118 cpc certified professional coder jobs found in McLean, VA

Medical Record Reviewer The purpose of this position is to review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges; Retrieves information from medical records, ensuring adherence with established methods and procedures. Key Responsibilities/Accountabilities: Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. Sequence the diagnoses and procedures using coding guidelines. Ensure DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Serves as backup to other administrative functions as assigned. Meets job standards for achieving contract deliverables. Assists with other job- and education-related duties as assigned. Other duties as assigned Read, understand, and adhere to all...

Job Summary The Medical Coder is responsible for reviewing inpatient medical record documentation to ensure the accuracy, completeness, and clinical validity of reported diagnoses and procedures. This role evaluates coding accuracy, DRG assignment, reimbursement impact, and regulatory compliance in accordance with official coding guidelines, CMS regulations, payer policies, and organizational standards. The reviewer retrieves, analyzes, and documents medical record information to support appropriate reimbursement, documentation integrity, and audit outcomes for hospital inpatient services. Responsibilities Review medical record documentation and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions. Review inpatient medical records to validate the accuracy and appropriateness of reported primary and secondary diagnoses and procedures using ICD-10-CM/PCS guidelines. Evaluate diagnosis and procedure sequencing to ensure...

Acentra Health in McLean, Virginia is seeking a Medical Coder to ensure the accuracy and clinical validity of inpatient medical records. You will review documentation and coding compliance according to CMS regulations, ensuring optimal reimbursement. This role requires strong analytical skills, attention to detail, and proficiency in ICD-10 coding. A high school diploma and at least 2 years of relevant experience are required. We offer comprehensive health plans and paid time off as part of our benefits. #J-18808-Ljbffr

Job Description Job Description Description: Medical Coder Location: Remote/Hybrid Job Type: Full-Time Position Overview: Venesco is seeking a detail-oriented Medical Coder to support clinical trials through accurate coding and reconciliation of medical data. Requirements: Key Responsibilities: • Code medical terminology using MedDRA and WHO Drug dictionaries • Ensure consistency and quality of coded clinical trial data • Review case report forms (CRFs) for accuracy • Maintain coding conventions and documentation • Generate coding reports and support data reconciliation activities Minimum Qualifications: • Bachelor’s degree in life sciences or related field • 3–5 years of medical coding experience • Knowledge of MedDRA and WHO Drug coding systems Preferred Qualifications: • Medical coding certification • Experience supporting clinical trials

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and create tailored education plans for assigned providers. The role reports to the Manager, Medicare Risk Adjustment. Responsibilities include arranging educational sessions, preparing reports on coding quality trends, and delivering on-site education. Strong data analytics skills and risk adjustment knowledge are essential; remote work with travel may be involved. #J-18808-Ljbffr

Humana is seeking a Medical Coder / Coding Educator 2 to identify opportunities to improve provider documentation and create tailored education plans for assigned providers. Reports to the Manager, Medicare Risk Adjustment. You will arrange educational sessions, analyze data to identify trends, prepare reports, provide on-site education, and collaborate with market provider-facing roles. Proficiency with Excel/Power BI and risk adjustment knowledge are required. #J-18808-Ljbffr

Health Information Management (HIM) Section This position is located in the Health Information Management (HIM) section at the G.V. (Sonny) Montgomery VA Medical Center. MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure.

Job Title Job Description Duties Major duties include: Identified data errors are reviewed with a senior coder or the supervisor and corrections made as directed. Utilizes the facility computer system and software applications to code, abstract, record, and transmit data to the national VA database in Austin. Assists facility staff with basic documentation requirements to reflect the patient care provided; provides support in the areas of regulations and policy, coding requirements, resident supervision, reimbursement, accepted nomenclature, and proper sequencing. Uses skill and knowledge of the organization and structure of the patient health record to capture and justify code assignment. Uses a variety of computer applications in day to day activities and duties, such as Outlook, Excel, Word, and Access; competent in use of the health record applications (VistA and CPRS) as well as the encoder product suite. At the direction of the supervisor assists in orienting and...

Medical Coding Specialist You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10-PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Assign the principal and secondary diagnoses and procedures by thoroughly reviewing all documentation in the medical record...

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...

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...

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,...

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...

Datavant is seeking experienced outpatient coders to join their remote team in Washington, DC. Ideal candidates will have AHIMA or AAPC certifications and a strong attention to detail. Responsibilities include reviewing medical records for coding accuracy and maintaining high coding standards. Datavant offers a flexible work schedule, a competitive pay range of $20-$35/hour, and comprehensive benefits including medical, dental, and paid time off. This role makes a significant impact in healthcare data collaboration. #J-18808-Ljbffr

Cooper Thomas, LLC is seeking experienced Outpatient Coders for remote work supporting VA projects. Candidates must have at least 2 years of VA or VA-related coding experience, pass an entrance exam, and code at 95% accuracy. Remote home-office work is available, with potential for full-time employment and benefits. Knowledge of ICD-10, CPT, HCPCS, and familiarity with 3M Encoder and E/M guidelines is essential. Candidates should have active VA credentials or equivalent contractor access. #J-18808-Ljbffr

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

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...

Signature Performance seeks an Inpatient Professional Fee Medical Coder to review medical records and assign ICD-10-CM/PCS and CPT/HCPCS codes, ensuring CMS and payer compliance. You will ensure proper sequencing and accurate billing data entry and support physician queries as needed. Required: minimum 2 years of medical coding experience, professional fee coding experience, AHIMA or AAPC credentials (RHIT/RHIA/CCA/CCS/CCS-P/CPC), and familiarity with EHR systems. #J-18808-Ljbffr

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,...

A leading consulting firm seeks a Sr. Associate to join its Health Care team in Washington, D.C. This position involves coding, compliance analysis, and project management for investigations and disputes in the health care sector. Ideal candidates will possess strong clinical knowledge and a CRC certification, with at least five years of relevant experience. The role allows for remote work and requires excellent communication skills. Salary range is between $85,000 and $200,000, commensurate with experience and other factors. #J-18808-Ljbffr

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...

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

Integrated Management Strategies is seeking a Medical Coder to join our healthcare consulting team. This remote role requires expertise in ICD-10 coding and offers a chance to work with federal agencies. Qualified candidates should have an active coding certification and at least 2 years of DoD medical coding experience. Enjoy a supportive work environment with excellent benefits including 401(k) and flexible sick time. #J-18808-Ljbffr

Guidehouse Managed Services LLC is looking for a talented medical coder specializing in Plastic Surgery in Washington, DC. The ideal candidate should have at least 3 years of coding experience, specifically in Plastic Surgery, along with a CPC certification from AAPC. This role involves coding physician charges for plastic surgeries and includes responsibilities such as communicating coding rationale effectively to physicians. Competitive compensation, flexible benefits, and numerous opportunities for professional development are offered. #J-18808-Ljbffr