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Senior Medical Coder

Contract: Baltimore, Maryland, US

Salary Range: 32.00 - 36.00 | Per Hour

Job Code: 363000

End Date: 2025-07-17

Days Left: 15 days, 4 hours left

About the Role

  • The role involves providing advanced knowledge to support partnerships with provider entities and offering guidance on quality measure capture and the proper use of CPT and ICD-10 codes in claims submissions.
  • The aim is to maximize quality and STARs outcomes without compromising payment integrity.

Responsibilities

  • Consult on proper coding rules in value-based contracts to ensure appropriate quality measure capture and proper use of CPT and ICD-10 codes.
  • Provide input on various consequences for different financial and incentive models.
  • Support the use of alternatives and solutions to maximize quality payments and risk adjustment.
  • Develop and refine effective guides and resources for providers on billing and code submissions.
  • Interface directly with provider groups during training events or on complex claims matters.

Education Qualification

  • High School Diploma

Required Skills

  • Minimum of 3 years experience in risk adjustment coding, ambulatory coding, and/or CRC coding in managed care, state or federal healthcare programs, or the health insurance industry.
  • Knowledge of billing practices for hospitals, physicians, and/or ancillary providers, as well as contracting and claims processing. 
Job Requirement
  • Medical
  • Medical coding
  • CPT
  • ICD
  • CPC
  • CPMA
  • COC
  • AAPC
  • Audit
  • CRC
  • Healthcare
  • Pharma
Reach Out to a Recruiter
  • Recruiter
  • Email
  • Phone
  • Shreyansh Mishra
  • shreyansh.mishra@collabera.com
Apply Now
Apply Now
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