Anne Arundel Dermatology

Accounts Receivable

• Responsible for all aspects of insurance follow-up and collections, including making telephone calls, accessing payer websites.
• Identify root cause issues for denials; categorize denial reasons and coordinate with clinic and/or with management to ensure process improvements are completed.
• Owns performance and ensures consistent and timely communication for issues identified affecting reimbursement.
• Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary; accurately and thoroughly document the pertinent collection activity performed.
• Review the account information and necessary system applications to determine the next appropriate work activity.
• Verify claims adjudication utilizing appropriate resources and applications.
• Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
• Manage and maintain individual work list/inventory, complete reports, and resolve high priority and aged inventory.
• Stay informed of changes with the procedures and laws for the specific insurance carriers or payers.
• Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.

AR Specialist

Auditor

• Supports codes from final surgical/procedural operative reports signed by the provider.
• Reviews the complex (problematic coding that needs research and reference checking) medical records, ensures documentation is supported.
• Works with ModMed to ensure that the correct plans are used, modifiers attached and diagnosis attached.
• Audits provider medical records and charges for compliance with coding and documentation standards to ensure compliance with internal and government regulations.
• Provides continuing review and education of physician and ACPs to ensure appropriate level of care is reported.
• Partner with practices to review findings of the periodic chart review.
• Maintains a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT coding guidelines to diagnoses and procedures in offices.
• Correlates information supporting clinical documentation not limited to Pathology, Radiology and/or other Physician Consultations after review by the Attending Physician, wherever appropriate.
• Regularly meets with physicians and ACPs to provide continuous education on billable services, medical record documentation, the correct use of CPT and ICD-10 codes, missed billing opportunities and erroneously reported services to minimize errors and loss of revenue.
• Interacts with and provides trends to management, revenue managers and others about coding related issues.
• Solves any coding related problems and/or answers questions regarding coding issues from the provider, office staff and billing specialists.
• Collaborates with billing specialists and appeal and edit coders to expedient resolution of accounts.
• Works together with billing specialists to develop plans to improve charge capture and billing/coding processes.
• Stays current with CPT and ICD-10-CM coding guidelines and updates.
• Communicate changes and/or updates to key stakeholders including physicians, ACPs, practice managers and leadership.
• Reports any potential compliance issues to the Director of RCM.

Provider Coding Auditor, Educator

Financial Planning and Analysis

• Own end-to-end provider compensation administration through the Ludi platform — interpreting and applying employment agreements auditing statements for accuracy and contractual compliance, and analyzing variances to surface financial risks and corrective actions for Regional Finance Managers and senior leadership.
• Develop and own the Provider Compensation budget as part of the annual operating plan (AOP), and develop the annual budget process for regional operations, including forecasting compensation expense under various productivity, hiring, and growth scenarios.
• Conduct financial analysis to assess the company’s performance, identify trends, and provide actionable insights; analyze revenue and expense variances, assess financial risks, and recommend corrective actions.
• Work with operations to prepare financial forecasts and inform company growth strategies; assist in the development and execution of the company’s strategic initiatives, evaluating opportunities and assessing ROI to provide financial guidance for strategic decision-making.
• Develop, implement, and maintain a standardized process for supplemental provider expense reimbursement — including CME and malpractice insurance — ensuring consistency, compliance, and timely processing across all locations.
• Reconcile provider payroll to the general ledger and collaborate with the accounting team on month-end and year-end close to ensure accurate and complete financial reporting and compliance with regulatory requirements; support internal and external audits with audit-ready records and documentation.
• Prepare recurring and ad hoc financial reports, analyses, and forecasts for the CFO, senior management, and stakeholders; partner with Compliance to stay current on regulatory requirements governing provider compensation, including Stark Law and Anti-Kickback considerations.
• Communicate compensation findings, discrepancies, and recommendations clearly and diplomatically to physicians and the ELT; respond promptly to provider inquiries; continuously improve financial planning processes, compensation tracking tools, and models to enhance accuracy and efficiency.

FP&A Analyst – Compensation

Human Resources

• The Human Resource Generalist runs the daily functions of the Human Resource (HR) department including administering pay, benefits, and leave, and enforcing company policies and practices.
• Administers health and welfare plans, including enrollments, changes and terminations.
• Processes required documents through payroll and insurance providers to ensure accurate record-keeping and proper deductions.
• Handles employment-related inquiries from applicants, employees, and supervisors, referring complex and/or sensitive matters to the appropriate staff.
• Oversees onboarding of acquisition staff and travels, as needed to acquisition meetings.
• Attends and participates in employee disciplinary meetings, terminations, and investigations.
• Responds to internal and external HR-related inquiries.
• Completes Forms I-9, verifies I-9 documentation and maintains I-9 files.
• Completes new-employee background checks and pre-employment drug screening.
• Reconciles benefit statements.
• Conducts audits of benefits or other HR programs and recommends corrective action.
• Oversees onboarding of new hires and processing of terminations.
• Assists with the preparation of the performance review process.
• Facilitates exit interviews and reporting.
• Assists with Worker’s Compensation claims process.
• Assists with FMLA process.
• Files documents into appropriate employee files.
• Assists or prepares correspondence as requested.
• Maintains records of personnel-related data and ensures all employment requirements are met.
• Processes mail.
• Maintains compliance with federal, state, and local employment laws and regulations, and recommended best practices; reviews policies and practices to maintain compliance.
• Maintains knowledge of trends, best practices, regulatory changes, and new technologies in human resources, talent management, and employment law.
• Other duties assigned as deemed necessary by management.

Human Resources Generalist

• Administer end-to-end provider payroll processing through the Ludi platform — including data entry, verification, and approval workflows — and serve as the primary point of contact with Ludi for system optimization, issue resolution, and ongoing data integration.
• Interpret and apply provider compensation agreements — including base salary, productivity incentives, bonuses, and other supplemental elements — and maintain comprehensive, up-to-date tracking of all compensation components across the provider population.
• Audit provider compensation statements against individual employment agreements to ensure accuracy and contractual compliance; analyze variances, assess financial risk, and recommend corrective actions to Regional Finance Managers and senior leadership.
• Develop and own the Provider Compensation budget as part of the annual operating plan (AOP), including forecasting compensation expense under various productivity and growth scenarios.
• Conduct financial analysis to assess company performance and labor cost trends; prepare recurring and ad hoc reports, analyses, and forecasts for the CFO, Finance leadership, and senior management.
• Develop, implement, and maintain a standardized process for supplemental provider expense reimbursement — including CME and malpractice insurance — ensuring consistency, compliance, and timely processing across all locations.
• Reconcile provider payroll to the general ledger and support month-end and year-end close activities.
• Support internal and external audits by maintaining organized, audit-ready payroll records and documentation.
• Parter with Compliance to stay current on regulatory requirements governing provider compensation, including Stark Law and Anti-Kickback considerations as they relate to pay plan structure.
• Communicate compensation findings, discrepancies, and recommendations clearly and diplomatically to physicians and the ELT; respond promptly to provider inquiries regarding pay, deductions, and compensation plan details.
• Continuously improve provider compensation processes, financial models, and tracking tools to enhance accuracy and efficiency.
• Other duties as assigned.

AR Specialist

Provider Coding Auditor, Educator

FP&A Analyst – Compensation

Human Resources Generalist

Financial Analyst – Healthcare Compensation