Senior Medical Coding Lead - Value-Based Payments

CareFirst BlueCross BlueShield; Baltimore (MD); On-site; USD 67,464 - 133,991; Full time

Job summary

CareFirst BlueCross BlueShield is seeking a Senior Medical Coding Specialist in Baltimore, Maryland. This role focuses on ensuring effective payment integrity by developing guidelines and mentoring team members, utilizing extensive coding knowledge and experience within managed care environments.

Critical skills in CPT and ICD-10 coding, along with a Bachelor's Degree or equivalent experience, are essential. The position also offers a salary range of $67,464 – $133,991 based on expertise and responsibilities.

Qualifications

• Five years of experience in risk-adjustment coding, ambulatory coding, or CRC coding.
• CCS-Certified Coding Specialist certification required.
• Understanding of CPT and ICD-10 coding standards.

Responsibilities

• Consult on proper coding and ensure compliance with standards.
• Serve as a technical resource for contract-pricing issues.
• Develop effective guides for billing and coding.

Skills

Detail-oriented

Excellent communication skills

Knowledge of billing practices

Experience in revenue-cycle management

Education

Bachelor's Degree or relevant work experience

Tools

Microsoft Office (Excel, Word, PowerPoint)

Job description

CareFirst BlueCross BlueShield is seeking a Senior Medical Coding Specialist in Baltimore, Maryland. This role focuses on ensuring effective payment integrity by developing guidelines and mentoring team members, utilizing extensive coding knowledge and experience within managed care environments.

Critical skills in CPT and ICD-10 coding, along with a Bachelor's Degree or equivalent experience, are essential. The position also offers a salary range of $67,464 – $133,991 based on expertise and responsibilities.