical and problem-solving skills for identifying claim discrepancies.
    • Excellent communication and collaboration skills to liaise with providers and payers.
    • Ability to work independently and in a team environment in a fast-paced setting.

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

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