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Risk Adjustment Coding Specialist I (MRA Coder)

Millennium Physician Group
Millennium Physician Group Salary
North Fort Myers, FL Full Time
POSTED ON 4/26/2025
AVAILABLE BEFORE 5/23/2025

Job Description

Job Description

Millennium Physician Group is seeking to hire a full-time / MRA Coder to join our team in the Fort Myers, FL area (this position can be performed remotely). We are looking for a new team member who is positive, energetic, well-organized, has the ability to multi-task, and think outside of the box. We want someone who supports our top initiative of ensuring an excellent patient experience!

The MRA Coder is responsible for ongoing Medicare Risk Scoring improvement activities and reports to a Medicare Risk Adjustment (MRA) Management Leader. This position includes ongoing quality improvement activities to assure the organization's MRA programs are implemented and meet all requirements.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

  • Coordinates and performs medical record reviews prior to and following annual wellness visits and other identified visits to determine maximizing revenue thru appropriate coding and billing and compliance with Medicare Risk Adjustment metrics;
  • Support continuum of patient care by identifying patients with gaps in care or in need of MRA metrics reporting prior to each qualified visit.
  • Facilitates education and / or educates providers and office staff on proper CMS Risk Adjustment coding and billing, pay for performance measurements and medical record review criteria;
  • Document and trend findings in identified database;
  • Generally, works independently, under the supervision of a Medicare Risk Adjustment leader;
  • Communicates to the MRA Leader and I.T. Department regarding defects in the reporting system or database, tracks through to completion.
  • Creates, maintains, organizes educational tools as related to CMS Risk Coding as needed;
  • Performs chart reviews and submissions of supplemental carrier attestations as supported by the medical record as determined by MRA Management Leader.

This position earns competitive compensation plus a full benefits package, including 401(k) with match and three weeks of PTO! We also offer growth opportunities , as well as a great team atmosphere that empowers you to seek better ways to deliver service and take ownership of outcomes in providing quality service and support.

Required Knowledge, Experience and Education

  • 1 years of quality improvement experience, or other relevant experience preferred. Experience working in health care and insurance Industry.
  • Certified Coder; CPC, CCS-P, CCS-H, RHIT
  • Knowledge base of clinical standards of care, preventive health standards and Medicare Risk Coding.
  • Ability to travel to physician offices as required; valid state-specific driver's license and reliable vehicle.
  • Please review the full job description for more details about this exciting opportunity.

    ABOUT MILLENNIUM PHYSICIAN GROUP

    Formed in 2008, Millennium Physician Group has grown into one of the largest comprehensive primary care practices with more than 400 health care providers located throughout Florida. With corporate headquarters in Fort Myers, Florida, Millennium Physician Group consists of primary care offices, Imaging Centers, Lab Services, and Wellness Programs. You can also find various programs, such as weight management and smoking cessation, led by Millennium Physician Group doctors.

    If you are interested in joining an organization that emphasizes teamwork and family, then Millennium Physician Group is the right choice.

    Millennium's core values summarize how we treat others, patients, and fellow community members. Millennium CARES for every patient every time.

    Millennium Physician Group is proud to be an Equal Opportunity Employer and a Drug-Free Workplace. Additionally, Millennium is proud to join the nearly 3,000 health system and physician groups who have gone completely Tobacco Free.

    ARE YOU READY TO JOIN OUR CODING TEAM?

    If you feel that you would be right for this position, please click the link to apply today. We look forward to meeting you!

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