HCC Coder & Provider Engagement Specialist

DaMar Staffing; Boca Raton (FL); On-site; USD 36,000 - 44,000; Full time

Benefits offered by this job

401(k) matching

Dental insurance

Employee discount

Health insurance

Paid time off

Vision insurance

Job summary

ASAAR Medical in Boca Raton, FL is seeking a HCC Coder & Provider Engagement Specialist to support Primary Care Providers and Care Coordinators in MRA risk coding within a value-based care setting. This on-site role may require travel and is not remote.

You will educate clinicians on coding guidelines, review charts for accuracy, and partner with HRDD and data teams to improve documentation and risk adjustment outcomes. Strong EMR experience and CRC or AAPC certification are required.

Qualifications

• HCC coding experience required with accuracy in documentation.
• Experience educating clinicians on coding guidelines and MRA procedures.
• Proficiency with EMR systems and risk adjustment processes.

Responsibilities

• Review charts to identify risk adjustment opportunities and coding accuracy.
• Educate providers and staff on Medicare Risk Adjustment guidelines.
• Collaborate with clinical leadership to ensure compliant documentation.
• Audit provider charts and assist in health plan audits as needed.

Skills

HCC Coding

Provider engagement

Auditing

Education

CRC or AAPC certification

Tools

EMR systems

Job description

ASAAR Medical is seeking a HCC Coder & Provider Engagement Specialist

***This is NOT a REMOTE Position *** May require travel ***

Duties:

Reporting to the Director of MRA and Risk Coding. the HCC / MRA Coder will offer real-time support and coordination for Primary Care Providers and Care Coordinators for MRA Risk Coding in a value-based care setting.

Engages providers by gathering multiple views and being open to diverse perspectives, focusing on a shared purpose that puts ASAAR Medical's overall success first.

Review patient charts and pursues excellence: Seeks out learning, strives to develop and expand personally, and continuously helps practices upgrade their capability to contribute to the ACO.

• Helps to educate clinician and non-clinician office staff on coding guidelines, documentation standards, and appropriate Medicare Risk Adjustment (MRA) procedures.


• Assists in education and transition with onboarding new providers, optimally within their first month.


• Reviews diagnoses and patient charts to identify trends and point out potentially missed chronic conditions to providers.


• Collaborates with Learning and Development when changes are necessary.


• Sets up and conducts 1:1 meeting with providers and practice managers.

Assists during health plan and Compliance audits as needed. Conducts quarterly audits of providers with high MRA and meets with them frequently to achieve improvement.

• Works with internal EMRs to monitor accuracy in documentation and diagnoses.


• Works closely with clinical and HRDD (High Risk Disease Detection) leadership to make sure coding standards are met and there is maximization of appropriate and accurate coding, as well as prevention of inappropriate coding.


• Works with data teams to identify any potential gaps related to Risk Adjustment.


• Collaborates with technology team to improve electronic documentation of all clinical conditions during encounters.


• Stays abreast of CMS updates

Auditing appropriate capture and billing of HCC codes to simulate Risk Adjustment Data Validation audits.

• Conduct thorough chart reviews for accuracy and completeness


• Monitor provider compliance with coding and documentation guidelines


• Assist with workflow accommodations based on provider group needs


• Monitor and review HCC coding suggestions


• Educate providers on HCC guidelines and documentation requirements as assigned

Benefits:

• 401(k) matching


• Dental insurance


• Employee discount


• Health insurance


• Paid time off


• Vision insurance

Job Type: Full-time

Pay: $26.00 - $32.00 per hour

Experience:

• HCC Coding: 2 years (Required)


• CRC or AAPC: 2 years (Required)


• EMR systems: 2 years (Required)

Ability to Commute:

• Boca Raton, FL 33431 (Required)