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Medical Coding Compliance Jobs in Washington (NOW HIRING)

HealthCare Resolution Services

Medical Coder

Columbia, MD · Remote

$19.25 - $25.50/hr

... medical record abstraction. As an HCC Coding Analyst, you will play a vital role in ensuring ... coding, and DRG assignment will contribute significantly to the efficiency and compliance of our ...

Luminis Health

Medical Coder

Annapolis, MD

$18.50 - $24.75/hr

The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality ... Complies with AHIMA standards of ethical coding and coding compliance guidelines, including ...

Luminis Health

Medical Coder

Annapolis, MD · On-site

$31.50 - $42/hr

The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality ... Complies with AHIMA standards of ethical coding and coding compliance guidelines, including ...

J29 Inc.

Medical Reviewer, Coder

Millersville, MD · On-site +1

$18.25 - $24.25/hr

Experience with inpatient coding and DRG validation, including accuracy review, compliance monitoring, and reimbursement optimization. * 5+ years of direct medical coding or medical billing ...

Cooper Thomas

Inpatient PTF Coders

Washington, DC · Remote

$22.25 - $26.75/hr

... medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has up ... coding compliance, and ensuring that CPT/AMA and ICD codes and modifiers support clinical and ...

Cooper Thomas

Inpatient PTF Coders

Washington, DC · On-site +1

$23.75 - $28.75/hr

... medical coding, auditing, and training services to the Department of Veterans Affairs (VA), has up ... coding compliance, and ensuring that CPT/AMA and ICD codes and modifiers support clinical and ...

Datavant

Profee Coding Consultant - PRN

Washington, DC · On-site

$20 - $28/hr

... compliance, and optimizing service outcomes in both hospitals and alternative care settings. What You Will Do: * Review medical records and assign precise codes to ensure accurate coding aligned with ...

Datavant

Profee Coding Consultant - PRN

Annapolis, MD · On-site

$20 - $28/hr

... compliance, and optimizing service outcomes in both hospitals and alternative care settings. What You Will Do: * Review medical records and assign precise codes to ensure accurate coding aligned with ...

Datavant

Profee Coding Consultant - Full Time

Annapolis, MD · On-site

$20 - $28/hr

... compliance, and optimizing service outcomes in both hospitals and alternative care settings. What You Will Do: * Review medical records and assign precise codes to ensure accurate coding aligned with ...

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Medical Coding Compliance information

What are the key skills and qualifications needed to thrive in medical coding compliance, and why are they important?

To thrive in Medical Coding Compliance, you need a thorough understanding of medical coding systems (such as ICD-10, CPT, and HCPCS), healthcare regulations, and compliance standards, often backed by certifications like CPC, CCS, or CHC. Proficiency with electronic health record (EHR) systems, coding software, and compliance auditing tools is typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for identifying discrepancies and educating staff. These skills ensure accurate coding, reduce legal risks, and maintain organizational compliance with healthcare regulations.

What does a medical coding compliance specialist do?

A medical coding compliance specialist ensures that healthcare providers accurately code medical procedures and diagnoses according to industry standards and regulations. They review coding practices, monitor compliance with legal requirements, and implement policies to prevent fraud and errors, often using coding software and staying updated on coding guidelines.

What is the difference between Medical Coding Compliance vs Medical Coding Specialist?

AspectMedical Coding ComplianceMedical Coding Specialist
CertificationsCPMA, CPC, CCSCPC, CCS
Work EnvironmentCompliance departments, healthcare organizationsMedical offices, hospitals, clinics
Primary FocusEnsuring coding accuracy and regulatory adherenceAssigning codes to medical procedures and diagnoses
Employer & Industry UsageHealthcare compliance and auditing firms, hospitalsHealthcare providers, billing companies

Medical Coding Compliance professionals focus on ensuring that coding practices adhere to regulations and standards, often working in compliance or auditing roles. Medical Coding Specialists primarily assign codes to medical records for billing and documentation. While both roles require similar certifications, their responsibilities and work environments differ significantly.

