• Special Investigation Unit (SIU)…

    CVS Health (Annapolis, MD)
    … will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding practices through comprehensive record ... reviews for medical, behavioral, transportation, and other healthcare providers. The CPC Manager will be responsible for guiding the team in determining correct … more
    CVS Health (08/08/25)
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  • Dialysis Clinical Manager Registered Nurse…

    Fresenius Medical Center (Waldorf, MD)
    **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... onboarding, essential functions, leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area Team Lead or… more
    Fresenius Medical Center (06/14/25)
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  • Manager Revenue Cycle

    Calvert Memorial Hospital (Prince Frederick, MD)
    …teams and committees with the responsibility and oversight of customer service, billing , cash collections, Medical Group coding , and workflow processes necessary ... DETAILS + Job Summary : Provide direct management of the CalvertHealth Medical Group Billing Department. To provide support, as needed, to other revenue cycle… more
    Calvert Memorial Hospital (07/23/25)
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  • Manager , Special Investigation

    CVS Health (Annapolis, MD)
    …States: **Texas, Ohio, New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of ... Aetna's policies and procedures **Education** + Bachelor's degree preferred/specialized training/relevant professional qualification **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,300.00 -… more
    CVS Health (08/01/25)
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  • AR Revenue Cycle Specialist - #Staff

    Johns Hopkins University (Middle River, MD)
    …non-standard appeals to a higher-level specialist. + Informs the supervisor / Production Unit Manager of issues or problems associated with non-payment of ... Status: Non-Exempt Location: Hybrid/JH at Middle River Department name: SOM Ped Production Unit Billing Personnel area: School of Medicine The listed salary… more
    Johns Hopkins University (08/08/25)
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  • Clinical Provider Auditor I - Maryland Behavioral…

    Elevance Health (MD)
    …as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations. + Collaborates ... an impact:** + Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud...with the Special Investigation Unit and other internal areas on matters of mutual… more
    Elevance Health (08/12/25)
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  • AR Revenue Cycle Specialist III - #Staff

    Johns Hopkins University (Middle River, MD)
    …Recommend proactive changes based on analysis of denial trends to the / Production Unit Manager . + Participate in on-going educational activities. + Keep current ... + Knowledge of medical terminology, CPT codes and diagnosis coding . + Ability to perform on-line research and analyze...Hybrid/JH at Franklin Square Department name: SOM Pat Production Unit Billing Personnel area: School of Medicine… more
    Johns Hopkins University (06/24/25)
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  • AR Revenue Cycle Specialist III - #Staff

    Johns Hopkins University (Middle River, MD)
    …non-standard appeals to a higher-level specialist. + Informs the supervisor / Production Unit Manager of issues or problems associated with non-payment of ... claims and standard appeals, using various JHM applications and JHU/ PBS billing applications. Communicates with payers to resolve issues and facilitate prompt… more
    Johns Hopkins University (06/24/25)
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