105 cpc certified professional coder jobs found in McLean, VA

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

Medical Coder Venesco is seeking a detail-oriented Medical Coder to support clinical trials through accurate coding and reconciliation of medical data. Remote/Hybrid Full-Time 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 35 years of medical coding experience Knowledge of MedDRA and WHO Drug coding systems Preferred Qualifications: Medical coding certification Experience supporting clinical trials

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. 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

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...

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,...

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,...

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

Job Family:General CodingTravel Required:NoneClearance Required:NoneWhat You Will Do:Code Physician Plastic Surgery chargesCommunicate coding rationale to physiciansCode IP and OP Plastic Surgery chargesWhat You Will Need:High School Diploma/GED (Relevant experience may be substituted for formal education)3+ years of experience coding for Plastic SurgeryCPC from AAPCTrauma surgery coding experience related to PlasticsBreast Reconstruction coding experienceFlaps and adjacent tissue transfer experienceWhat Would Be Nice To Have:ENT facial plastics coding experienceMultispecialty surgical coding experienceOther coding credentials from AAPCThe annual salary range for this position is $44,000.00-$74,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.What We Offer:Guidehouse offers a comprehensive, total rewards...

Billing Coder Specialist Carbon Health Bogota, District of Columbia, United States About this position As a physician-founded and led organization, ensuring everyone has access to quality healthcare is what inspires us. The magic we’ve created lies in Carbon Health’s custom EHR and the collaboration among clinical teams, engineers, and designers who work side-by-side to deliver innovation like our hands free AI charting tool. That’s why we hire people who genuinely care about patients, solving healthcare challenges, and making a positive impact every day. Join us and help change the future of healthcare for the better. THE JOB AT A GLANCE This role will be responsible for reviewing medical record documentation for accurately assigning diagnostic and procedural coding relative to revenue and reimbursement for all encounters associated with Carbon Health entities. This will also include translating patient information into alpha-numeric medical codes using patient treatment, health...

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...

EY is seeking a Rule Coding Specialist to translate complex investment guidelines into system-enforced compliance rules in Washington, DC. The role requires a Bachelor’s degree and at least 3 years of experience in investment compliance rule coding. The ideal candidate will work with various asset classes and compliance officers to ensure accurate implementation across multiple platforms. EY offers flexible vacation policies and comprehensive benefits. #J-18808-Ljbffr

Inova Health is looking for a dedicated Medical Records Coder 2 to join the HB Coding Operations team. This role is Full-time working daytime hours Monday to Friday | REMOTE. This position is eligible for remote work for candidates residing in the following states - VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV. Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. Featured Benefits: Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program. Retirement: Inova matches the first 5% of eligible contributions - starting on your first day. Tuition and Student Loan Assistance: offeringup to $5,250 per year in education assistance and up to $10,000 for student loans. Mental Health Support: offering all Inova team members, their...

Job Description Job Description Description: About the Company: NextStep Technology Inc. is seeking a Medical Records Analyst. The medical records analyst is primarily responsible for review of health information. The MRA reviews the medical records for specific criteria and validation of specific code year sets submitted from selected organizations to government and commercial client. The position requires review of protected health information and must maintain strict confidentiality when addressing or referring to such records. The incumbent must have the ability to use a variety of office equipment, computer software, the ability to use sound and professional judgement, and to work independently. The candidate(s) will be hired as an employee up to 40 hours per week (flexible scheduling). This is a remote position About the Role: The medical records analyst is primarily responsible for review of health information. Responsibilities: Analyze protected...