Risk Adjustment Coder

Cano Health Miami, Florida
insurance medical excel cpc cms charts spreadsheets encounter education training coordination primary care providers
November 20, 2022
Cano Health
Miami, Florida
FULL_TIME

Description:

  • Review medical record information to identify all appropriate coding based on CMS HCC categories
  • Prepare the medical charts and track patient information via Excel spreadsheets.
  • Complete appropriate paperwork/documentation/system entry regarding claim/encounter information
  • Provide coding support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards
  • Provide real time support and coordination with Primary Care Providers and Care Coordinators for MRA coding, HEDIS and STARS
  • Monitor coding changes to ensure that most current information is available
  • Work HCC suspect reports
  • Accurately code and submit encounters on a timely basis
  • Researching and addressing code questions for multiple provider offices as directed
  • Update the Director on the status on a weekly basis
  • Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.
  • Travel to offices as necessary to complete on-site chart reviews
  • Performs post-audits on assigned offices and notifies office contact when codes are not addressed for provider review.
  • Support and participate in process and quality improvement initiatives.
  • Assists with billing claims as assigned.

Requirements:

  • Two (2) years prior medical coding experience
  • Proficient in Microsoft Word and Excel
  • Strong organization and process management skills
  • Strong collaboration and relationship building skills
  • High attention to detail
  • Excellent written and verbal communication skills
  • Ability to learn new tasks and concepts
  • CPC, CPC-A or CCS-P, CRC Coding Certification

Bilingual Spanish/English

Job Type: Full-time

Benefits:

  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Ability to commute/relocate:

  • Miami, FL 33178: Reliably commute or planning to relocate before starting work (Required)

Work Location: One location


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