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Certified Medical Coder I Job in Sunrise, Florida

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Job Title: Certified Medical Coder I

Employer:Advantasure
Type:Full-Time
Required Certifications:RHIT from AHIMA,ICD-10CM,COC,CPC,HCC Risk Adjustment Coding,CCS,CRC from AAPC or CCS-P
Required Experience:1 to 2 years
Preferred Experience:1 to 2 years
Location:Sunrise, FL
Date Posted:4/9/2019

SUMMARY:   

Certified MRA Coder I, will perform Retrospective Review to assist healthcare providers in identifying and resolving issues related to incomplete or missing clinical documentation. Increase accuracy, completeness and compliance with clinical condition documentation to enable providers to deliver quality of care.

RESPONSIBILITIES/TASKS:

·        Ensures compliance with all applicable Federal, State, and/or County laws and regulations related to coding and documentation guidelines for Risk Adjustment.

·        Performs on-site or in-office electronic medical record review to ensure capture of all relevant diagnosis is based on CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives.

·        MRA coder will conducts audits to abstract data not submitted by providers.

·        Reviews medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries

·        Focus on retrospective coding to close HCC gaps and add HCC codes not reported.

·        Ensure diagnosis codes are supported by the documentation and ensure adherence with ICD-10CM Guidelines for Coding and Reporting.

·        Ensure diagnosis codes for each chronic or major medical condition have been captured and submitted within the permitted timeframe. 

EMPLOYMENT QUALIFICATIONS:

EDUCATION:

High School degree or equivalent required.  Bachelor’s degree in a related field preferred.  Successful completion of a coding license or certificates; CPC, COC, CRC, CCS or RHIT.  Continuous learning, as defined by the Company’s learning philosophy, is required.  Certification or progress toward certification is highly preferred and encouraged.

EXPERIENCE:

One (1) year professional coding experience.  Experience and understanding of CMS HCC Risk Adjustment coding and data validation requirements.  Successful completion of a coding certificate program. CPC, COC, CRC from AAPC or CCS-P, CCS, RHIT from AHIMA.  Initial demonstration and maintenance of continuing education/membership is required.

SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED:

·        Excellent organization and problem-solving skills.

·        Strong oral and written communication skills.

·        Advanced understanding of medical terminology, pharmacology, body systems/anatomy, physiology, and concepts of disease processes.

·        Extensive knowledge of ICD-10CM coding guidelines.

·        Advanced technical skills for use of MS Office (Excel, Word, Outlook, and PowerPoint) as demonstrated through successful completion of a skills test.

·        Demonstrated ability to utilize a variety of electronic medical records systems.

·        Ability to manage a significant work load, and to work efficiently under pressure, while meeting established deadlines with minimal supervision.

·        Demonstrated ability to communicate clearly and effectively with a wide variety of individuals at all levels of the organization.

·        Strong time management skills.

·        Must possess a high degree of accuracy, efficiency, and dependability.

·        Excellent written and oral communication for representation of clear and concise results.

WORKING CONDITIONS:

Work is performed in an office setting with no unusual hazards.

The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description. 

We are an Equal Opportunity Employer.  Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis.  Nothing herein is intended to create a contract.

Applying

Tracey Hodge
tracey.hodge@emergentholdingsinc.com
(248) 794-6305

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Contact us at 844-825-1679.