PBO Risk Adjustment Coding

Broward Health; Fort Lauderdale (FL); On-site; USD 65,000 - 90,000; Full time

Job summary

Broward Health Corporate ISC is seeking a skilled medical coder to ensure E/M and diagnosis coding aligns with documented records. You will apply ICD-10-CM, CPT-4 and HCPCS codes following CMS guidelines and Broward Health policies.

The role requires 2-5 years of risk adjustment coding experience with CPC and CRC credentials, focusing on accurate documentation review and payer submission.

Qualifications

• 2-5 years of risk adjustment coding E/M procedures and diagnosis experience.
• CPC and CRC credentials required.
• Knowledge of ICD-10-CM CPT-4 HCPCS coding guidelines.

Responsibilities

• Code E/M procedures and diagnoses from medical records.
• Review documentation for accurate capture and coding.
• Ensure compliance with CMS guidelines and Broward Health policies.

Skills

E/M coding

Diagnosis coding

CMS guidelines

Attention to detail

Education

High School

Job description

Broward Health Corporate ISC

Shift: Shift 1

FTE: 1.000000

Requisition: 31469

Summary

Ensures procedures E&M and diagnoses are coded as documented in the medical records according to ICD-10-CM CPT-4 and HCPCS in an effort to maintain accurate coding and obtain reimbursement all within the professional coding guidelines Centers for Medicare and Medicaid (CMS) guidelines and Broward Health policies. Review and audit documentation for appropriate capture of CAT II coding Medicare Annual Wellness Visits Medicare Risk HRA/HCC Assessment forms Medicare Advantage plans suspect HCC condition forms prior to submission to the payer.

Education

High School

Experience

2-5 years of risk adjustment coding E/M procedures and diagnosis experience required.

Credentials

Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC)

• Bonus Exclusions may apply in accordance with policy HR-004-026

Broward Health is proud to be an equal opportunity employer. Broward Health prohibits any policy or procedure which results in discrimination on the basis of race color national origin gender gender identity or gender expression pregnancy sexual orientation religion age disability military status genetic information or any other characteristic protected under applicable federal or state law.

At Broward Health the dedication and contributions of veterans are valued. Supporting the military community and giving back to those who served is a priority. Broward Health is proud to offer veteran's preference in the hiring process to eligible veterans and other individuals as defined by applicable law.