Medical Coder I

ClareMedica Health Partners, LLC; Miami (FL); Presencial; USD 55.000 - 76.000; Jornada completa

Descripción de la vacante

ClareMedica Health Partners, LLC is seeking an experienced Risk Adjustment Coder to review medical records, identify conditions, and code encounters in alignment with risk adjustment models.

The ideal candidate holds CPC certification (CRC preferred), with 3+ years of medical coding experience and strong knowledge of ICD-10-CM and CPT guidelines. Proficiency in EMR and MS Office is required.

Formación

• CPC certification required or by AAPC/AHIMA; CRC preferred.
• Minimum 3 years medical coding experience; knowledge of ICD-10-CM and CPT.
• Strong understanding of medical terminology, anatomy, and physiology.
• Accurate and detail-oriented with ability to multitask and meet deadlines.

Responsabilidades

• Review medical records and coding to ensure adherence to risk adjustment models.
• Code office procedures accurately and completely.
• Ensure compliance with Federal/State regulations and coding guidelines.
• Collaborate with team to meet department objectives and production goals.
• Attend departmental meetings and participate in ongoing education.

Conocimientos

CPC certification

CRC certification

Medical terminology

Attention to detail

Multitasking

Verbal & written communication

Educación

High school diploma or equivalent

Bachelor’s degree in related field preferred

Herramientas

Electronic Medical Record (EMR) software

Microsoft Office Suite

Descripción del empleo

At Claremedica, exceptional is the standard.

Driven by our purpose to enhance the lives of the seniors in the communities where we have the privilege to work, live, and play, the Claremedica team is comprised of the brightest and best in their fields of expertise. From clinical excellence to unparalleled administrative support and beyond, we’re working together to help seniors live happier, healthier, fuller lives.

That kind of teamwork and passion for excelling can only exist in a workplace that fosters employees’ growth and wellness and where their full potential and value are realized. At Claremedica, we’re excited about great people like you. We’re even more excited to support you with the resources, training, benefits, competitive compensation, and more to help you thrive and succeed in our communities.

Opportunity awaits – welcome to Claremedica.

Essential Functions

We are seeking an accurate, detailed oriented Risk Adjustment Coder to join our team. You will play a key role in reviewing medical records and identifying, collecting, assessing, monitoring, and documenting claims and encounter coding information for adherence to risk adjustment models. You will review and accurately code office procedures.

Duties And Responsibilities

• Knowledge of ICD-10-CM and CPT guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage.
• Review patient’s charts to verify and ensure accuracy, completeness, specificity, and appropriate coding.
• Reviews medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to identify any chronic or new conditions to be sent to providers for validation.
• Performs ongoing analysis of medical charts for appropriate coding compliance.
• Ensures compliance with all applicable Federal, State, and/or County laws and regulations related to coding and documentation guidelines.
• Cooperate with other personnel to achieve department objectives and maintain good employee relations, and interdepartmental objectives.
• Meet daily coding production.
• Attend departmental meetings as required.
• Performs additional duties assigned by the Sr. Risk Adjustment Manager or Coder Lead as needed.

Supervisory Responsibilities

This position does not have supervisory responsibilities.

Qualifications

QUALIFICATIONS/REQUIREMENTS

• CPC – Certified Professional Coder; by AAPC or AHIMA plus any other coding certification.
• High school degree or equivalent; bachelor’s degree in related field preferred.
• CRC – Certified Risk Adjustment Coder, preferred.
• Maintain coding certification and attend in-service training as required.
• More than three (3) years of medical coding experience, preferably.
• Understanding of medical terminology, anatomy, and physiology.
• Strong computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite.
• Accurate and precise attention to detail.
• Ability to multitask, prioritize, and manage time efficiently.
• Excellent verbal and written communication skills.
• Goal-oriented, organized team player.

WORKING CONDITIONS

General office working conditions.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function. While performing the duties of this job, the employee will be required to stand, walk, sit, use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs, balance; stoop, kneel, crouch or crawl; talk or hear. The employee must occasionally lift and or move up to 15 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust your focus. Manual dexterity is required to use desktop computers and peripherals.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of his job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

TRAVEL

Occasional local travel to the centers and attend special continuous education seminars during the business day.

SAFETY HAZARD OF THE JOB

Minimal Hazards