Fraud Risk Analyst jobs in Bradenton, FL

You will be a part of the billing and coding team working with a set of medical billers to ensure timely, correct filing of risk patient visits. Visits will be reviewed; recommendations will be sent to providers and subsequent follow-up will be performed. Provider education will also be created to help share new information as it becomes available.

The ideal candidate will have a billing background and CRC.

As a risk adjustment coder, your duties and responsibilities will involve performing medical coding of encounters and reviewing medical codes for adherence to risk adjustment models. Daily audits of medical record data pre and post patient visit to ensure accuracy will be performed. In this role, you will make recommendations according to regulations and your employer’s operational policies. You will also report the results of an audit to the relevant supervisor or coding service provider. It’s your job to ensure compliance with rules related to patient privacy and electronic medical record keeping.

Note

* Salary will later be determined based on experience and education.

* Hybrid opportunities will be considered.

Job Type: Full-time

Benefits:

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

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Experience:

• Medical Billers & Coders: 1 year (Preferred)
• ICD-10: 1 year (Preferred)

License/Certification:

• Certified Professional Coder certification (Preferred)
• Certified Risk Coder certification (Required)

Work Location: In person