Top 8 Certified coding specialist Jobs in Washington, Dc

Coding Specialist
Healthcare Legal Solutions LLC —Washington, DC
- $25 - $30 an hour
- 3 years
- High school diploma or GED
- Analysis skills
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Dental Billing Specialist
Howard University —Washington, DC
- $43,641 - $48,006 a year
- Full-time
- Microsoft Excel
- Research
- Mid-level
- 403(b) matching
- Commuter assistance
OP Coder
Cooper Thomas —Washington, DC
- Part-time
- Remote
- Anatomy knowledge
- Mid-level
- Office
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2d
Certified Medical Billing & Coding Specialist
CLINICA FAMILIAR DE ARLINGTON —Falls Church, VA
- $30 - $40 an hour
- Email
- Mid-level
- Health insurance
- Dental insurance
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Inpatient PTF Coders
Cooper Thomas —Washington, DC
- Urgently hiring
- Remote
- Anatomy knowledge
- Mid-level
- High school diploma or GED
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Billing Assistant
BEACON BEHAVIORAL SUPPORT SERVICES —Fairfax, VA
- Full-time
- HIPAA
- Mid-level
- 3 years
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3d

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Certified Coder- Pediatrics
University of MD Department of Pediatrics —Baltimore, MD
Certified Professional Coder certification required. Knowledge of government regulations as they relate to teaching physician.
$23.80 - $35.72 an hour
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9d
CODING SPECIALIST II
Mercy Medical Center —Baltimore, MD
Associate’s Degree in Health Information Management or related field from an accredited two-year college or technical school, or Bachelor’s Degree from a four-…
$26.96 - $44.48 an hour

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Coding Specialist

Healthcare Legal Solutions LLC -
Washington, DC

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Job Details

$25 - $30 an hour

Qualifications

Quality control corrective actions
Optimizing workflow processes
Employee onboarding
Appeals
National Correct Coding Initiative (NCCI) guidelines
Medicare
Regulatory compliance in claims processing
Performance Reporting
Healthcare documentation compliance audits
3 years
Quality control audit
High school diploma or GED
Certified Professional Coder
Quality assurance audits
Analysis skills
Policy & process development
Retrospective medical coding audits
Medicare regulations
Continuous improvement
Team training
Certified Coding Specialist
Centers for Medicare and Medicaid Services (CMS)
Medical denial root cause analysis (RCA)
Medical insurance appeals management
Developing training programs for medical billing and coding teams
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medical explanation of benefits reviews
Healthcare regulatory compliance policy development
Medicaid regulations
Medicaid

Full Job Description

Description
Healthcare Legal Solutions is seeking an experienced Senior Coding Specialist to support our end‑to‑end appeals and claims recovery operations. This role will be responsible for ensuring that coding applied to denied and appealed claims is accurate, compliant, and strategically aligned with payer requirements and client expectations. Rather than simply coding high‑volume encounters, this position will focus on reviewing complex claims, interpreting documentation and payer policies, advising on appeal strategy, and supporting quality and consistency across our coding and denial management workflows.

The Senior Coding Specialist will have visibility across multiple product lines and venues, including inpatient and outpatient hospital claims, professional services, and specialty service lines, as applicable to client engagements. They will help operationalize coding guidelines, regulatory requirements, and client policies; identify coding‑related denial trends; recommend corrective actions; and contribute to process improvements that enhance both recovery outcomes and compliance. This role may also provide guidance and education to internal staff and client teams on documentation standards, coding changes, and payer expectations.

Key Responsibilities

Review codes already billed based on APR‑DRG and MS‑DRG for appeal.
Review denied and underpaid claims to confirm and assignappropriate ICD‑10, CPT, HCPCScodesand modifiers, ensuring coding supports appeal arguments andcomplies withpayer and regulatory guidelines.
Analyze medical records, EOBs, denial and approval letters, and related correspondence toidentifycoding issues, documentation gaps, and opportunities to overturn denials.
Interpret and apply Medicare, Medicaid, and commercial payer rules and policies, including NCCI edits and medical necessity requirements, within the appeals and claims recovery process.
Collaborate with appeals specialists, legal and clinical reviewers, and client revenue cycle teams to clarify documentation, resolve coding questions, and support case strategy.
Monitorcoding‑relateddenial trends,assistinroot‑causeanalysis, and recommend process or documentation changes to reduce future denials.
Support the development and maintenance of standardized coding procedures, guidelines, and templates in alignment with regulatory requirements and client policies.
Provide input into operational and performance reports related to coding accuracy, denial overturn rates, and documentation quality.
Participate in audits and quality reviews;identifycoding or documentation errors and contribute tocorrective‑actionplans.
Assistwith onboarding and ongoing training of team members on coding fundamentals, documentation expectations, and relevant policy or regulatory updates.

Qualifications

Associate or bachelor’s degree in a related field preferred; candidates with a high school diploma/GED and strong relevant experience will be considered.
Current CPC (Certified Professional Coder) or equivalent coding certification required;additionalcertifications (e.g., CCS, CRC/Risk Adjustment) are preferred.
Prior experience with health systems, health plans, TPAs, or healthcare legal/consulting organizations, specifically in Coding, Denials/Appeals, or Revenue Cycle Operations.
Minimum3years of handson medical coding experience, withdemonstratedproficiencyinICD10, CPT, HCPCS, and modifier use.
Familiarity with Medicare and commercial payer regulations, documentation requirements, and third‑party payer issues.

Strong analytical skills with the ability to synthesize documentation, denial codes, and payer policies into clear coding and appeal recommendations.
Excellent written and verbal communication skills, with the ability to explain coding decisions and documentation needs to both technical and non‑technical stakeholders.
Strong organizational and time‑management skills, with the ability to manage multiple priorities, deadlines, and stakeholders in a fast‑paced, metrics‑driven environment.

Fast learners with solid foundational experience in coding, denials, or healthcare operations are encouraged to apply.

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certified coding specialist jobs in washington, dc

Coding Specialist

Dental Billing Specialist

OP Coder

Certified Medical Billing & Coding Specialist

Inpatient PTF Coders

Billing Assistant

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