Risk Adjustment Coder

Certified Risk Adjustment Coder/Certified Professional Coder

Immediate opening for a Risk Adjustment Coder/ Certified Professional Coder. This is full-time position with the opportunity to go remote that offer competitive pay, medical, dental, vision, life insurance, paid time off, paid holidays and retirement plan. We are looking for a candidate who considers themselves to be a self-starter. Must be able to attend monthly meetings and training in office so local candidates are a must.
This position is responsible for reviewing and interpreting the medical record via EMR to verify the accuracy of the diagnosis and procedural codes, captures HCC’s and all quality indicators (Stars measures) and assures entire revenue cycle is completed for physician services in a primary care setting. This is a full capture position.
Work hours 8am-4:30pm / Full-time
Work Location – Largo, FL - with the possibility to be remote for the right candidate.
Duties:

• Records reviewal to maximize the quality of the MRA/HCC coding
• Assure compliance with coding rules and regulations according to regulatory agencies such as Center for Medicare Services (CMS), Office of the Inspector General (OIG), AMA as well as company and applicable professional standards.
• Performs accurate and timely charge entries into billing software
• Stays up to date with coding changes
• Serve as a coding resource for internal departments
• Queries the provider when missing, ambiguous, or non-specific information is present in the health record
• Attend meetings as necessary to provide information relating to coding and compliance
• Informs management of trends identified through the review and validation process
• Ensure clean claim submissions
• Identify and troubleshoot billing, guarantor, insurance plan, and payer issues

Requirements:

• Active Certified Professional Coder (CPC), or Certified Risk Adjustment Coder (CRC) credential is required.
• Previous experience with Risk Adjustment coding is required.
• 3 Years' experience with medical billing and CPT/ICD10 coding is required.
• Maintains coding certification and acquires ceu’s as required
• High School Diploma is required.
• Extensive knowledge in claim submission
• Working knowledge of Managed Care, Medicare, and Private Payers required
• Tech savviness and comfortable with technology
• Detail oriented with an organized mind-set
• Must be flexible, resourceful, and able to troubleshoot
• Must be able to handle multiple tasks simultaneously and set priorities
• A positive can-do attitude
• Must have excellent customer service and interpersonal skills
• Must be able to work as a member of a team in a team environment
• Must maintain the highest level of confidentiality and comply with HIPAA laws
• Experience with eClinicalWorks is a plus

Job Type: Full-time

Pay: From $25.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work setting:

• Office
• Private practice

Application Question(s):

• Are you able to commute to the office in Largo, FL for periodic meetings as this is a requirement?

License/Certification:

• CPC or CRC (Required)

Work Location: In person