What are some common challenges faced in a medical coding compliance role, and how can they be addressed?

Medical Coding Compliance professionals often encounter challenges such as staying updated with frequent changes to coding regulations, ensuring consistent adherence to compliance standards across departments, and accurately interpreting complex clinical documentation. To address these, it’s crucial to participate in ongoing education, maintain close communication with healthcare providers, and utilize robust auditing tools. Collaborating with compliance officers and regularly attending training sessions can also help reinforce best practices and minimize errors.

What is medical coding compliance?

Medical coding compliance refers to the process of ensuring that medical coding practices adhere to federal, state, and organizational regulations and guidelines. This involves accurately translating medical diagnoses, procedures, and services into standardized codes for billing and documentation purposes. Compliance helps prevent fraud, reduce billing errors, and ensures that healthcare providers receive appropriate reimbursement while avoiding legal penalties. Professionals in this field stay updated on changing regulations, conduct audits, and provide training to staff to maintain high standards of accuracy and integrity.

What are popular job titles related to Medical Coding Compliance jobs in Washington?

For Medical Coding Compliance jobs in Washington, the most frequently searched job titles are:

What job categories do people searching Medical Coding Compliance jobs in Washington look for?

The top searched job categories for Medical Coding Compliance jobs in Washington are:

What cities in Washington are hiring for Medical Coding Compliance jobs?

Cities in Washington with the most Medical Coding Compliance job openings:

Medical Coding Compliance jobs near you
Infographic showing various Medical Coding Compliance job openings in Washington as of August 2026, with employment types broken down into 94% Full Time, and 6% Part Time. Highlights an 94% In-person, and 6% Remote job distribution.

Medical Coder

HealthCare Resolution Services

Columbia, MD • Remote

$19.25 - $25.50/hr

Full-time

Re-posted 7 days ago

Job description

Job description:Job OverviewWe are seeking a highly skilled and detail-oriented HCC Coding Analyst to join our healthcare revenue cycle management team. The ideal candidate will possess a comprehensive understanding of hierarchical condition categories (HCC) coding, medical billing, and medical record abstraction. As an HCC Coding Analyst, you will play a vital role in ensuring accurate documentation and coding of patient records to optimize reimbursement from government programs such as the Centers for Medicare and Medicaid Services (CMS). Your expertise in ICD-9, ICD-10, CPT coding, and DRG assignment will contribute significantly to the efficiency and compliance of our billing processes. This position offers an opportunity to work within a dynamic healthcare environment dedicated to accuracy, compliance, and quality patient care.DutiesReview NLP-generated HCC coding output.Validate assigned codes against available documentation.Identify unsupported, inaccurate, or missing codes.Make corrections in the platform or designated workflow.Follow customer coding instructions and project guidelines.Complete assigned records in accordance with agreed production expectations.Utilize electronic health record (EHR) systems and electronic health records (EHR) management tools for coding, record abstraction, and billing workflows.Conduct audits of coded records to identify discrepancies and implement corrective actions to improve coding accuracy.Maintain up-to-date knowledge of changes in medical coding standards, CMS regulations, and healthcare policies affecting reimbursement.Support revenue cycle management initiatives by ensuring precise coding that maximizes appropriate reimbursements while maintaining compliance.RequirementsProven experience in medical coding with a focus on HCC coding within a healthcare setting.Strong knowledge of ICD-9, ICD-10, CPT coding systems, and DRG assignment processes.Familiarity with medical billing procedures, medical records management, and electronic health record (EHR) systems.Understanding of the CMS guidelines for risk adjustment models and reimbursement policies.Excellent attention to detail with the ability to accurately abstract information from complex medical records.Knowledge of medical terminology, anatomy, pathology, and clinical documentation practices.Prior experience with electronic health records (EHR) management for billing and coding is highly desirable.Effective communication skills for collaborating with clinicians, billing teams, and auditors.Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal reimbursement while maintaining regulatory compliance within a fast-paced healthcare environment!Benefits:Flexible scheduleWork Location: Remote