Medical Coding and Clinical Review Subcontractor

This subcontract opportunity is for a Medical Coding and Clinical Review Subcontractor to support prime contractors on Maryland Department of Health Medicaid projects. The selected provider will be responsible for performing clinical reviews and medical coding audits, specifically reviewing hospital claims against Medicaid guidelines and applying medical coding standards to verify billed services. Key deliverables include the submission of audit findings, identification of overpayments, and the provision of supporting clinical documentation. The project requires a highly qualified team consisting of licensed clinical staff and Certified Medical Coders holding CPC or CCS credentials. This opportunity is managed by the Maryland Office of Procurement and Support Services under NAICS code 621999. Interested parties must submit their responses by the deadline of November 20, 2026.