Performs concurrent and retrospective coding and documentation or clinical review audits of ... Contract Oversight. * Conducts telephonic member interviews as needed to verify services were ...
Performs concurrent and retrospective coding and documentation or clinical review audits of ... Contract Oversight. * Conducts telephonic member interviews as needed to verify services were ...
Outpatient Coding Auditors (FT and PT)
Washington, DC · On-site +1
... multi-year VHA contracts awarded, Cooper Thomas, LLC, a leading provider of medical coding ... • Certified Professional Coder (CPC) • Certified Outpatient Coder (COC) • Certified ...
Outpatient Coding Auditors (FT and PT)
Washington, DC · On-site +1
... multi-year VHA contracts awarded, Cooper Thomas, LLC, a leading provider of medical coding ... • Certified Professional Coder (CPC) • Certified Outpatient Coder (COC) • Certified ...
... multi-year VHA contracts awarded, Cooper Thomas, LLC, a leading provider of medical coding ... Coder (CPC) · Certified Outpatient Coder (COC) · Certified Professional Medical Auditor (CPMA ...
Quick apply
... multi-year VHA contracts awarded, Cooper Thomas, LLC, a leading provider of medical coding ... Coder (CPC) · Certified Outpatient Coder (COC) · Certified Professional Medical Auditor (CPMA ...
Maintain adherence to the RID Code of Professional Conduct: CPC - Registry of Interpreters for the ... Render services as part of a contract team supporting NAVSEA at the Washington Navy Yard (WNY)
Maintain adherence to the RID Code of Professional Conduct: CPC - Registry of Interpreters for the ... Render services as part of a contract team supporting NAVSEA at the Washington Navy Yard (WNY)
ASL Interpreter
Washington, DC · On-site
Maintain adherence to the RID Code of Professional Conduct: CPC - Registry of Interpreters for the ... Render services as part of a contract team supporting NAVSEA at the Washington Navy Yard (WNY)
ASL Interpreter
Washington, DC · On-site
Maintain adherence to the RID Code of Professional Conduct: CPC - Registry of Interpreters for the ... Render services as part of a contract team supporting NAVSEA at the Washington Navy Yard (WNY)
Maintain adherence to the RID Code of Professional Conduct: CPC - Registry of Interpreters for the ... Render services as part of a contract team supporting NAVSEA at the Washington Navy Yard (WNY)
Maintain adherence to the RID Code of Professional Conduct: CPC - Registry of Interpreters for the ... Render services as part of a contract team supporting NAVSEA at the Washington Navy Yard (WNY)
Healthcare Certification Course SMEs
Arlington, VA · On-site +1
$36.75 - $45.25/hr
Contract | Duration: December 2025 - May 2026 (may extend into June+) Application Deadline: ASAP ... CPC (AAPC)- CCA (AHIMA)- CCS (AHIMA)- CBCS (NHA)- Equivalent nationally recognized coding ...
Healthcare Certification Course SMEs
Arlington, VA · On-site +1
$36.75 - $45.25/hr
Contract | Duration: December 2025 - May 2026 (may extend into June+) Application Deadline: ASAP ... CPC (AAPC)- CCA (AHIMA)- CCS (AHIMA)- CBCS (NHA)- Equivalent nationally recognized coding ...
Healthcare Certification Course SMEs
Arlington, VA · Remote
$36.75 - $45.25/hr
Contract | Duration: December 2025 - May 2026 (may extend into June+) Application Deadline: ASAP ... CPC (AAPC)- CCA (AHIMA)- CCS (AHIMA)- CBCS (NHA)- Equivalent nationally recognized coding ...
Healthcare Certification Course SMEs
Arlington, VA · Remote
$36.75 - $45.25/hr
Contract | Duration: December 2025 - May 2026 (may extend into June+) Application Deadline: ASAP ... CPC (AAPC)- CCA (AHIMA)- CCS (AHIMA)- CBCS (NHA)- Equivalent nationally recognized coding ...
ASL Staff Interpreter - 4 Day work week!
Washington, DC · On-site
$74K - $87K/yr
Ability to be assigned to the majority of TEcustomer contracts in the Washington Metro Area. * Must ... Registry of Interpreters for the Deaf Code ofProfessional Conduct, and adherence to RID CPC at all ...
ASL Staff Interpreter - 4 Day work week!
Washington, DC · On-site
$74K - $87K/yr
Ability to be assigned to the majority of TEcustomer contracts in the Washington Metro Area. * Must ... Registry of Interpreters for the Deaf Code ofProfessional Conduct, and adherence to RID CPC at all ...
Clinical Provider Auditor Lead - Maryland Behavioral Health
Hanover, MD · On-site
$76K - $95K/yr
Periodically audits work of vendors and ensures that terms of contract are being satisfied ... Coding certification (CPC, CCS, CPMA) preferred. For candidates working in person or virtually in ...
Clinical Provider Auditor Lead - Maryland Behavioral Health
Hanover, MD · On-site
$76K - $95K/yr
Periodically audits work of vendors and ensures that terms of contract are being satisfied ... Coding certification (CPC, CCS, CPMA) preferred. For candidates working in person or virtually in ...
Periodically audits work of vendors and ensures that terms of contract are being satisfied ... Coding certification (CPC, CCS, CPMA) preferred. For candidates working in person or virtually in ...
Periodically audits work of vendors and ensures that terms of contract are being satisfied ... Coding certification (CPC, CCS, CPMA) preferred. For candidates working in person or virtually in ...
Periodically audits work of vendors and ensures that terms of contract are being satisfied ... Coding certification (CPC, CCS, CPMA) preferred. For candidates working in person or virtually in ...
