What are the responsibilities and job description for the MRA Coder position at LHC Group?
Summary
The MRA Coder is responsible for ongoing Medicare Risk Scoring improvement activities and reports to the Director of Operations. This position includes ongoing quality improvement activities to ensure the organization’s success in multiple value-based programs through successful implementation and maintenance of MRA programs to meet all requirements.
**Requires weekly regional travel within TN/KY**
Responsibilities
- Coordinates and performs targeted medical record reviews for annual wellness visits and other identified visits to identify opportunities for maximizing revenue through appropriate coding and billing in compliance with Medicare Risk Adjustment metrics.
- Supports continuum of patient care by identifying patients with gaps in care or in need of MRA metrics reporting prior to qualified visits and providing opportunities to the market team and/or collaborative providers as appropriate.
- Facilitates education and/or educates client partners and clinic leads on proper CMS Risk Adjustment coding and billing, pay for performance measurements and medical record review criteria.
- Documents and trends findings per client partner in identified database.
- Works independently, under the supervision of the Director of Operations, to identify client practice targets for MRA education and improvement.
- Creates, maintains, and organizes educational tools as related to CMS Risk Coding as needed.
- Performs chart reviews and submission of supplemental carrier attestations on an ad hoc basis, as requested by various payor contracts.
- Participates in market wide initiatives to provide coding and audit support to the market team as required.
Education and Experience
- Hands-on individual with great attention to detail, high personal accountability, and strong drive to develop him/herself while learning our business model.
- Certified Professional Coder and/or Certified Risk Coder Required.
- Experience with multiple Electronic Health Records (EHRs) preferred.
- 1 years of quality improvement experience, or other relevant experience preferred.
- Experience within the health insurance industry preferred.
- Strong organizational skills.
- Excellent written and verbal communication skills.
- Requires travel to local clients on quarterly basis and may require travel both within the regional area of support.
- Knowledge of HEDIS, Medicare, and ACO quality improvement programs preferred.
Company Overview
LHC Group is committed to a culture of diversity, equity and inclusion and is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any legally other protected characteristic.
Imperium Health Management a part of LHC Group family of providers – the preferred post-acute care partner for hospitals, physicians, and families nationwide. We deliver high-quality, cost-effective care that supports our patients when and where they need it. From our home health, hospice, and community-based services to inpatient care at our clinics and hospitals, our mission is to reach more patients and families with effective and efficient healthcare. More hospitals, physicians, and families choose LHC Group because we are united by a single shared purpose: It's all about helping people.
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