83 hospital coder jobs found in Washington, DC

Position Summary We are seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist to review, analyze, and write compelling appeals for coding and DRG-related denials. This position requires a strong understanding of inpatient coding guidelines, MS-DRG assignment, clinical documentation, payer policies, and reimbursement principles. Key Responsibilities Review inpatient coding and DRG denial cases to identify the reason for denial and determine the appropriate appeal strategy. Analyze medical records, coding, clinical documentation, and payer denial rationale. Write detailed, persuasive appeals addressing coding, sequencing, diagnosis/procedure assignment, and DRG-related denials. Apply ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting and other applicable coding standards. Evaluate MS-DRG assignments and identify discrepancies between the documented clinical circumstances and the payer's determination. Research and reference applicable coding...

BridgePoint Continuing Care Hospital - Capitol Hill in Washington, DC is seeking a Coder to assign codes for diagnoses and procedures from patient encounters. You will abstract data in the hospital information system to ensure accurate billing and indexing. Join a team-driven environment with opportunities for advancement. Requirements include a High School Diploma or GED, current CCS or RHIT, and four years hospital coding experience; the role offers competitive pay and daily pay access. #J-18808-Ljbffr

BridgePoint Continuing Care Hospital – Capitol Hill in Washington, DC is seeking a Coder responsible for assigning codes for all diagnoses and procedures during patient encounters and for abstracting data to ensure correct billing and indexing. Education: High School Diploma or GED; Licenses/Certification: CCS or RHIT credentials; Experience: four years hospital coding preferred with thorough knowledge of current coding guidelines. #J-18808-Ljbffr

Coder - Be the Heart of Medically Complex Care BridgePoint Continuing Care Hospital - Capitol Hill | Washington, DC Position Type: Full-Time Shifts Available : Days Rate of pay : $31.80 to $47.19 Access to Daily Pay You chose healthcare for a reason. Let that reason thrive here. At BRIDGEPOINT CONTINUING CARE HOSPITAL - CAPITOL HILL, whether you work with patients every day or support those who do, you are making a difference that matters. We know the path to recovery doesn't happen alone. As a team, we work cohesively to meet each patients unique needs. We are a team-driven environment and we care about our own! Our employees form the foundation of everything we do optimizing resident healing and wellness, and creating a warm and welcoming environment. It is because of the dedication of our employees that we can live out our mission, vision, and company values every day. It is at BRIDGEPOINT CONTINUING CARE HOSPITAL - CAPITOL HILL where care,...

Sacbar is seeking an experienced Inpatient Hospital Coder – Denial Appeals Specialist in Towson, MD to review and write compelling appeals for DRG-related denials. The role requires strong inpatient coding knowledge, MS-DRG assignment, clinical documentation, payer policies, and reimbursement principles. The candidate will analyze medical records, apply ICD-10-CM/PCS guidelines, and collaborate with CDIS and revenue cycle teams to strengthen appeals. #J-18808-Ljbffr

Requirements Review E/M services under 2021+ guidelines MUST RESIDE IN FLORIDA AND HAVE CODING AND AUDITING EXPERIENCE. Deposition as well as Testimony experience is preferred. We are seeking an experienced CPC certified medical coder to perform coding audits, utilization reviews, audits and more. We are looking for someone who can provide litigation support including deposition and testimony services when needed. The ideal candidate must have strong Florida-based coding experience and a thorough understanding of medical necessity, documentation compliance, and payer audit defense. Responsibilities Perform detailed medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to determine medical necessity and documentation compliance Review and prepare demand packages and audit response materials Analyze records for payer disputes and recoupments Prepare written audit findings and defensible reports Provide expert support for depositions and testimony as...

Coder–Be the Heart of Medically Complex Care BridgePointContinuing Care Hospital - Capitol Hill | Washington, DC Position Type: Full-Time Shifts Available :Days Rate of pay :$31.80to$47.19 Access to Daily Pay You chose healthcare for a reason. Let that reason thrive here. At BRIDGEPOINTCONTINUING CARE HOSPITAL – CAPITOL HILL, whetheryou work with patients every day or support those who do, you are making a difference that matters. We know the path to recoverydoesn'thappen alone. As a team, we work cohesively to meet eachpatientsunique needs. We are a team-drivenenvironmentand we care aboutour own! Our employees form the foundation of everything we dooptimizingresident healing andwellness, andcreating a warm and welcoming environment. It is because of the dedication of our employees that we can live out our mission, vision, and company values every day. It is at BRIDGEPOINTCONTINUING CARE HOSPITAL – CAPITOL HILL where care, community, and careers happen. WhatYou’llLove: Competitive...

