Baptist Health.

  • Coral Gables, FL


  • Irreversible.

  • Full-time.

Carries out medical record evaluates prior to and following yearly health gos to and other determined check outs to figure out proper ICD-10- CM coding and billing and compliance with Medicare Threat Modification metrics. Assistance continuum of client care by determining clients with spaces in care or in requirement of MRA metrics reporting prior to each certified see. File comprehensive chart audit findings consisting of paperwork mistakes, medical diagnosis mistakes along with missed out on HCC chances in relevant audit tools every day. Recognize and interact paperwork shortages to service providers to enhance paperwork for precise threat modification coding. Recognizes and records coding observations or disparities and supplies info to management group to even more boost quality and/or supplier education. Help coding management by making suggestions for procedure enhancements to even more boost coding quality objectives and results. Help with and acquire proper doctor documents for any scientific conditions or treatments to support the proper intensity of disease medical diagnoses. Offers quantifiable, actionable options to suppliers that will lead to enhanced precision for documents and coding practices.

Credentials

High School Diploma, Certificate of Participation, Certificate of Conclusion, GED or comparable training or experience needed. Licensed Expert Coder (CPC) and/or Licensed Danger Modification Coder (CRC). CRC accreditation need to be gotten within 1 year of hire. Needed conclusion of a recognized licensed coding expert program. 2 years of center or healthcare facility experience and/ or handled care experience. 1 years of experience in Danger Change and HEDIS/Stars. Capability to analyze, evaluate and abstract data/documentation. Comprehensive understanding of ICD-10- CM codes, Classification II codes, COA steps, CMS paperwork requirements, state and federal guidelines consisting of compliance and repayment and the effect of medical diagnosis coding on threat modification payment designs. Capability to determine HCC enhancement chances and inform medical companies on appropriate medical documents, compliance, and coding standards. Intermediate level of efficiency in MS Workplace – Excel, PowerPoint, and Word. Capability to protect coding choices to both internal and external audits. Strong organizational abilities in numerous settings, along with the capability to work out judgment and effort. Capability to operate in a constantly altering environment.:.

Baptist Health.

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