12 Results for

Medical Coder Jobs in District of Columbia

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.

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.

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.

Washington, DC29 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.

Remote Home Office, DC14 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.

New!

Washington, DC6 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.

New!

Washington, DC6 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.

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.

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Medical Coder Jobs in District of Columbia

Jobs

Medical CoderLumen Solutions Group Inc

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

Inpatient Facility CoderAddison Group

Certified Risk Adjustment Coder (CRC), Senior AssociateAnkura

Inpatient Medical Coding AuditorHumana

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

Sr. Director, Risk Adjustment (0778)CINQCARE

Lead Coordinator, Revenue Cycle Management, BillingCardinal Health

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