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MRA Coder Job in Jupiter, Florida

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Job Title: MRA Coder

Employer:Healthy Partners
Type:FULL TIME
Skills:billing,coding,medicare risk,HEDIS
Specialties:Medicare Risk Coding
Preferred Certifications:CRC,CPC
Location:1090 Jupiter Park Drive Jupiter 33458, FL, US
Date Posted:4/17/2019

POSITION Summary: 

This position intended to support the achievement of the goals of the organization and execute essential functions under the close supervision of the Senior MRA/HEDIS Specialist and/or Director of MRA; Identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered.


Review medical record information to identify all appropriate coding based on CMS HCC categories.
Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
Support and participate in process and quality improvement initiatives.

 

We help doctors perform at their best while engaging patients in their care!

 

PRINCIPLE RESPONSIBILITIES:

·         Review medical record information to identify all appropriate coding based on CMS HCC categories

·         Complete appropriate paperwork/documentation/system entry regarding claim/encounter information

·         Monitor coding changes to unsure that most current information is available

·         Review and prepare charts for affiliates or medical centers

·         Work HCC suspect reports and submit to the Director for review

·         Accurately coding and submitting encounters on a timely basis after supervisor review

·         Due to the nature of this position, it is understood that coding requirements are expected to change; therefore, participation in affiliated classes and individual efforts to maintain current knowledge of these changes is required

 

KEY COMPETENCIES:

·         Builds Trust:  Consistently models and inspires high levels of integrity, lives up to commitments and takes responsibility for the impact of one’s actions.

·         Pursues Excellence:  Seeks out learning, strives to develop and expand personally, and continuously helps others upgrade their capability to contribute to the managed careplan.

·         Executes for Results:  Effectively leverages resources to create exceptional outcomes, embraces changes and constructively resolves barriers and constraints.

·         Collaborates:  Engages others by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that places the insurance plan and medical center overall success first.

 

EXPERIENCE/SKILL REQUIREMENTS/EDUCATION:

·         At least one of the following:

o   One (1) year prior medical coding and/or billing experience, or

o   Two (2) years prior medical assistant experience, or

o   CPC, CPC-A or CCS-P, CRC Coding Certification, or

o   Pending completion of externship for coding certification

·         Familiar with Microsoft Word and Excel

·         Familiarity with primary care medical charts

·         Strong organization and process management skills

·         Strong collaboration and relationship building skills

·         High attention to detail

·         Excellent written and verbal communication skills

·         Ability to learn new tasks and concepts


Applying

SReilly@HealthyPartners.com

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