21 Results for

Medical Coder Jobs in Capitol, VA

Jobs

Washington, DC30+ days ago

Remote

Full-time

Job Title: Medical Coder Location: Remote Type: Contract Interview Process: 1 Round (MS Teams) Job Description: We are seeking an experienced Medical Coder – Quality Assurance professional to support a high-volume urgent care provider. The ideal candidate must have strong QA experience in medical coding and be comfortable reviewing large volumes of claims in a fast-paced environment.

Falls Church, Fairfax, VA9 days ago

$23–$29 Per Hour

The Medical Coder is responsible for reviewing, coding and updating charges in various Charge Work Queues, to ensure accuracy and timely release of charges, in a manner consistent with Virginia Heart’s mission of excellence in cardiovascular care. (Click link to view other available openings and locations for our company: https://virginiaheart.hiringplatform.com/list/careers).

Arlington, VA30+ days ago

Work closely with OBGYN physicians, advanced practice providers, nurses, and administrative staff to ensure accurate coding and billing. The ideal candidate for this role will have subspeciality experience in obstetrics, gynecology, lab billing, genetic testing, cancer screening, and mammography.

Washington, DC30+ days ago

Remote

$28.52–$42.79 Per Hour

This includes high acuity profee service lines, Cardiac Cath/Electrophysiology (EP), or Interventional Radiology (IR) with a CIRCC certification, or expertise in at least 8 sub-specialties. + The pay range for this position is $28.52 (entry-level qualifications) - $42.79 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior coding experience.

Washington, DC30+ days ago

$30–$40 Per Hour

Facility Size: 228 beds; chart mix includes Med/Surg, OBGYN, Pediatrics, Oncology, Ortho, Neuro, ER admits. This medical center is recognized for delivering comprehensive inpatient and outpatient care with a strong commitment to quality, compassion, and innovation.

Washington, DC30+ days ago

$85,000–$200,000 Per Year

Ankura Consulting Group, LLC is an independent global expert services and advisory firm that delivers services and end-to-end solutions to help clients at critical inflection points related to conflict, crisis, performance, risk, strategy, and transformation. Associates use their experience and knowledge related in coding, revenue cycle and clinical operations, along with their project management capabilities, to contribute to complex investigations, whistleblower lawsuits, internal investigations, payer/provider disputes, and acquisition due diligence, among others.

New!

Vienna, VA3 days ago

Full-time

MicroHealth is seeking an experienced Medical Billing, Coding and Denial Specialist with CareVue (or similar EHR) experience to provide hospital medical billing and coding support services. This position will ensure accurate clinical coding and timely preparation and submission of hospital medical billing claims for both inpatient and outpatient hospital services.

Bethesda, Maryland10 days ago

$35.21–$40.14

As a proud Department of Defense Partner Employer and participant in the Military Spouse Employment Partnership (MSEP), PPDG remains committed to supporting our Nation’s Finest through meaningful careers that make a lasting impact. About Company:Since 1984, Professional Performance Development Group (PPDG) has been proudly Serving Heroes by connecting exceptional healthcare professionals with rewarding opportunities across military, federal, and commercial healthcare facilities.

Washington, DC30+ days ago

Remote

$71,100–$97,800 Per Year

The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

Manassas, Virginia19 days ago

Remote

$75,000–$95,000 Per Year

Qualifications: MBR business process SME including experience with MBR E2E process from a business/operations perspective; firm understanding of integrated services and workflows including FS/UCR, Nurse and code review, PPO, negotiations, adjustor bill adjudication; workers compensation regulatory environment experience/understanding; Demonstrated application of successful critical thinking and complex problem solving skills; Experience in a role requiring deep understanding of and experience working with MBR and integrated services technology – not at a developer level – but from a business analyst perspective; Experience gathering business requirements and clearly documenting complex scenarios and use cases to communicate MBR issues accurately for resolution; Communication experience with varied audiences including leadership and peers in business/operational & technology roles; Client-facing acumen. You will work directly with Berkley Operating Units to investigate bill processing issues and are responsible for problem-solving, identifying and triaging issues to technical teams, directly interfacing with multiple vendors to facilitate issue resolution, issue documentation, tracking, and reporting.

New!

Alexandria, VA4 days ago

Remote

This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers.

Washington, DC30+ days ago

Remote

Full-time

Job Title: Risk Adjustment Coding Specialist Location: Remote (primarily remote; onsite once a quarter or as needed) Type: Contract to Hire Job Summary: We are seeking experienced and certified Medical Coders to join our Special Investigation Unit (SIU) at CareFirst. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.

