| Employer: | GuideWell Diagnostic Clinic Medical Group |
| Type: | FULL TIME, OTHER |
| 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.