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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
Job Status: Expired
This Job is no longer accepting applications
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
- Phone
- Shreyansh Mishra
- shreyansh.mishra@collabera.com
This Job is no longer accepting applications
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