- CenterWell (Washington, DC)
- **Become a part of our caring community and help us put health first** The Medical Coder is responsible for extracting clinical information from medical ... **Use your skills to make an impact** **Required Qualifications** + Certified medical coder with one of the following credentials: + AAPC: CPC, CPC-A, CPC-H,… more
- Datavant (Washington, DC)
- …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, allowing you to ... codes using ICD-10-CM and ICD-10-PCS codes + Accurately sequence and abstract medical codes from patient records, ensuring precision and adherence to documentation +… more
- Datavant (Washington, DC)
- …to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using ... Review, analyze, and code diagnostic information in a patient's medical record based on client specific guidelines for the...on client specific guidelines for the project. + The coder will ensure compliance with established ICD-10 CM, third… more
- Highmark Health (Washington, DC)
- … terminology + Certified Coding Specialist (CCS) **OR** Certified In-patient Professional Coder (CIC) + Familiarity with medical terminology + Strong data ... **Job Description :** **GENERAL OVERVIEW:** This job performs thorough medical record review to abstract medical and...performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and… more
- Sharecare (Washington, DC)
- …Manager + Radiology Technician + Home Health Aide + Occupational Therapist Aide + Medical Coder + Dental Assistant + Experience in customer service in a ... utilization management (UM) status, including but not limited to medical , dental, and vision plans + Provider search (PCP,...present premier provider options, including but not limited to medical , dental, and vision plans + Support for spending… more
- Datavant (Washington, DC)
- …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, allowing you to ... future of healthcare from your own workspace! Preferred: SDS/OBV Coder . EPIC and 3M360 experience a plus. Observation coding...Trauma, plastic surgery. **What You Will Do:** + Review medical records and assign accurate codes for diagnoses and… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …is in the Health Information Management (HIM) section at the Washington DC VA Medical Center. Medical Records Technician (CDIS) are skilled in classifying ... encounters and extensive provider education. Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities,… more
- Datavant (Washington, DC)
- …to realize our bold vision for healthcare. As an Auditor, HCC Risk Adjustment Coder , you will review medical records to identify and code diagnoses using ... across Medicare, commercial, and Medicaid sectors. + In-depth knowledge of medical terminology, abbreviations, pharmacology, and disease processes. + Ability to… more
- Datavant (Washington, DC)
- …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, allowing you to ... Reviews rebuttals submitted by coders. Provides education to the coder if the error is correct or sends the...experience a plus + A strong knowledge base of medical terminology, medical abbreviations, pharmacology and disease… more
- Datavant (Washington, DC)
- …experience preferred. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate coding references for accurate ... Scrutinizes all HCPCS and CPT codes influencing APC assignment. + Provide coder education through the auditing process. + Prepare preliminary results for review… more
- Highmark Health (Washington, DC)
- …to prevent further improper payments.Forwards case to the Credentialing and/or Medical Review Committee, law enforcement and regulatory agencies. + Responsible for ... to internal and external law enforcement and regulatory agencies, Credentialing or Medical Review Committee. + Engages in delivery of audit results and overpayment… more
- Elevance Health (Ashburn, VA)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **DRG CODING AUDITOR** is responsible for auditing ... inpatient medical records and generating high quality recoverable claims for...Certified Coding Specialist and/or CIC as a Certified Inpatient Coder . + Requires 5 years of experience working with… more
- CenterWell (Washington, DC)
- …Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the ... business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as… more
- Elevance Health (Washington, DC)
- …(CDI, MS-DRG, AP-DRG and APR-DRG)** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs ... you will make an impact:** + Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and objectivity in the performance of … more
- Datavant (Washington, DC)
- …plus **What You Will Do:** + Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate ... to ensure departmental workflow and case resolution + Provides coder education via the auditing process + Function in...EMRs **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks… more
- Datavant (Washington, DC)
- …cases concurrently to ensure optimal workflow and turnaround time + Provides coder education via the auditing process + Function in a professional, efficient, ... EMRs. **What We Offer:** + Benefits for Full-Time employees: Medical , Dental, Vision, 401k Savings Plan w/match, 2 weeks...exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its… more
- Elevance Health (Washington, DC)
- …Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Fraud Investigator II** is responsible for ... control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related questions...in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years… more
- Datavant (Washington, DC)
- …degree in relevant field of study preferred or 3-5 years related work experience coder with a minimum of 5 year's coding experience in risk adjustment both ACA ... exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its...vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible… more
- Ankura (Washington, DC)
- …Specific experience with RADV Audit responses including managing the collection of medical records, overseeing the selection of records and submitting the records to ... knowledge of Risk Adjustment coding requirements preferably with a Risk Adjustment Coder certification. For individuals assigned and/or hired to work in California,… more