Value Based Care Coder Educator in Linthicum Heights, MD for University of Maryland Medical System

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Value Based Care Coder Educator

Job DescriptionResponsible for abstracting medical record diagnosis codes based on clinical documentation, adhering to ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic guidance, CMS program regulations, and relevant federal and state laws, rules, and UMMS policies and procedures. Implement coding guidance for various programs, including Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, Commercial IVA (Initial Validation Audit), Medicaid HHS-HCC, Commercial DxCG, and OPPS (Outpatient Prospective Payment System) for claims reimbursement and medical necessity. Work is performed under limited supervision. Direct report to the Senior Manager, Risk Adjustment.Primary Re

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