13 plan coder jobs found in Washington

Howard University Faculty Practice Plan Senior Coding Specialist The Howard University Faculty Practice Plan Senior Coding Specialist is responsible for accurate and timely assignment of CPT, HCPCS, ICD-10-CM, and modifiers for professional services rendered across a multispecialty practice. This role ensures coding compliance with regulatory and payer-specific guidelines while optimizing reimbursement and minimizing denials. The Senior Coding Specialist serves as a subject matter expert and mentor to junior coders, and collaborates closely with clinical staff, billing teams, and revenue cycle leadership. Principal Responsibilities Assign accurate and complete diagnosis and procedure codes for encounters across multiple specialties, including, but not limited to, pediatrics, OBGYN, orthopedics, dermatology, internal medicine, psychiatry, and surgical services Review clinical documentation for completeness and clarity, query providers when appropriate Ensure compliance...

About this Job: General Summary of Position Assists in the MedStar Family Choice compliance program related to program integrity. Conducts provider audits to identify and address improper billing practices. We recruit, retain, and advance associates with diverse backgrounds skills and talents equitably at all levels. Primary Duties and Responsibilities Analyzes current payment policies and makes recommendations to improve program integrity and organizational processes. Assists with and tracks responses to external government inquiries investigations data requests subpoenas and fair hearings. Responds to government requests for claims data/information. Prepares written audit reports and communicates the results to management. Initiates corrective action plans or continuous improvement plans identified through audits. Communicates compliance issues and findings identified through audits and reviews. Prepares written audit reports and communicates the results to management. Initiates...

Howard University Faculty Practice Plan Senior Coding Specialist The Howard University Faculty Practice Plan Senior Coding Specialist is responsible for accurate and timely assignment of CPT, HCPCS, ICD-10-CM, and modifiers for professional services rendered across a multispecialty practice. This role ensures coding compliance with regulatory and payer-specific guidelines while optimizing reimbursement and minimizing denials. The Senior Coding Specialist serves as a subject matter expert and mentor to junior coders, and collaborates closely with clinical staff, billing teams, and revenue cycle leadership. Principal Responsibilities Assign accurate and complete diagnosis and procedure codes for encounters across multiple specialties, including, but not limited to, pediatrics, OBGYN, orthopedics, dermatology, internal medicine, psychiatry, and surgical services Review clinical documentation for completeness and clarity, query providers when appropriate Ensure compliance with...

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:...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. 1,500 Sign on Bonus We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule,...

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...

Medical Billing Specialist Neurology Services, Inc., is looking to hire a full-time Medical Billing Specialist. The Medical Billing Specialist is responsible for posting charges and receipt of payment for all medical services rendered by Neurology Services, Inc. In this role you are held accountable for the management of the accounts, throughout the entire collections process. Prompt submission and follow-up of all claims are essential for success. Persistency is vital! Errors will result in slow payment and/or reduced and lost revenue. You will be supporting the founder and owner of Neurology Services, Inc., Dr. Peter Bernad, who offers effective and individualized treatments to correct a host of medical conditions. He is a board-certified physician and has broad experience in pediatric, medical and surgical care. The practice does not perform surgery but focuses on determining the basis or cause of a patient's problem. We treat patients with a wide variety of neurological...

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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

A leading consulting firm is seeking a Revenue Integrity Coding and Billing Specialist to join their remote team. The role involves reviewing and resolving Medicare claims, ensuring compliance with billing guidelines, and applying appropriate medical codes. The ideal candidate will have over three years of relevant experience and certification in coding. Competitive compensation ranges from $49,000 to $81,000 annually, alongside a rich benefits package that includes health insurance and retirement plans. #J-18808-Ljbffr

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...

Job Description Job Description Neurology Services, Inc., is looking to hire a full-time Medical Billing Specialist . The Medical Billing Specialist is responsible for posting charges and receipt of payment for all medical services rendered by Neurology Services, Inc. In this role you are held accountable for the management of the accounts, throughout the entire collections process. Prompt submission and follow-up of all claims are essential for success. Persistency is vital! Errors will result in slow payment and/or reduced and lost revenue. You will be supporting the founder and owner of Neurology Services, Inc., Dr. Peter Bernad, who offers effective and individualized treatments to correct a host of medical conditions. He is a board-certified physician and has broad experience in pediatric, medical and surgical care. The practice does not perform surgery but focuses on determining the basis or cause of a patient’s problem. We treat patients with a wide variety of...

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...