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Medicare Coding Jobs in Washington (NOW HIRING)

Barrow Wise Consulting

Medicaid/Medicare Consultant

MD · On-site

$90K - $150K/yr

Enhance billing and coding accuracy, claims management, eligibility verifications, regulations, and ... Provide and manage services to process Medicare D claims and collection as required by Federal ...

Humana

Clinical Coding Educator

Arlington, VA · On-site +1

Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Clinical Coding Educator

Oakton, VA · On-site +1

Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Clinical Coding Educator

Ashburn, VA · On-site +1

Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Clinical Coding Educator

Dale City, VA · On-site +1

Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Clinical Coding Educator

Leesburg, VA · On-site +1

Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Clinical Coding Educator

Alexandria, VA · On-site +1

Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Clinical Coding Educator

Springfield, VA · On-site +1

Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Clinical Coding Educator

Triangle, VA · On-site +1

Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

Humana

Clinical Coding Educator

Burke, VA · On-site +1

Will report to the Manager, Medicare Risk Adjustment As the Clinical Coding Educator / Coding Educator 2 you will * Arrange educational sessions with assigned providers aimed at quality of care and ...

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Medicare Coding information

See Washington salary details

$17

$25

$38

How much do medicare coding jobs pay per hour?

As of May 28, 2026, the average hourly pay for medicare coding in Washington is $25.40, according to ZipRecruiter salary data. Most workers in this role earn between $20.43 and $27.21 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Medicare Coder, and why are they important?

To thrive as a Medicare Coder, you need a solid understanding of medical terminology, ICD-10-CM and CPT coding systems, and compliance with Medicare regulations, often supported by certification such as CPC or CCS. Proficiency with coding software, electronic health records (EHRs), and claims submission systems is typically required. Attention to detail, analytical thinking, and strong organizational skills help coders accurately interpret clinical documentation and manage complex billing requirements. These skills are essential to ensure accurate reimbursement, reduce claim denials, and maintain compliance with federal healthcare regulations.

What are some common challenges faced by professionals in Medicare coding, and how can these be managed effectively?

Medicare coding professionals often encounter challenges such as keeping up with frequent regulatory updates, accurately interpreting complex medical documentation, and ensuring compliance with strict billing guidelines. To manage these effectively, it’s important to participate in ongoing training, regularly review CMS updates, and utilize coding tools and resources. Collaborating closely with healthcare providers and billing teams can also help ensure accurate and timely claim submissions, reducing the risk of denials or audits.

What is Medicare coding?

Medicare coding refers to the process of assigning standardized codes to medical diagnoses, procedures, and services for patients covered under Medicare. These codes, such as ICD-10, CPT, and HCPCS, are used to ensure accurate billing and reimbursement from the Centers for Medicare & Medicaid Services (CMS). Proper Medicare coding is crucial for healthcare providers to receive correct payment and to comply with federal regulations. Coders must stay up to date with frequent changes in coding guidelines and Medicare policies.

How to become a Medicare reviewer?

To become a Medicare reviewer, candidates typically need a background in healthcare, such as nursing, medical coding, or health administration, along with knowledge of Medicare policies. Certification in medical coding (e.g., CPC, CCS) and familiarity with medical record review are often required, and some roles may require experience with Medicare claims processing or audits.

What is the difference between Medicare Coding vs Medical Billing?

AspectMedicare CodingMedical Billing
Primary FocusAssigning medical codes for Medicare claimsProcessing and submitting insurance claims
CertificationsMedical Coding Certification (e.g., CPC)Billing and coding certifications often preferred
Work EnvironmentHospitals, clinics, insurance companiesMedical offices, billing companies, hospitals
Industry UsageUsed mainly in Medicare and insurance claimsUsed across various insurance providers

Medicare Coding involves assigning specific codes to medical procedures and diagnoses for Medicare claims, focusing on accurate coding for reimbursement. Medical Billing encompasses the broader process of submitting claims, following up on payments, and managing patient billing. While they overlap, Medicare Coding is more specialized in coding accuracy for Medicare, whereas Medical Billing covers the entire billing cycle across multiple insurers.

