REMOTE Risk Adjustment Coder & Provider Engagement Specialist

AAPC; Boca Raton (FL); Remote; USD 54,000 - 67,000; Full time

Benefits offered by this job

401(k) matching

Dental insurance

Health insurance

Paid time off

Vision insurance

Job summary

ASAAR Medical is seeking an HCC Coder & Provider Engagement Specialist in Boca Raton, FL. This full-time role supports Primary Care Providers and Care Coordinators in MRA risk coding within a value-based care setting.

The position involves educating clinicians on coding guidelines, onboarding new providers, and conducting provider meetings to improve documentation and coding accuracy. Travel may be required.

Qualifications

• HCC coding with 2 years of experience required.
• CRC or AAPC certification with 2 years of experience required.
• EMR systems experience of 2 years required.

Responsibilities

• Educate clinicians on coding guidelines and Medicare Risk Adjustment procedures.
• Onboard new providers and support within their first month.
• Review charts to identify missed chronic conditions and trends.
• Conduct 1:1 meetings with providers and practice managers.
• Audit provider documentation and coding for accuracy and risk adjustment.
• Collaborate with Learning and Development and data teams on improvements.
• Stay abreast of CMS updates.

Skills

HCC Coding

Auditing

Provider Engagement

Education

CRC or AAPC Certification

Tools

EMR systems

Job description

ASAAR Medical is seeking a HCC Coder & Provider Engagement Specialist

** May require travel **

Duties:

Reporting to the Director of MRA and Risk Adjustment 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)