CRC Job in Largo, Florida

Certified Risk Adjustment Coder

Immediate opening for a Risk Adjustment Coder. This is a full-time position that offers competitive pay, medical, dental, vision, life insurance, paid time off, paid holidays and retirement plan. We are looking for a candidate who considers themselves to be a self-starter.

This position is responsible for reviewing and interpreting the medical record via EMR to verify the accuracy of the diagnosis and procedural codes, captures HCC’s and all quality indicators (Stars measures) and assures entire revenue cycle is completed for physician services in a primary care setting.

Work hours 8am-4:00pm / Full-time

Work Location – Largo, FL

Duties:

• Records reviewal to maximize the quality of the MRA/HCC coding

• Assure compliance with coding rules and regulations according to regulatory agencies for Center for Medicare Services (CMS), Office of the Inspector General (OIG), AMA as well as company and applicable professional standard

• Performs accurate and timely charge entries into billing software

• Stays up to date with coding changes

• Serve as a coding resource for internal departments

• Queries the provider when missing, ambiguous, or non-specific information is present in the health record

• Attend meetings as necessary to provide information relating to coding and compliance

• Informs management of trends identified through the review and validation process

• Ensure clean claim submissions

Requirements:

• Active Certified Risk Adjustment Coder (CRC) credential is mandatory.

• 3+ Years' experience with CPT/ICD10 coding required

• Maintains coding certification and acquires ceu’s as required High School Diploma is required.

• Previous experience with Risk Adjustment coding is preferred

• Working knowledge of Managed Care, Medicare, and Private Payers required

• Tech savviness and comfortable with technology

• Detail oriented with an organized mind-set

• Must be flexible, resourceful, and able to troubleshoot

• Must be able to handle multiple tasks simultaneously and set priorities

• A positive can-do attitude

• Must have excellent customer service and interpersonal skills

• Must be able to work as a member of a team in a team environment

• Must maintain the highest level of confidentiality and comply with HIPAA laws

• Experience with eClinicalWorks EMR is a plus'
• 'Work Location: One location
• Work Remotely-No