VA Experienced Remote Inpatient Facility Fee (PTF) Medical Coders-Full-Time Positions AvailableCooper Thomas, LLC, a leading provider of medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has up to immediate openings for VA experienced Inpatient PTF Coders with at least 2 years of experience for (W-2) full-time (40 hours a week) positions. We will hire either 1099 (no second tier subs) or W-2.Benefits are available 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, COI, PIV Card, eToken, and an active VA Contractor's Citrix Access Account or an active Moonlighter Account.Previous experience with the Department of Veterans Affairs...

About the 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...

Company Overview Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra Health is looking for a Medical Coder-Inpatient to join our growing team. Job Summary: The Medical Coder is responsible for reviewing inpatient medical record documentation to ensure the accuracy, completeness, and...

Medical Record ReviewerThe 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 assignedRead, understand, and adhere to all corporate policies...

JOB SUMMARY : The Medical Coding Specialist is responsible for providing billing analysis of claims and applying coding standards and federal regulations to ensure correct billing practices. In this role, you will perform bill and chart reviews to identify any variation from quality billing practices and monitor patient bills for accuracy and compliance. This position also requires awareness of international coding systems and healthcare billing practices to support global operations and ensure alignment with international regulatory standards. JOB ROLES AND RESPONSIBILITIES: Review and analyze inpatient, outpatient, and provider billing for medical appropriateness of treatment; analyze charges across various revenue centers with consideration to patient diagnosis, procedures, age, facility type, and international healthcare norms where applicable. Apply recommendation of national coding and international coding and regulation standards (e.g., ICD-10-AM, OPCS-4,...

Inova Health is looking for a dedicated Certified IRC Coder to join the PB 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 spouses/partners, and their children...

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 spouses/partners, and their children...

Inova Health is looking for a dedicated Certified IRC Coder to join the PB 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...

Currently recruiting an REMOTE Medical Coding Auditor to provide support to Active Duty heroes, their families, and retirees.The full-time position is Monday-Friday, 8 hours shifts between 7:30am and 4:30pm.DUTIES OF THE MEDICAL CODING AUDITOR:Verifies the accuracy of the diagnosis, procedure, supply codes, modifiers, and sequencing for the professional and institutional (facility) components of inpatient, ambulatory, and outpatient encounters.Provides second-level review of coding assignment to ensure compliance with legal and procedural policies to ensure optimal reimbursements while adhering to regulation prohibiting unbundling and other questionable practices.Examines records for proper sequence of documents, presence of authorized signatures, and sufficient data is documented that supports diagnosis, treatment administered, and results obtained.When assigned to perform Data Quality Management Control (DQMC) audits, provides each assigned MTF with coding audit accuracy data...

Sign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development . Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of...

DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients....

DRG Coding Auditor - MS-DRG and APR-DRGSign On Bonus: $1,500; paid in two installments: $500 at the time of hire and $1,000 after one year of service.Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients....

Medical Coder - Inpatient Pride-Health offers eligible employees comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance and employee discounts with preferred vendors. Fair Chance Employment Pride-Health is a Fair Chance employer. We consider all qualified applicants, including those with criminal histories, in a manner consistent with applicable state and local Fair Chance laws and ordinances, including, the California Fair Chance Act and all applicable local Fair Chance ordinances. Accommodations We are committed to providing reasonable accommodations to applicants and employees with disabilities. If you require a reasonable accommodation to participate in the application or interview process, or to perform the essential...

Medical Coding Auditor Hybrid (1 - 2 days in office per week) Baltimore, MD 21201 Compensation $66k-$92k Direct Placement Description Responsible for conducting independent physician coding and auditing reviews to ensure the accuracy, completeness, and compliance of medical record documentation supporting codes selected by providers and/or coders. This role ensures compliance with CMS guidelines, CPT, HCPCS, and ICD-10 code sets, while supporting providers through ongoing physician coding education, auditing feedback, compliance guidance, and training initiatives. This position plays a key role in physician documentation improvement, coding compliance, audit readiness, and provider education across the organization. Core Responsibilities Physician Coding, Auditing, Compliance & Education Conduct independent physician coding and auditing reviews to assess the adequacy of medical record documentation supporting codes selected by providers and/or coders. Perform detailed...

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...

This range is provided by Pride Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Direct message the job poster from Pride Health Job Title Job Title: Coding Specialist (OBGYN) (Temp-to-Hire) Location Location: Remote (Time Zone: EST) Shift Shift: Day shift Duration Duration: 6 months (26 Weeks) Pay rate Pay rate: $27.00 an hour on W2 Base pay range $25.00/hr - $27.00/hr Position Summary Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions. Assigns specified codes to medical diagnoses with some coding of specific clinical procedures. Job Requirements HS Diploma/GED Certification as a CPC or CCS-P required. Proficient in assigning and abstracting ICD-10-CM and CPT codes from provider documentation. 2+...

Position Objective The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Essential Job Duties The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate MS-DRG MCC/CC and APR-DRG/SOI/ROM and POA assignments. Utilizes critical thinking to analyze and evaluate...