What are popular job titles related to Medicare Coding jobs in Washington? For Medicare Coding jobs in Washington, the most frequently searched job titles are:
What job categories do people searching Medicare Coding jobs in Washington look for? The top searched job categories for Medicare Coding jobs in Washington are:
Medicare Coding jobs near you
Medicare/Medicaid Revenue Cycle Manager

Medicare/Medicaid Revenue Cycle Manager

Barrow Wise Consulting, LLC

Annapolis Junction, MD • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Medicare/Medicaid Revenue Cycle Manager

Enjoy problem-solving, need a venue to display your creativity, and emerging technologies pique your interest; if so, Barrow Wise Consulting, LLC is for you. As a multi-disciplined leader, you understand the gifts that set you apart from everyone else. Demonstrate innovative solutions to our clients. Join Barrow Wise Consulting, LLC today.

Responsibilities:

The Medicaid/Medicare Revenue Cycle Manager will support Barrow Wise's Illinois DHS project and perform the following duties:

  • Manage the entire revenue cycle process, including billing, coding, collections, and denial management
  • Monitor the accuracy and efficiency of patient billing information
  • Review and resolve issues related to claim generation and rejected/denied billings
  • Communicate professionally with various payers, including Medicare
  • Implement coding changes and provide coding education to clinical and coding/billing staff
  • Provide day-to-day supervision, development opportunities, training, and mentorship
  • Increase reimbursements and provide revenue optimization
  • Conduct monthly analysis of Medicare and Medicaid
  • Develop and execute process improvements related to revenue cycle management
  • Optimize cash flow, minimize bad debt, and improve overall financial performance
  • Provide and manage consulting, data transfer, and claims processing services to increase federal revenues in Medicare A, B, D, and Medicaid in IDHS State Operated Facilities
  • Provide revenue maximization services for Medicare A, B, D, and Medicaid
  • Enhance billing and coding accuracy, claims management, eligibility verifications, regulations, and compliance with recommendations and implementation of training, new systems, processes, and automation
  • Provide and manage services to process Medicare D claims and collection as required by Federal Medicare D rules and requirements; ensure a streamlined and compliant billing and collection function, including an electronic accounts receivable system specific to pharmacy claiming
  • Review and assess the current Medicare Part A & B, Medicaid, claiming policies, procedures, practices, and outcomes of each State-operated facility for mental health and developmental disabilities
  • Assist the State with billing Medicare Part A & B and Medicaid programs; provide IDHS with detailed information identifying those claims that the vendor submitted in an agreed-upon format and frequency
  • Assist the State in the completion of annual Medicare cost reports by reviewing Medicare cost report schedules to ensure reports are completed appropriately and maximize Medicare and Medicaid cost reimbursement
  • Implement processes to improve billing and claiming with the transition to State staff
  • Provide recommendations as to the level and expertise necessary for individuals to conduct billing and claims to achieve optimal revenue
  • Develop and deliver training, documents, manuals, and other resources required to promptly identify and correctly bill for eligible individuals served by the DHS State-Operated Facility programs
  • Work as a mediator between the State and the Fiscal Intermediary NGS (National Government Services), which requires them to answer questions related to the Medicare cost reports, billings and claims
  • Assist the IDHS Office of Fiscal Services with the submission of Medicare bad debt claiming
  • Assist the IDHS Office of Fiscal Services with the submission of annual Medicare cost reports
  • Identify additional revenue maximization opportunities for IDHS
  • Develop reports and present data to the State
  • Utilize influence to eliminate bottlenecks and potential resource alignment problems
  • Work remotely

Qualifications:

An ideal candidate has the following:

  • U.S. Citizenship
  • Bachelor's degree
  • 7 years of experience with Medicare and Medicaid revenue maximization services
  • Expert in automation in healthcare claims and holds a coding certification
  • Proficient in Financial Analysis, Project Management, and Business Analysis practices, principles, and tools
  • Excellent written and verbal communication skills

Join the team at Barrow Wise Consulting, LLC for a fulfilling and engaging experience! Our team is dedicated to providing innovative solutions to our clients in an ethical and diverse work environment. We offer competitive compensation packages, excellent benefits, and opportunities for growth and advancement. Barrow Wise is an equal-opportunity, drug-free employer committed to diversity in the workplace. Minority/Female/Disabled/Protected Veteran/LBGT are welcome to apply.

Our employees stand behind Barrow Wise's core values of integrity, quality, innovation, and diversity. We are confident that Barrow Wise's core values, business model, and team focus create positive career paths for our employees. Barrow Wise will continue to lead the industry in delivering new solutions to clients and persevere until the client is overjoyed.

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