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Senior Medical Coding & Reimbursement Specialist at Guidehouse - ApplyBlast

Senior Medical Coding & Reimbursement Specialist

Guidehouse

2 months ago

3.2 on Glassdoor

McLean, Virginia, United States

Onsite

Full Time

Senior

0 applicants

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About this role

The Senior Medical Coding & Reimbursement Specialist will support federal health programs by applying expertise in coding standards, reimbursement methodologies, and provider billing practices. The role involves developing and maintaining code groupings, researching policies, validating code sets, and collaborating with clinicians and analytics teams to ensure accurate representation of healthcare services.

Responsibilities

Develop and maintain CPT, HCPCS, ICD‑10, modifier and revenue code groupings
Review provider billing practices and claims patterns to identify coding issues
Collaborate with clinicians, reimbursement SMEs and analytics teams on code decisions

Skills

Qualifications

Certified Professional Coder (CPC)Certified Outpatient Coder (COC)Certified Professional Medical Auditor (CPMA)Certified Risk Adjustment Coder (CRC)Registered Health Information Administrator (RHIA)

About Guidehouse

guidehouse.com

Headquarters

Mclean, Virginia, United States

Company Size

10001+ employees

Founded

2018

View Profile

Guidehouse is a leading advisory firm that specializes in integrating commercial and public sector solutions to tackle complex challenges faced by clients. As a unique scaled advisory organization, it leverages insights from both government and commercial perspectives within its various industry segments. Guidehouse provides a range of technology and managed services, focusing on key sectors such as healthcare, financial services, defense, and infrastructure. The firm is recognized for its innovative approach to problem-solving, which combines strategic expertise with practical implementation.