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Executive R1 Rcm Medical Coding Jobs in Washington, DC

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 ...

This important role demands a solid understanding of medical terminology, coding, and billing procedures. This role will report to the RCM Manager. Job Responsibilities: * Initiating ERA (electronic ...

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 ...

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 ...

Account Executive

Annapolis, MD · On-site

$50K - $57K/yr

Familiar with codes, products attributes, and procedures within the safety field.  * Has a ... medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or ...

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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 Washington, DC? The most popular types of R1 Rcm Medical Coding jobs in Washington, DC are:
What are popular job titles related to Executive R1 Rcm Medical Coding jobs in Washington, DC? For Executive R1 Rcm Medical Coding jobs in Washington, DC, the most frequently searched job titles are:
What job categories do people searching Executive R1 Rcm Medical Coding jobs in Washington, DC look for? The top searched job categories for Executive R1 Rcm Medical Coding jobs in Washington, DC are:
Infographic showing various Executive R1 Rcm Medical Coding job openings in Washington, DC as of July 2026, with employment types broken down into 1% Internship, 1% As Needed, 81% Full Time, 14% Part Time, 1% Temporary, and 2% Contract. Highlights an 79% Physical, 4% Hybrid, and 17% Remote job distribution.
Medical Billing Specialist

Medical Billing Specialist

C-MCI

Fairfax, VA • On-site, Remote

$18.50 - $24/hr

Full-time

Re-posted 4 days ago


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