Baptist Health South Florida

Baptist Health South Florida.

  • Coral Gables, FL


  • Long-term.

  • Full-time.

Carries out medical record examines prior to and following yearly health sees and other determined sees to figure out proper ICD-10- CM coding and billing and compliance with Medicare Risk Adjustment metrics. Assistance continuum of client care by determining clients with spaces in care or in requirement of MRA metrics reporting prior to each certified check out. File in-depth chart audit findings consisting of documents mistakes, medical diagnosis mistakes in addition to missed out on HCC chances in appropriate audit tools daily. Recognize and interact documents shortages to suppliers to enhance paperwork for precise danger modification coding. Recognizes and records coding observations or disparities and offers details to management group to even more improve quality and/or supplier education. Help coding management by making suggestions for procedure enhancements to even more boost coding quality objectives and results. Assist in and get proper doctor documents for any scientific conditions or treatments to support the proper intensity of health problem medical diagnoses. Offers quantifiable, actionable options to service providers that will lead to enhanced precision for documents and coding practices.

Qualifications

High School, Cert, GED, Trn, Exper. AAPC Certified Professional Coder AAPC Certified Risk Adjustment Coder Additional Qualifications: Certified Professional Coder and/or Certified Risk Adjustment Coder (CRC). CRC accreditation need to be acquired within 1 year of hire. Needed conclusion of a certified licensed coding professional program.2 years of center or healthcare facility experience and/ or handled care experience. 1 years of experience in Risk Adjustment and HEDIS/Stars. Capability to translate, evaluate and abstract data/documentation. Comprehensive understanding of ICD-10- CM codes, Category II codes, COA steps, CMS paperwork requirements, state and federal guidelines consisting of compliance and compensation and the effect of medical diagnosis coding on threat change payment designs. Capability to determine HCC enhancement chances and inform scientific companies on correct medical paperwork, compliance, and coding standards. Intermediate level of efficiency in MS Office – Excel, PowerPoint, and Word. Capability to protect coding choices to both internal and external audits. Strong organizational abilities in several settings, along with the capability to work out judgment and effort. Capability to operate in a constantly altering environment.

Baptist Health South Florida.

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