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Risk Adjustment Coder - Medical Assistant
Complete Health Jacksonville, FL
$50k-66k (estimate)
Full Time | Ancillary Healthcare 3 Weeks Ago
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Complete Health is Hiring a Risk Adjustment Coder - Medical Assistant Near Jacksonville, FL

The HCC Professional Coder Is Responsible For
  • Review clinical documentation and assign accurate diagnosis codes according to CMS guidelines
  • Verify the appropriateness of the ICD-10 code to include required supporting documentation and treatment plans
  • Review medical documents such as progress notes, surgical reports, medical visits and diagnosis report in order to create educational strategies to ensure correct diagnosis code assignment by the provider
  • Review medical records and billing history to determine if specific disease conditions were correctly billed and documented.
  • Document detailed chart audit findings including all coding and documentation errors as well as any potential HCC opportunities.
  • Improve coding accuracy by performing independent audits of physician records.
  • Assist in developing strategic initiatives and training material tools related to HCC score improvement and accuracy for physician group
  • Provide training to provider groups related to HCC documentation and coding
  • Serves as a subject matter expert on MRA coding
  • Perform other assigned duties/special projects on an as-needed basis.
Requirements, Skills And Abilities
  • Requires knowledge in Medicare Risk Adjustment (MRA) HCC coding documentation guidelines, rules and regulations
  • Requires technical expertise in ICD-10-CM
  • Prefer 2 years of HCC coding experience or Medical Assitant expereince
  • Can appropriately use coding principles to code to the highest specificity
  • Proven success in building relationships and establishing credibility with providers and other clinical staff
  • Strong skills in medical record audit and review
  • Understanding of healthcare data systems
  • Strong proficiency with MS word and Excel
  • Excellent problem-solving abilities along with written and verbal communication skills
  • Strong collaboration and relationship building skills/Strong Team Player
  • Ability to travel (day trips)
Minimum Education: A High School Diploma or Equivalent

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ancillary Healthcare

SALARY

$50k-66k (estimate)

POST DATE

06/06/2024

EXPIRATION DATE

06/30/2024

HEADQUARTERS

TULSA, OK

SIZE

50 - 100

FOUNDED

2016

CEO

LOLA EDWARDS

REVENUE

$5M - $10M

INDUSTRY

Ancillary Healthcare

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