Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Medicare Regulatory & Coding Expert — UM/ACD Specialist

Acentra Health

Acentra Health is seeking a Medicare Regulatory and Coding Expert Associate to join our team in a regulatory coding capacity. You will manage an internal ACD database, monitor CMS transmittals, and collaborate with clients and claims administrators to ensure compliance and accuracy. The role requires applying medical necessity criteria, maintaining QA standards, and ensuring HIPAA compliance while supporting utilization management initiatives and producing timely, accurate guidance for clinical #J-18808-Ljbffr Acentra Health

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Medicare Regulatory & Coding Expert — UM/ACD Specialist in Mc Lean, VA vacancy
  •  ...SAFETY & PHARMACOVIGILENCE SPECIALIST (2 positions) Job Title: Safety and PV Specialist x...  ...for the reporting of adverse events to regulatory agencies Develops and ensures the uniform...  ...of safety databases and/or MedDRA coding preferred. ~ Experience leading clinical... 
    Regulatory
    Permanent employment
    Contract work
    Second job
    Work at office
    Remote work

    Beacon Hill

    Bethesda, MD
    3 days ago
  •  ...maintaining the accuracy, integrity, and regulatory compliance of the organization's Charge...  ...Finance, Clinical Operations, Compliance, Coding, and Information Technology teams to...  ...implications.Serves as a billing and coding expert for the department by: providing... 
    Regulatory

    Kaiser Permanente

    Washington DC
    3 days ago
  •  ...Senior Coding Specialist Healthcare Legal Solutions is seeking an experienced Senior Coding...  ...help operationalize coding guidelines, regulatory requirements, and client policies;...  ...overturn denials. Interpret and apply Medicare, Medicaid, and commercial payer rules... 
    Regulatory

    Healthcare Legal Solutions

    Washington DC
    2 days ago
  • Responsibilities:- Working with clients (ISSOs and CISO) to develop regulatory strategies and plans for federal agency- Crafting, authoring, and editing regulatory submissions- Working with an internal project team and client to meet regulatory deadlines, respond to issues... 
    Regulatory
    Work experience placement
    Shift work

    NTT DATA

    Arlington, VA
    2 days ago
  •  ...Bethesda, MD seeks a Safety & Pharmacovigilance Specialist I to join our clinical research team on-site. You...  ...at least 2 years in pharma/biotech, familiarity with MedDRA coding and safety databases, and the ability to support regulatory #J-18808-Ljbffr Piper Companies
    Regulatory

    Piper Companies

    Bethesda, MD
    5 days ago
  • Job Title S & P Specialist Location Bethesda, MD 20817 US (Primary) Category Drug Safety Job...  ...for the reporting of adverse events to regulatory agencies Develops and ensures the...  ...Knowledge of safety databases and/or MedDRA coding preferred Experience leading clinical and... 
    Regulatory
    Full time
    Work at office
    Local area
    Remote work

    Technical Resources International

    Bethesda, MD
    1 day ago
  •  ...candidate to join our talented Team. Job Title: Risk Management Expert Location(s): McLean, VA Job Summary:We are seeking a highly...  ...:Experience with risk management standards.Familiarity with regulatory requirements and compliance.Ampcus is an Equal Opportunity Employer... 
    Regulatory

    Ampcus

    McLean, VA
    2 days ago
  • $120k - $150k

    Job DescriptionEverforth ECS is seeking a Functional Expert I to work in our Arlington, Virginiaoffice. Salary Range: $120,000 - $150...  ...multidisciplinary support personnel while maintaining fiscal discipline, regulatory compliance, and continuity of execution.Help prepare program... 
    Regulatory
    Work at office

    ECS Federal

    Arlington, VA
    15 hours ago
  • $220k - $270k

     ...Office of the Secretary of Defense, Interagency Division provides expert support services to a range of customers spanning across the...  ...is interested in a senior program management professional with regulatory compliance authority and demonstrated leadership in complex R&D... 
    Regulatory
    Work at office
    Flexible hours

