Current jobs related to Revenue Integrity Specialist - Gaithersburg - Adventist HealthCare

  • Affiliate Relations Specialist

    1 month ago

    Gaithersburg, United States NEA Member Benefits Full time

    Job DescriptionJob DescriptionPOSITION FUNCTION AND PURPOSEThe Affiliate Relations Specialist (AR Specialist) is responsible for providing direction, visibility, program integration, and expanding market access and penetration for NEA MB programs in state and local affiliates within a defined territory. The AR Specialist connects with members face-to-face...

  • Affiliate Relations Specialist

    6 days ago

    Gaithersburg, United States NEA Member Benefits Full time

    Job DescriptionJob DescriptionPOSITION FUNCTION AND PURPOSEThe Affiliate Relations Specialist (AR Specialist) is responsible for providing direction, visibility, program integration, and expanding market access and penetration for NEA MB programs in state and local affiliates within a defined territory. The AR Specialist connects with members face-to-face...

  • Ab Initio Administration Lead

    1 week ago

    Gaithersburg, Maryland, United States Lorven technologies Full time

    Job DescriptionJob Title: Ab Initio Administration LeadCompany: Lorven TechnologiesLocation: Remote (with occasional travel to Gaithersburg, MD)Job Type: ContractJob SummaryLorven Technologies is seeking an experienced Ab Initio Administration Lead to join our dynamic IT team. As a key member of our team, you will be responsible for leading all tasks...

  • Ab Initio Administration Lead

    1 week ago

    Gaithersburg, Maryland, United States Lorven technologies Full time

    Job DescriptionJob Title: Ab Initio Administration LeadCompany: Lorven TechnologiesLocation: Remote (with occasional travel)Job Type: ContractJob SummaryLorven Technologies is seeking an experienced Ab Initio Administration Lead to join our dynamic IT team. As a key member of our team, you will be responsible for leading the administration of our ETL tool...

  • Ab Initio Administration Lead

    1 week ago

    Gaithersburg, Maryland, United States Lorven technologies Full time

    Job DescriptionRole OverviewLorven Technologies is seeking a highly skilled Ab Initio Administration Lead to join our dynamic IT team. As a key member of our team, you will be responsible for leading all tasks involved in the administration of ETL tools (Ab-Initio) in the Cloud.Key ResponsibilitiesLead the administration of ETL tools (Ab-Initio) in the...

  • Customer Service Specialist

    3 months ago

    Gaithersburg, United States Meduitrcm Full time

    ** Customer Service Specialist** **Job Category****:** Collections **Requisition Number****:** CUSTO01444 Showing 1 location **Job Details** **Description** Meduit has an opening for a Customer Service Specialist in our Health Services business unit. Working under general supervision this position provides revenue cycle services to existing clients by...

  • Salesforce CPQ Implementation Specialist

    2 days ago

    Gaithersburg, Maryland, United States scaleMatters Full time

    Job Title: Salesforce CPQ Implementation SpecialistAbout the Role:As a Salesforce CPQ Implementation Specialist at scaleMatters, you will play a vital role in driving global business success. Reporting to the VP, RevOps Technology Services, you will be responsible for maintaining and enhancing CPQ setups, while spearheading initiatives like multi-language...

  • Compliance Specialist

    1 week ago

    Gaithersburg, United States Wingate Full time

    The OpportunityDescriptionWe're looking for a Compliance Specialist, working in the Real Estate industry in Gaithersburg, Maryland, United States.Are you someone who takes pride in your work, with a strong sense of ownership and the ability to juggle multiple priorities? Do you thrive in a fast-paced environment?Join Wingate Management Company, an...

  • Ab Initio Administration Lead

    1 week ago

    Gaithersburg, Maryland, United States Lorven technologies Full time

    Job DescriptionRole OverviewLorven Technologies is seeking a highly skilled Ab Initio Administration Lead to join our dynamic IT team. As a key member of our team, you will be responsible for leading all tasks involved in the administration of ETL tools (Ab-Initio) in the Cloud.Key ResponsibilitiesLead the administration of ETL tools (Ab-Initio) in the...

  • Senior Sales Support Specialist

    3 months ago

    Gaithersburg, United States ATCC Full time

    Ready to shape the future of science and global health? ATCC, a pioneer in biomaterials manufacturing, is seeking a Senior Sales Support Specialist for a flexible hybrid role working 1-2 days per week in the office.  Days in office are feasible in either Gaithersburg, MD or Manassas, VA.   In this role, you will serve as the primary point of contact...

  • Affiliate Engagement Coordinator

    2 weeks ago

    Gaithersburg, Maryland, United States NEA Member Benefits Full time

    Affiliate Relations SpecialistPOSITION FUNCTION AND PURPOSEThe Affiliate Relations Specialist (AR Specialist) plays a crucial role in enhancing market access and increasing the reach of NEA MB programs among state and local affiliates in California. This position is focused on establishing connections with members through diverse channels to promote...

  • Affiliate Engagement Coordinator

    2 weeks ago

    Gaithersburg, Maryland, United States NEA Member Benefits Full time

    Affiliate Relations SpecialistPOSITION FUNCTION AND PURPOSEThe Affiliate Relations Specialist (AR Specialist) plays a crucial role in enhancing market access and increasing penetration for NEA MB programs within state and local affiliates across California. This position is dedicated to connecting with members through diverse channels to promote interaction,...

  • Business Operations Specialist

    1 week ago

    Gaithersburg, Maryland, United States Arthur Lawrence Full time

    Business Operations Specialist Position at Arthur LawrenceAbout the Role:Arthur Lawrence is seeking a Business Operations Specialist to support a client in the Gaithersburg area. The ideal candidate will have experience in data analysis, process improvement, and project management.Key Responsibilities:Conduct data analysis to identify trends and areas for...

