19 coder auditor jobs found in Washington

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Opportunities For You Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Tuition reimbursement, education programs, and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities Responsible for conducting medical records and coding related reviews to validate the integrity of coded procedures. Works closely with clinical departments and Revenue Cycle Services to ensure compliance with coding guidelines, government, payer and internal charge capture policies. Provides education and training to clinical providers and staff within the practices on proper...

Opportunities For You Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek Tuition reimbursement, education programs, and scholarships Vacation time starts building on Day 1, and builds with your seniority Free money toward retirement with a 403(b) and matching contributions Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. Responsibilities Responsible for conducting medical records and coding related reviews to validate the integrity of coded procedures. Works closely with clinical departments and Revenue Cycle Services to ensure compliance with coding guidelines, government, payer and internal charge capture policies. Provides education and training to clinical providers and staff within the practices on proper...

Remote VA Experienced Outpatient Medical Coders Summary Cooper Thomas, LLC, a leading provider of medical coding services to the Department of Veterans Affairs (VA), has immediate openings for experienced Outpatient Coders. Applicants must have at least 2 years of experience for remote outpatient coding positions. Previous experience with VA is required , whether as a VA employee or with another VA contractor. You must be able to pass an initial entrance exam and code at a minimum of 95% accuracy. This work will be performed remotely in your home office. Benefits are available if interested in full-time employment or you can decline benefits to maximize your compensation. If you are working for another VA contractor and are having a difficult time being paid on time, our company pays bi-weekly without exception. This is the perfect opportunity for you. Presently we are only interested in candidates who meet the qualifications below and have an active Background Investigation,...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Humana Inc is seeking a Medical Coding Auditor to join their SIU clinical review team. The role entails reviewing medical records for coding accuracy and communicating audit results to stakeholders. Required qualifications include CPC Certification and experience in acute outpatient coding. The position offers remote work with occasional travel and provides a pay range from $59,300 to $80,900 per year, along with a comprehensive benefits package including medical, dental, and 401(k). #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The 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 for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura's Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura's health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the...

Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Coding Specialist-New Jersey Ave. Coding Specialist Location: Washington, DC Organization: Unity Health Care Employment Type: Full-Time About Unity Health Care Unity Health Care is a mission-driven, federally qualified health center committed to providing high-quality, compassionate, and comprehensive health care services to underserved communities throughout Washington, DC. Our team is dedicated to improving health outcomes through accessible, patient-centered care while supporting excellence in clinical operations and revenue cycle management. Position Summary Under the supervision of the Medical Billing Coding Manager, the Coding Specialist plays a critical role in ensuring accurate medical coding, charge capture, and reimbursement for healthcare services. This position reviews medical documentation, assigns appropriate diagnosis and procedure codes, supports compliance with federal and payer regulations, and helps maintain the integrity of the organization's electronic...

Ankura Health Care Disputes, Compliance and Investigations Practice Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura's Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also...

About Integrated Management Strategies (IMS) LLC We area women-owned small business and management consulting firm that provides an array of business and technical services. IMS is headquartered inthe Washington, D.C. metropolitan area, with employees across 39 US states. What We Do We support the mission critical needs of federal agencies and commercial businesses by leveraging our experience, talent and can-do attitude, and solve their strategic and operational challenges. How We Do It We earn our clients’ trust through our personalized approach and attention to detail, allowing us to collaborate and solve even the most complex problems. About the role Are you ready for your next career adventure?! Integrated Management Strategies (IMS) is an award-winning, fast-growing woman-owned small business in the Washington DC area, specializing in healthcare, technology, and management consulting. We are seeking an experienced Medical Coder to join our healthcare consulting practice. The...

Baylor Scott & White Health is seeking a Coding Auditor I to perform coding quality audits and provide feedback to coders. You will use ICD-10-CM/PCS, HCPCS, CPT and other references to ensure accurate coding and proper DRG grouping. Ideal candidates have 5 years of coding experience with at least 1 year in auditing, plus relevant certifications. This is a full-time, on-site role with healthcare system benefits and opportunities for professional growth. #J-18808-Ljbffr

Job Description Job Description Company Description Better Morning emerged as an outpatient behavioral health practice in Ashburn, VA in the year of 2014. In addition to providing counseling from the Ashburn office, Better Morning started off as a certified provider for intensive in home and community-based services (IHCBS), for at risk youth in District of Columbia. In August of 2017, Better Morning was certified as a Core service agency (CSA) by DC Department of Behavioral Health. Better morning founder’s passion for at risk youth and their family were the motivation to keep expanding the evidenced based programs to meet the need of the underserved population. Job Description Position Summary The Medicaid & MCO Biller is responsible for accurate and timely submission, tracking, and reconciliation of claims for services billed to DC Medicaid and Managed Care Organizations (MCOs). This role ensures compliance with District of Columbia Department of Health Care...

Job Description Job Description Job Title:  Coding Specialist-New Jersey Ave. Location:  Washington, DC Organization:  Unity Health Care Employment Type:  Full-Time About Unity Health Care Unity Health Care is a mission-driven, federally qualified health center committed to providing high-quality, compassionate, and comprehensive health care services to underserved communities throughout Washington, DC. Our team is dedicated to improving health outcomes through accessible, patient-centered care while supporting excellence in clinical operations and revenue cycle management. Position Summary Under the supervision of the Medical Billing Coding Manager, the Coding Specialist plays a critical role in ensuring accurate medical coding, charge capture, and reimbursement for healthcare services. This position reviews medical documentation, assigns appropriate diagnosis and procedure codes, supports compliance with federal and payer regulations, and helps maintain the...

Job Description Job Description Mb Staffing Services is seeking a detail-oriented Medicaid Coding & Reimbursement Analyst with direct experience in Medicaid billing, coding, claims review, and financial reconciliation. This role is ideal for professionals who understand the financial side of healthcare operations and are passionate about accuracy, compliance, and reporting. Key Responsibilities Review and analyze Medicaid claims, billing, and reimbursement data. Perform data entry and validate coding information for accuracy. Utilize ICD-10, CPT, HCPCS, and Medicaid-specific codes. Reconcile reports, payments, and billing discrepancies. Research and resolve claim denials and coding issues. Conduct audits and support compliance initiatives. Generate reports and analyze trends to improve billing accuracy. Review financial and operational data to identify variances and opportunities for improvement. Collaborate with providers and internal teams to ensure timely...

Ankura is a team of excellence founded on innovation and growth. Practice Overview Ankura's Health Care Disputes, Compliance and Investigations practice advises outside counsel and their clients on a wide variety of legal and regulatory matters. Our practitioners provide expert witness testimony on commercial disputes involving payers and providers, as well as in matters involving False Claims Act, Anti-kickback, Stark, and FDA disputes and investigations. We work with Chief Compliance Officers to build and mature their compliance programs, conduct program effectiveness reviews, and risk assessments, and perform compliance audits. We assist in-house and outside counsel during internal and externally driven investigations through the evaluation of medical records, the determination of medical necessity and appropriate medical coding, and the computation of financial impacts that may lead to repayments. We also provide investigative assistance in matters involving research...