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Risk Adjustment Coder -Certified Risk Coder Job in Largo, Florida

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Job Title: Risk Adjustment Coder -Certified Risk Coder

Employer:GuideWell Diagnostic Clinic Medical Group
Job Location:Other
Required Certifications:Certified Risk Coder (CRC)
Preferred Certifications:LPN or RMA
Required Experience:1 to 2 years
Location:1301 2nd Ave. SW Largo 33770, FL, US
Date Posted:6/16/2021

Risk Adjustment Coder

Be a part of Building the future of Health!  Are you looking to excel in your next career? Are you a game changer? This opportunity is for you! If you have any metadata and master data implementation experience using Informatica or other vendor products, please apply to the job! As the Risk Adjustment Coder is responsible for conducting Electronic Medical Record (EMR) chart audits for prospective Medicare Risk Adjustment (MRA) ICD-10 codes (International Classification of Diseases, version 10)/Hierarchical Condition Category (HCC) coding in advance of patient visits. This position will prepare coding review for the physician to utilize at the patient visit using the Center for Medicare and Medicaid Services (CMS) coding guidelines. This role will also complete health risk assessments for insurance companies on their portals.

Your responsibilities consist of: Conducting chart review in advance of patient visits for risk adjusting codes/HCCs. Create an electronic accurate and professional coding review for the provider’s review. (60%) Reviewing upcoming appointment spreadsheet to identify patients in need of coding review, update and maintain spreadsheet as needed (10%) Using professional and accurate documentation for each MRA code with supporting information provided. Completing Health Risk Assessments or Attestations after visit for insurance companies to obtain additional revenue for clinic. (25%) Assisting the department with requested tasks to satisfy deadlines. (5%) Maintaining quality and productivity standards for coding review, code selection, and quantity of charts per day.

Required Work Experience: *2+ years related work experience. Experience Details: Medical Knowledge, Medical risk coding *High school diploma or GED *Certified Risk Coder (CRC) *Knowledge of MRA coding *Demonstrated medical and clinical knowledge *Strong working knowledge of computers

Preferred Licenses and Certifications: *Certified Risk Coder (CRC) *LPN or RMA *Previous MRA coding and auditing experience

General Physical Demands: Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.

We are an Equal Opportunity Employer/Protected Veteran/Disabled.




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