Baptist Health South Florida

Baptist Health South Florida.

  • Coral Gables, FL


  • Irreversible.

  • Full-time.

Carries out medical record evaluates prior to and following yearly health check outs and other recognized check outs to identify suitable ICD-10- CM coding and billing and compliance with Medicare Risk Adjustment metrics. Assistance continuum of client care by recognizing clients with spaces in care or in requirement of MRA metrics reporting prior to each certified check out. File comprehensive chart audit findings consisting of documents mistakes, medical diagnosis mistakes in addition to missed out on HCC chances in suitable audit tools daily. Determine and interact paperwork shortages to suppliers to enhance documents for precise threat modification coding. Determines and records coding observations or inconsistencies and offers info to management group to even more improve quality and/or supplier education. Help coding management by making suggestions for procedure enhancements to even more improve coding quality objectives and results. Assist in and acquire suitable doctor documents for any medical conditions or treatments to support the suitable seriousness of health problem medical diagnoses. Offers quantifiable, actionable options to suppliers that will lead to enhanced precision for paperwork 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 should be acquired within 1 year of hire. Needed conclusion of a recognized licensed coding professional program.2 years of center or medical 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 procedures, CMS documents requirements, state and federal policies consisting of compliance and repayment and the effect of medical diagnosis coding on danger modification payment designs. Capability to recognize HCC enhancement chances and inform scientific service providers on correct scientific documents, 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, in addition to the capability to work out judgment and effort. Capability to operate in a continually altering environment.

Baptist Health South Florida.

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