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Risk Adjustment Coding Supervisor Job in Holly Hill, Florida

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Job Title: Risk Adjustment Coding Supervisor

Employer:Florida Health Care Plans
Skills:Coding,Billing,Compliance and Auditing
Required Certifications:RHIA or RHIT or CPC or CCS-P
Required Experience:5 to 7 years
Preferred Experience:5 to 7 years
Location: Holly Hill 32117, FL, US
Date Posted:7/2/2018

Risk Adjustment Coding Supervisor:

This position coordinates, oversees and completes certain aspects of Risk Adjustment.  Serves as coding subject matter expert and works collaboratively with Risk Adjustment Director, Medical Director and, Risk Adjustment Operations Supervisor to strategically plan and execute HCC coding efforts to yield desired outcomes. Formulates department specific and organization policies and procedures to support the Risk Adjustment program.


  1. Bachelor's degree in related field preferred.
  2. RHIA, RHIT, CPC or CCS-P required with minimum five (5) years' experience in medical chart review and medical coding documentation preferred.
  3. Extensive knowledge of CMS Risk Adjustment payment rules, regulations and guidelines as it relates to managed care organizations required.
  4. Extensive knowledge of Medical Terminology, ICD-10, CPT, HCPCS Coding and Medical Record Documentation required. 
  5. Comprehensive understanding of coding rules and regulations is required.
  6. Ability to effectively communicate Medical Coding Documentation rules and regulations to Providers and/or staff required.
  7. Minimum two (2) years supervisory experience, preferably in a healthcare setting, required.
  8. Must be able to work well and interact with others in a positive & professional manner when under stressful situations; must be a team player.
  9. Experience in a Medicare HMO setting preferred.
  10. Strong computer skills including AS400, Microsoft Office Suite, Data Base Management, and minimum typing of 30 w.p.m. required.
  11. Excellent organizational, analytical, verbal and written communication skills required.
  12. Demonstrated ability to conduct and interpret quantitative and qualitative analysis.
  13. Previous (3-5 years) experience in HEDIS/CMS Stars and/or Medicare Risk Adjustment.
  14. Must be able to maintain flexible work schedule to meet departmental needs.

We offer various schedules & work locations, competitive salaries, robust benefits, and a great place to work! 


To apply, visit www.fhcp.com/careers

Applicants must meet minimum qualifications

Equal Opportunity Employer/Protected Veteran/Disabled

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