Periodically audits work of vendors and ensures that terms of contract are being satisfied ... Coding certification (CPC, CCS, CPMA) preferred. For candidates working in person or virtually in ...
Contract Cpc Coder information
See Washington salary details
$24.82 is the 25th percentile. Wages below this are outliers.
$19.33 - $24.87
25% of jobs
The median wage is $28.60 / hr.
$24.87 - $30.42
37% of jobs
$33.25 is the 75th percentile. Wages above this are outliers.
$30.42 - $35.96
25% of jobs
$35.96 - $41.51
4% of jobs
$41.51 - $47.05
4% of jobs
$47.05 - $52.60
2% of jobs
$52.60 - $58.14
2% of jobs
$58.14 - $63.68
0% of jobs
$63.68 - $69.23
0% of jobs
$69.23 - $74.77
0% of jobs
$74.77 - $80.32
0% of jobs
$19
$33
$80
How much do contract cpc coder jobs pay per hour?
What are the key challenges contract CPC coders face when starting a new assignment?
One of the most common challenges contract CPC coders encounter is quickly adapting to new healthcare providers’ documentation styles and organizational workflows. As each assignment may involve different specialties, EHR systems, and coding protocols, being able to learn and align with these variations efficiently is essential. Contract coders are also expected to produce high levels of accuracy under tight deadlines while sometimes working remotely or independently. Maintaining clear communication with supervisors and clinical staff is important to resolve documentation queries and ensure smooth billing processes.
What are the key skills and qualifications needed to thrive in the Contract Cpc Coder position, and why are they important?
To excel as a Contract CPC Coder, you need a solid understanding of medical coding principles, anatomy, and ICD-10, CPT, and HCPCS coding guidelines, backed by a Certified Professional Coder (CPC) credential. Familiarity with electronic health record (EHR) systems, coding software, and healthcare billing platforms is typically required. Strong attention to detail, time management, and effective written communication are valuable soft skills in this role. These capabilities ensure accurate claim submissions, proper reimbursement, and seamless collaboration with healthcare providers and billing teams.
What is a Contract CPC Coder job?
A Contract CPC Coder is a certified professional coder who works on a contractual basis to review and assign medical codes for diagnoses, procedures, and services. They ensure accurate coding for billing and insurance reimbursement, often working remotely or for healthcare providers, insurance companies, or third-party billing services. Contract coders typically have flexibility in their assignments and must stay updated on coding guidelines such as ICD-10, CPT, and HCPCS.
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Full-time
Posted 9 days ago
Medstar Health rating
7.8
Based on 238 frontline employees who took The Breakroom Quiz
133rd of 877 rated healthcare providers
Job description
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 corrective action plans or continuous improvement plans identified through audits.
- Coordinates monthly exclusion data base checks review and report findings.
- Completes assigned routine and selected audits all within assigned time frames. Ensures timely completion of risk assessments and related activities. Maintains or exceeds designated quality and production goals.
- Utilizes established process to track audits and follow-up claim reviews data requests including fraud analytics software audit case management system.
- Maintains confidentiality of all provider and member sensitive information reviewed during the auditing process.
- Participates in health plan and business unit meetings and serves on system wide committees as appropriate. Serves as a technical resource in researching and responding to compliance inquiries.
- Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate.
- Performs routine and selected audits of member and employee data for possible fraud waste and abuse. Utilizes audit and monitoring tools to analyze and trend data to identify variances in claims billing in order to detect potential compliance issues.
- Performs concurrent and retrospective coding and documentation or clinical review audits of respective plan service areas including Behavioral Health services and other duties as assigned to detect potential compliance and/or fraud waste and abuse.
- Reports any inquiries concerning improper billing practices or reports of non-compliance to the Director of Medicaid Contract Oversight.
- Conducts telephonic member interviews as needed to verify services were received or to assist in other investigations.
- Analyzes and reports on claims data through a working knowledge of ICD-10 HCPCS and CPT coding guidelines state and federal regulations and various regulatory agency standards to identify trend and potential fraud waste and abuse.
- Conducts provider coding and documentation audits for specific provider types including behavioral health for MFC DC depending upon the health plan that this role supports (MFC MD or MFC DC).
Minimal Qualifications
Education
- High School Diploma or GED required
- Bachelor's degree preferred
Experience
- 4 years related experience required
Licenses and Certifications
- CCS-Certified Coding Specialist At least one coding credential required: Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC) required
Knowledge Skills and Abilities
- Must possess excellent organizational skills including the ability to prioritize multiple tasks and perform them accurately and simultaneously.
- Ability to work with minimal supervision, guidance, and direction.
- Must be proficient with MS Office (Word, Excel, PowerPoint, and Outlook).
- Proficient knowledge of Medicaid, Medicare, and other third party payer requirements pertaining to documentation, coding, billing, and reimbursement.
- Proficient with performing coding and documentation reviews.
- Strong working knowledge of health care and provide billing regulations related to payer reimbursement policies and CPT/HCPCS coding guidelines.
- Excellent verbal and written communication skills.
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
- Ability to establish and maintain positive and effective work relationships with members providers vendors and co-workers
- Demonstrated knowledge of and skill in data collection analysis and/or interpretation of provider claims data.
- Prior coding and documentation auditing experience is required in a provider or insurance environment.
- Auditing experience with specialized provider types such as behavioral health is preferred as identified by the health plan (MFC DC or MFC MD) that this role supports.
This position has a hiring range of
USD $65,062.00 - USD $117,291.00 /Yr.
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About Medstar Health
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MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Columbia, MD, US