New!

Remote Home Office, DC2 days ago

Remote

As a result of recent new multi-year VHA contracts awarded, Cooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has up to five (5) immediate openings for experienced Outpatient Auditors. · Knowledge in anatomy and physiology, medical terminology, pathology and disease processes, pharmacology, health record format and content, reimbursement methodologies and conventions, rules and guidelines for current classification systems (ICD, CPT, HCPCS).

Washington, DC30+ days ago

Remote

$59,300–$80,900 Per Year

As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.

Washington, DC9 days ago

$81,390–$101,732 Per Year

This role is responsible for conducting advanced data analysis, building and maintaining HCC performance reporting, and supporting predictive modeling initiatives that drive risk score accuracy and reimbursement optimization across Medicare Advantage, Medicaid Managed Care, and ACO REACH programs. Design, develop, and maintain risk adjustment performance dashboards and reports using Power BI, Tableau, or equivalent tools to monitor HCC capture rates, RAF score trends, and coding completeness.

Washington, DC30+ days ago

Remote

Provide proactive care guidance for various value-add opportunities: + Guidance on closing care gaps (e.g., No PCP, discussing switching from low quality PCPs to high quality PCPs, reminder for completion of health risk assessment, reminders for exams/tests due). + Answer inquiries from members (via voice and chat) for the following: + Help with eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, dental, and vision plans.

Washington, DC30+ days ago

$24.50–$32 Per Hour

_Directly supporting cCare, the largest private oncology practice in California, our experienced revenue cycle management specialists simplify and optimize the practice’s revenue cycle, from prior authorization through billing and collections._. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue.

Washington, DC9 days ago

$146,744–$183,435 Per Year

This data science-forward role leverages advanced analytics, machine learning, and predictive modeling to maximize risk score accuracy, optimize reimbursement, and drive population health outcomes across Medicare Advantage, Medicaid Managed Care, and ACO REACH programs. • Develop and own the enterprise risk adjustment analytics strategy, roadmap, and governance framework across all lines of business including Medicare Advantage, Medicaid Managed Care, and ACO REACH.

Lansdowne, Virginia30+ days ago

Virginia Cancer Specialists, affiliated with McKesson Specialty Health and US Oncology, a leader in cancer care, is seeking an experienced full time Patient Care Coordinator/Treatment Care Coordinatorfor our Loudoun office. -On behalf of the patient, coordinates physician referrals, schedules oncology related medical appointments within and outside the practice, resolves insurance billing and coding issues, contacts agencies.

Alexandria, VA11 days ago

Remote

Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. The Medicaid Audit and Compliance Specialist will perform audits as assigned which consist of but are not limited to performing licensing and exclusion reviews on providers and work with the medical staff to ensure services are reimbursed meet regulatory requirements.

Alexandria, VA19 days ago

Remote

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Medical Coder Jobs in Capitol, VA

Jobs

Medical CoderLumen Solutions Group Inc

Medical CoderVirginia Heart

Certified Professional CoderAdvantia Health

Coder III - OP (Cath Lab-CIRCC)Baylor Scott & White Health

Inpatient Facility CoderAddison Group

Certified Risk Adjustment Coder (CRC), Senior AssociateAnkura

Medical Billing, Coding and Denial Specialist (CareVue, Billing, Coding)MicroHealth, LLC

Medical Coding AuditorProfessional Performance Development Group, Inc

Inpatient Medical Coding AuditorHumana

Workers Compensation - Medical Bill Review - Operations Analyst (Remote)Berkley

Clinical Nurse Coding Auditor (Full-time, Remote)Integrity Management Services, Inc.

Risk Adjustment Coding SpecialistLumen Solutions Group Inc

Outpatient Coding Auditors (FT and PT)Cooper Thomas

Consultative Coding ProfessionalCenterWell

Sr. Analyst, Risk Adjustment (0779)CINQCARE

Family Health Advocate - RemoteSharecare

Lead Coordinator, Revenue Cycle Management, BillingCardinal Health

Sr. Director, Risk Adjustment (0778)CINQCARE

Patient Care CoordinatorVirginia Cancer Specialists

Medicaid Audit and Compliance Specialist UPIC SE (Full-time, Remote)Integrity Management Services, Inc.

Medicaid Audit and Compliance Specialist UPIC NE (Full-time, Remote)Integrity Management Services, Inc.

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