32 Results for

Medical Coder Jobs in Crystal, VA

Jobs

New!

MD1 day ago

Remote

$28.76–$48.96

Handles complex coding case review including but not limited to surgical coding (Orthopaedics Cardiac Neurosurgery Otolaryngology etc.) extraction, co-surgery scenarios, multi-visceral transplant cases, comorbidity evaluation. In addition to interacting with physicians on coding issues, ensures that physician encounter forms, the GE IDX billing system and processes are up to date and compliant regarding coding issues.

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).

Linthicum, MD30+ days ago

Remote

Review provider documentation (including operative/clinical notes) and assign accurate ICD-10-CM diagnoses and CPT/HCPCS procedure codes (critical care, pulmonary, E/M, procedures). Ideal for an experienced pro-fee coder who thrives in a collaborative revenue-cycle environment and can hit productivity/quality benchmarks from day one.

Linthicum, MD30+ days ago

Remote

You will assign accurate, compliant codes from physician documentation using ICD-10-CM and CPT/HCPCS, supporting clean claims, timely reimbursement, and revenue integrity. Review operative/clinical documentation and assign ICD-10-CM diagnoses and CPT/HCPCS procedure codes (trauma, general surgery, and related E/M as applicable).

Millersville, MD30+ days ago

Remote

Full-time

RVC Reviewers perform both automated and complex reviews of Medicare Fee-for-Service (FFS) claims—including Part A/B, DMEPOS, and Home Health/Hospice—to assess overpayments, underpayments, and proper payments as determined by Recovery Audit Contractors (RACs). They apply Medicare policies and guidelines, ensuring claims are evaluated according to National and Local Coverage Determinations and CMS rules, and document clear, accurate findings for each claim.

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.

New!

Odenton, MD2 days ago

Full-time

Must have experience working directly for a private practice, not a hospital or billing company, doing billing, coding, charge entry, and AR work only. We are a well-established specialty surgery group focused on helping patients live pain-free, active lives.

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).

Annapolis, MD30+ days ago

$100,000–$120,000 Per Year

Collaborate with the Revenue Integrity and Compliance departments to identify and resolve billing discrepancies and identified issues, review billing edits, identify root causes for edits, ensure integrated approaches to billing and audit functions, and recommend process enhancements. Five or more years in the healthcare industry with hospital coding, billing, auditing, compliance, and reimbursement experience that includes, charge capture, quality assurance, and medical necessity to facilitate correct claim submission to federal and state payers.

Linthicum, MD30+ days ago

Responsible for ensuring quality, accuracy and timeliness of clinical data contained in patient’s medical record by reviewing and analyzing medical information provided by physicians for reimbursement, statistical and indexing purposes. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions Assigns specified codes to medical diagnoses with some coding of specific clinical procedures.

Annapolis, MD30+ 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.

Edgewater, MD30+ days ago

Full-time

The Inpatient Coding Auditor reviews client records to assure coders have assigned accurate and complete ICD-10-CM and PCS codes in accordance with the Official Guidelines for Coding and Reporting and results in the appropriate DRG assignment. Two years of audit and coding review experience and coder education experience encompassing a working knowledge of the ICD-10-CM and ICD-10-PCS coding systems; medical terminology; anatomy and physiology; and health record content.

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.

Annapolis, MD30+ days ago

$83,200–$124,800 Per Year

The clinical denial appeals specialist also works to prevent future clinical denials by communicating with clinical and revenue cycle leadership about denial root causes, such as documentation gaps or insufficient charge capture, and helps develop and implement staff education and process changes. Certification in at least one of the following preferred: certified healthcare chart auditor, certified professional in utilization review (or utilization management or healthcare management), certified case manager, certified documentation specialist, certified coder, certified professional medical auditor, or similar program.

Annapolis, MD30+ days ago

$59,841–$106,856 Per Year

Conducts review of the chargemaster and updates as appropriate to enhance revenue for clinical departments; Conducts audits of Corporate CDM against all individual department CDM systems; Analyzes data within the CDM and assigns CPT/HCPCS and revenue codes to the ChargeMaster; Review revenue cycle systems and clinical systems to maintain charge integrity and develop greater efficiencies for charge recognition; Responsible for making CDM related decisions that require a higher-level analysis and investigation; Identifies billing irregularities on hospital bills and recommends the next level of review, including telephonic discussions with the hospital, referral to the vendor, or onsite audit at the hospital. The candidate is responsible for overseeing and maintaining specifically assigned system Charge controls, developing enhanced charge reconciliation functions at the department level, CDM maintenance, and governmental updates related to Revenue Integrity and Compliance.

Annapolis, MD30+ 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.

Maryland30+ days ago

Remote

$20.57–$36.27 Per Hour

Collects insurance accounts by contacting insurance carriers and other third party payers to verify receipt of billing and other information needed to process claims secure approximate date of payment negotiate with claims personnel for prompt payment and resolve discrepancies in billings within appropriate time frames. Under general supervision performs accounts receivable follow-up/collection procedures to obtain timely reimbursement from third party carriers and other payment sources on moderately complicated invoices in a Direct Contract assignment and/or with an invoice balance.

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 Crystal, VA

Jobs

Coding Specialist III - Plastics/Podiatric SurgeryMedStar Health

Medical CoderLumen Solutions Group Inc

Medical CoderVirginia Heart

Medical Coder (Critical Care and Pulmonary)Tap Growth ai

Medical Coder (Trauma and Surgical)Tap Growth ai

Medical Reviewer, CoderJ29, Inc

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

Medical Billing Specialist / AR Specialist Odenton MDHEALTHCARE RECRUITMENT COUNSELORS

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

Healthcare Audit Professional - Billing & CodingAnne Arundel Medical Center

Coding Specialist (General Surgery)Tap Growth ai

Consultative Coding ProfessionalCenterWell

Sr. Analyst, Risk Adjustment (0779)CINQCARE

Inpatient Facility AuditoriMedX, a Rapid Care Group company

Family Health Advocate - RemoteSharecare

Clinical Denial Appeals SpecialistAnne Arundel Medical Center

Revenue Integrity AnalystAnne Arundel Medical Center

Lead Coordinator, Revenue Cycle Management, BillingCardinal Health

Sr. Director, Risk Adjustment (0778)CINQCARE

Patient Accounts Specialist II - Physicians BillingMedStar Health

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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