    MCR

    Arlington, VA
    2 days ago
  •  ...payer reimbursement policies and procedures, regulatory and administrative rules. Coordination of patient access experience. Expert knowledge of specialty products,...  ...healthcare/ insurance experience. Billing/Coding background in buy and bill and Specialty Pharmacy... 
    Regulatory
    Shift work

    Artech Information System LLC

    Gaithersburg, MD
    3 days ago
  •  ...DescriptionProSidian Consulting seeks a FOIA Subject Matter Expert to support and participate in a project...  ...Seven (7) years’ experience in law and regulatory compliance• Understanding and familiarity...  .... Be sure to place the job reference code in the subject line of your email. Be... 
    Regulatory
    Full time
    For contractors
    Internship
    Work at office

    Prosidian Consultng

    Vienna, VA
    4 days ago
  •  ...tremendous scale. We enable Health Plans to meet regulatory requirements, improve care coordination...  ...resides in our broader “Subject Matter Expert” team. This team was formed as a result...  ...understanding of:Medicaid & Medicare program structuresCMS oversight and compliance... 
    Regulatory
    Permanent employment
    Work experience placement
    Worldwide

    Intersystems

    Vienna, VA
    15 hours ago
  •  ...an Operations Management Subject Matter Expert to support and participate in a project supporting...  ...impact of existing and proposed regulatory considerations, approvals required by main...  ...CONSIDERED. Be sure to place the job reference code in the subject line of your email. Be... 
    Regulatory
    Full time
    For contractors
    Internship
    Work at office

    Prosidian Consultng

    Vienna, VA
    4 days ago
  • $149.3k - $201.4k

    Amazon is seeking an innovative and high-judgement Privacy Specialist to join the Regulation Technology and Assurance (RTA) team within...  ...developments of relevant privacy laws, customer expectations, and regulatory guidance to identify and communicate key trends and to protect... 
    Regulatory
    Worldwide
    Flexible hours

    Amazon

    Arlington, VA
    15 hours ago
  • $89.59k - $197.46k

     ...currently seeking a Senior Associate, Credit Specialist to join our Audit practice....  ...procedures in accordance with relevant regulatory professional auditing and assurance standards...  ...abilitiesAdhere to the firm's values and code of conductAbility and willingness to travelMust... 
    Regulatory
    H1b
    Local area

    KPMG

    McLean, VA
    3 days ago
  •  ...contact with customers, subcontractors, and internal stakeholders throughout the lifecycle, ensuring compliance with FAR/DFARS and regulatory requirements. You will lead contract negotiations, analyze complex bid tenders, and collaborate with senior management. #J-18808... 
    Regulatory
    Contract work
    For subcontractor

    Rapiscan Systems, Inc.

    Arlington, VA
    2 days ago
  • Aretum is seeking a detail-oriented Senior FOIA Specialist to support the Freedom of Information Act program within a federal contracting context. This remote role may involve occasional travel under 10% and requires a JD with substantial FOIA processing experience. Candidates... 
    Remote job

    Aretum, Llc

    Mc Lean, VA
    5 days ago
  •  ...timeDescriptionClient Solution Architects (CSA) is currently seeking an Specialist II to support onsite in the Arlington, VA area.For nearly 50...  ....Ensure all deliverables comply with applicable statutory, regulatory, and command-specific requirements and contribute to audit... 
    Regulatory
    Contract work
    For contractors
    Work at office

    Client Solution Architects

    Arlington, VA
    15 hours ago
  •  ...safety industry leader. We are expert FERC Part 12 Dam Safety...  ...Hydropower Practice engineering and regulatory team offers core services...  ...environmental scientists and regulatory specialists. Hydropower generation is...  ...have limited or no specific code based guidance.Work with... 
    Regulatory
    Contract work
    Work at office
    Flexible hours

    HDR

    Vienna, VA
    4 days ago
  • $20k

     ...BSA/AML Specialist x 2 – Contract – Remote – $28.00 - $32.0/hr. The final salary or hourly wage, as applicable, paid to each candidate...  ...submit Currency Transaction Reports (CTRs) within required regulatory timeframes. • Review daily internal referrals, including... 
    Regulatory
    Hourly pay
    Contract work
    Local area
    Remote work
    Work from home
    Visa sponsorship

