CAREMAX MEDICAL CENTERS Certified Professional Coder (Miami) Salary in the United States

Thank you for your interest in pursuing an employment opportunity at Caremax!

Caremax was founded in 2011 with the vision to be the medical centers instinctively recognized by our patients where healthcare and wellness is all about. Caremax is a group of eleven multi-specialty medical centers catering to the Medicare Advantage population.

If you have a desire to serve the community and share your talent with our patients, then this is the position for you. Caremax is the right place to display your skills!

Caremax is seeking a Certified Professional Coder to be responsible for assigning ICD-9 diagnosis and procedure codes for the purpose of reimbursement, regulations and research. The qualified applicant will possess excellent data entry skills and have the ability to work in many computer applications simultaneously.

Responsibilities

Duties may include, but are not limited to:

• Creates an HCC Audit Report for each provider panel and uses as a reference on existing and previously captured conditions that may need to be documented again.
• Reviews charts twice a year: Jan-Jun and Jul-Dec. Reviews charts of members who have not come in for a visit. 
• Enters the date next to the members' name through HCC Audit Report or printed member list.
• Reviews all consult notes, hospital discharge summaries, diagnostic tests. Looks for any medications that do not have a corresponding condition and queries the provider about its use.
• Makes note of labs with repetitive abnormal results that do not have a diagnosis assigned. Puts findings on a Documentation & Coding Opportunity Report for the PCP to acknowledge and document any possible condition. 
• Reviews charts from the next day appointment list provided by the front desk or center administrator.
• Reviews any new labs or diagnosis studies, consults and hospital discharge summaries that may have been done since the last appointment.
• Reviews the medication list for any continuous user of sedatives, indicating major depression and/or sedative dependence or medications that have no apparent condition linked to its use. Queries the provider about these medications and captures any previously undocumented conditions. 
• Fills out any documentation opportunity forms, as necessary.
• Verifies from HCC Audit Report and notes date documented of last time that condition was captured. Documents a date from first mid-year (Jan-Jun) and from last mid-year (Jul-Dec) to be certain the condition has been captured in both periods. 
• Enters codes for all specialist encounters. Ensures continuity of care by the PCP for any diagnosis the specialist documents.

Qualifications & Education

• 2+ years' experience. 
• Certified Professional Coder (CPC), required.
• Certified Professional Medical Auditor, preferred.
• Certified Risk Coder, preferred.
• Certified Documentation Expert, preferred.
• Bilingual in English and Spanish, preferred.

Note:  This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s).  Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.   

No Third Party Agencies or Submissions Will Be Accepted.   

Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP   

Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.