  • Lead Automation Specialist

    1 day ago

    Gaithersburg, Maryland, United States The Chemical Engineer Full time

    Job SummaryThe Chemical Engineer is seeking a highly skilled Lead Automation Specialist to join our dynamic Operations team. As a key member of our Facilities and Engineering team, you will play a pivotal role in ensuring the reliable, compliant, and energy-efficient operations of our facility.Key ResponsibilitiesManage and maintain the...

  • Audio Visual Systems Specialist

    2 weeks ago

    Gaithersburg, Maryland, United States NTI Full time

    Join Our Innovative Team at NTIAre you an experienced professional in the realm of audio and visual systems? National Technology Integrators is seeking a meticulous Audio Visual Systems Specialist to enhance our team. In this position, you will oversee the setup, programming, and maintenance of audio, video, and acoustic systems across a variety of...

  • Quality Assurance Automation Specialist

    2 weeks ago

    Gaithersburg, Maryland, United States Chenega Corporation Full time

    Position OverviewRole: Quality Assurance Automation SpecialistLocation: RemoteChenega Corporation is dedicated to delivering comprehensive IT solutions to government clients both domestically and internationally. Our team comprises experienced professionals who are experts in the Federal sector.Are you eager to advance your career and enhance your technical...

  • Cybersecurity Assurance Specialist

    2 weeks ago

    Gaithersburg, Maryland, United States Leidos Full time

    About Us:At Leidos, we provide cutting-edge solutions through the dedication and expertise of our diverse workforce, committed to our clients' success. We believe in empowering our teams, contributing positively to our communities, and maintaining sustainable operations. Our core principles guide our business practices, ensuring we uphold our commitment to...

  • QC Analytical Specialist

    2 days ago

    Gaithersburg, Maryland, United States Kaztronix Full time

    Job SummaryKaztronix is seeking a highly skilled QC Analytical Specialist to join our team. As a key member of our Quality Control department, you will be responsible for providing technical expertise to support the development and implementation of analytical methods and procedures.Key ResponsibilitiesMethod Lifecycle Management: Contribute to the...

  • Support Specialist for Individuals with Autism

    1 week ago

    Gaithersburg, Maryland, United States CSAAC Full time

    About CSAAC:Community Services for Autistic Adults and Children (CSAAC) is a nonprofit organization committed to enhancing the lives of individuals diagnosed with autism. With over 65 residential facilities in Montgomery County, we provide essential support and care.Position Overview:We are seeking dedicated full-time and part-time Direct Support Specialists...

  • Clinical Nurse Specialist

    2 weeks ago

    Gaithersburg, Maryland, United States Trinity Health Corporation Full time

    Employment Type:Full-timeShift:Day ShiftOverview:The Clinical Nurse Specialist (CNS) is tasked with overseeing and managing the delivery of healthcare services to participants. This role involves providing expert nursing care, recommending treatments, and formulating suitable care plans in accordance with established nursing standards and primary care...

Revenue Integrity Specialist

3 months ago

Gaithersburg, United States Adventist HealthCare Full time
Adventist HealthCare seeks to hire an experienced Revenue Integrity Specialist who will embrace our mission to extend God's care through the ministry of physical, mental and spiritual healing.

As a Revenue Integrity Specialist you will:
•Research and identify quality assurance gaps in AHC Enterprise-wide billing, coding, and payment practices. This includes both Acute care hospitals and physician enterprise.
•Keep work queues at agreed upon levels to keep on task with department goals and objectives
•Escalate any barriers or concerns to manager in a timely and clearly articulated and documented format
•Perform EHR analysis and research along with associated patient accounting, medical charting, and system interfacing to examine and understand underlying root causes of charge capture delays and reconciliation challenges
•Build & maintain relationships with key stakeholders covering a range of business sectors.
•Provide support to Director, Manager and Coordinators in their efforts to collaborate with AHC entities, physicians, physician practices, CMOs, CDI, and other stakeholders in understanding the impact of coding to care quality, documentation, and reimbursement.
•Serve as auditing SME for Revenue Integrity
•Provide input to coding team, including coding auditors and coding vendor as needed.
•QAQC role works with key contacts, dashboards and reports to reconcile charges according to the source information and against visits and other visit data
•Work to ensure charges are entered timely and escalates any barriers to charge capture or reconciliation
•Review and supports policies and procedures on Charge Capture and Reconciliation
•Run reports and responds to requests for detailed analysis, responses and recommended corrective action.
•Focus reporting on AHC denials, rejections and holds to determine patterns and trends and support corrective action needed

Qualifications include:
•5 years of experience in quality review and comparable position
•Associate Degree preferred
•Strong experience with patient accounts audits and accuracy are required.
•Good organizational, written, and verbal communication skills
•Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
•Ability to work as an independent contributor.
•Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel; fluency in Cerner and/or eCW is desirable.
•Strong attention to details and accuracy, using problem-solving skills and analytical thinking.

Work Schedule:

Monday to Friday.

At Adventist HealthCare our job is to care for you.

We do this by offering:
Work life balance through nonrotating shiftsRecognition and rewards for professional expertise403(b) retirement planFree Employee parkingBenefits Eligible Positions:
Competitive, comprehensive benefit plans [including health, employer-paid disability and life insurance, PTO]Employer retirement contribution and match after 1-year of eligible employment with 3 year vestingAncillary benefits such as flexible spending, legal and pet insurance to meet the needs of employees and their eligible family membersSubsidized childcare at participating childcare centers

As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.

If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist HealthCare team today, apply now to be considered

COVID-19 Vaccination

Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.

Tobacco and Drug Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).

Equal Employment Opportunity
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.

Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants' religious beliefs.

Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.