    Hays

    Vienna, VA
    16 hours ago
  • $122.1k - $164.8k

     ...based on this focus. This leader acts as a privacy subject matter expert and works with business, legal, and technology stakeholders to...  ...improve the documentation team program• Apply global privacy regulatory and operational expertise to Ops to embed a consistent customer... 
    Regulatory
    Flexible hours

    Amazon

    Arlington, VA
    1 day ago
  •  ...Who YOU AreYou’re a dedicated Fire Safety Specialist with a strong commitment to ensuring the...  .... With your extensive knowledge of fire codes, standards, and best practices, you play...  ...function optimally and comply with regulatory requirements.At KBR, you bring a detail-... 
    Regulatory
    Full time
    Contract work
    Local area
    Shift work
    Night shift

    KBR

    Arlington, VA
    4 days ago
  • AV is seeking a Trade Compliance Officer to lead day‑to‑day export compliance activities, ensuring adherence to US regulatory requirements and internal policies. You will manage license applications, maintain classifications, and coordinate with shipping, legal, and TC... 
    Regulatory
    Remote job

    AV

    Arlington, VA
    3 days ago
  •  ...Opportunity:Tetra Tech is adding a Title 22 Specialist to our Tetra Tech team based in...  ...complex challenges. Our industry-leading experts in engineering and consulting are committed...  ...processes, and ability to interpret statutory/regulatory requirements into practical program... 
    Regulatory
    Contract work
    For contractors
    Work at office
    Worldwide

    EGlobalTech

    Arlington, VA
    15 hours ago
  • $125.8k - $170.2k

     ...Authorization (WA) team is looking for a Senior HR Specialist to drive service delivery excellence and...  ....This role is the U.S. subject matter expert on work authorization regulations,...  ...I-9 and E-Verify requirements. Monitor regulatory changes, particularly U.S. immigration... 
    Regulatory
    Temporary work
    Work at office
    Flexible hours
    Shift work

    Amazon

    Arlington, VA
    4 days ago
  •  ...Legal Specialist We are looking for candidates with 1-5 years of experience ideally with knowledge of legal regulations, court orders...  ..., and member information to ensure accurate processing and regulatory compliance. Monitor queues and workloads to ensure timely processing... 
    Regulatory
    Local area

    System One Holdings, LLC

    Vienna, VA
    2 days ago
  •  ...and local regulations and/or guidelines, the Tissue Recovery Specialist 1 will perform a variety of duties associated with the surgical...  ...Employees must arrive onsite at the start of the shift. Mandatory and regulatory competencies, as well as meeting attendance along with... 
    Regulatory
    Work at office
    Local area
    Shift work
    Night shift
    Weekend work
    Day shift

    Infinite Legacy

    Falls Church, VA
    2 days ago
  •  ...McLean, VA is hiring a Pharmacist to deliver clinical services such as immunizations and MTM interventions, ensuring compliance with regulatory guidelines and Walgreens policies. You will engage patients, greet and assist, provide counseling on medication management and... 
    Regulatory
    Full time
    Shift work

    Walgreens

    Mc Lean, VA
    3 days ago
  •  ...position is to serve as the senior specialist and Subject Matter Expert(SME) for the ISR Tools Branch within...  ...the branch complies with legal and regulatory requirements and meets customer needs...  ..., Chap 83 of Title 10 United States Code which sets forth Air Force policies... 
    Regulatory
    Full time
    Temporary work
    Part time
    Work experience placement
    Work at office
    Trial period
    Relocation package
    Shift work
    Afternoon shift

    Commander, Navy Installations Command

    McLean, VA
    3 days ago
  •  ...User Interface Subject Matter Expert (SME) / UI Team Lead Active Secret clearance required. 100% on-site Nationwide IT Services...  ...development activities, including sprint planning, design reviews, code reviews, testing, and release planning. Recommend... 
    For contractors
    Work at office

    Nationwide IT Services, Inc.

    Arlington, VA
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Medicare Regulatory & Coding Expert — UM/ACD Specialist. Be the first to apply!