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Medical Coder / Risk Adjustment Educator (located in Denver, CO) Job in Denver, Colorado

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Job Title: Medical Coder / Risk Adjustment Educator (located in Denver, CO)

Employer:Physician Health Partners
Skills:CPC,EMR,Medical Office,Claims Compliance,Medicare,Coding,Auditing,Education,Presenting
Required Certifications:CPC
Preferred Certifications:CRC,CPMA
Location: Denver 80202, CO, US
Date Posted:8/14/2019

Position Summary:  Responsible for educating and advising providers and practice staff in Medicare coding guidelines, focusing on revenue enhancement opportunities. Work in collaboration with other PHP departments and Optum/United HealthCare Medicare Advantage(MA) or other health plans to develop plans and materials that support education and system changes to meet practice and IPA revenue goals.

Qualifications: (Education/Experience/Knowledge/Skills/Abilities): 

  • Associates or Bachelors’ degree required.  
  • Certified Professional Coder (CPC) Required.
  • Minimum two years’ experience in a medical office and/or working with medical records, preferably electronic medical records.
  • CRC, CPMA or additional certification preferred.
  • Knowledge of health care insurance claims practice and compliance.
  • Knowledge of Medicare rules and guidelines.
  • Knowledge of Claims Coding (CPT, HCPCs, Revenue Codes, ICD-9/ICD-10, UB92, HCFA 1500).
  • Knowledge of risk adjustment categories and hierarchy preferred.
  • Knowledge of MS Office Suite, Electronic Medical Records, Encoder, Coding Clinic, other software programs and internet based applications as needed to fulfill position duties.
  • Skilled in synthesizing data and questions to communicate a cohesive educational training program.
  • Skilled in responding to practice inquiries in a timely and accurate manner.
  • Skilled in working collaboratively with various parties to communicate an accurate and meaningful reporting package for practices.
  • Able to work effectively with physicians, practice staff, health plan/other external parties and PHP multipdisciplinary team to streamline efforts to meet HCC Coding goals.
  • Able to work with sensitive data and relay potential issues or concerns in a diplomatic manner.
  • Able to multi-task and meet deadlines.
  • Able to work with external parties to obtain resources as needed.
  • Able to communicate findings in a clear, concise manner, both internally and externally, including presentations.
  • Required Licensure or Certification for this position must be maintained by the employee as defined by the company policies and procedures. 
  • A valid unrestricted Colorado drivers’ license.  
  • Reliable and insured vehicle.
  • Mobile Device for work purposes as defined by the company policies and procedures. 


To apply go to our website: 

Also email a copy of your resume to hr@phpmcs.com

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